Suctioning Resuable Inner Cannula Disposable Inner Cannula Skin Care Trach Tube Ties Pediatric Trach Care

Follow this suctioning procedure only if directed by your doctor. Ask for help from your caregiver if needed.

  1. Wash your hands.
  2. Put on gloves.
  3. Attach the suction catheter to the suction machine.
  4. Rinse the catheter by suctioning sterile water.
  5. Hyperoxygenate the patient by taking 3 or 4 deep breaths (or if ventilated, provide 3 or 4 ventilated breaths).
  6. With your thumb off the thumb hole, gently insert the catheter into the tracheostomy tube until it reaches the end of the tube or until the patient coughs.
  7. Cover the thumb hole on the catheter to suction.
  8. Slowly remove the catheter while rolling it between your thumb and forefinger. Also pulse the suctioning by covering and uncovering the thumb hole of the catheter. (Start to finish, this process should take no longer than 10 seconds.)
  9. If more suctioning is needed, rinse the catheter first and have the patient take another 3 to 4 deep breaths (or if ventilated, provide 3 or 4 ventilated breaths), then repeat the suctioning stage. (Allow enough time between each catheter insertion for normal breathing or ventilator support to reoxygenate the patient’s body.)
  10. Look at the mucus you have suctioned.
      • Normal: Clear, with no odor.
      • Infection: Yellow or green color with foul-smelling odor.
      • Blood: A few streaks of blood is OK, but if it has more bright red or old dark blood, there could be a problem.
  11. If you see signs of infection or bright red blood, call your doctor.

What you will need:

  • Collection jar for secretions
  • Container for water
  • Gloves
  • Sterile water or saline
  • Suction catheter
  • Suction machine

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