What is the ideal size of the suction catheter for a pediatric patient?

The general recommendation is to use a suction catheter that occludes less than one-half the internal diameter of the ETT lumen and to use the smallest suction catheter that will effectively and safely aspirate the secretions.

What is the correct suction pressure for a child?

Recommended pressures should not exceed 80 – 120 mmHg for pediatrics and 80 – 100 mmHg for neonates.

How do you determine what size suction catheter to use?

A calculated suction-catheter-to-endotracheal-tube ratio of 50% of the endotracheal tube area or 50% of the endotracheal tube volume is equivalent to < 70% of the endotracheal tube diameter. A ratio of < 70% allows the clinician to determine the proper suction catheter size by doubling the endotracheal tube size.

How do you measure for the suction depth on nasopharyngeal suctioning?

7. Measure catheter: a. Nasopharyngeal Suctioning: Measure catheter from nose tip to base of earlobe (approximately 16 cm in adults; 8-12 cm in older children; 4-8 cm in young children and infants).

How long should a suction procedure last?

Apply suction for a maximum of 10 to 15 seconds. Allow patient to rest in between suction for 30 seconds to 1 minute. 10. If required, replace oxygen on patient and clear out suction catheter by placing yankauer in the basin of water.

What size catheter would you select to suction a child with a 5 mm endotracheal tube?

Suction should only be to the tip of the ETT, and should never exceed more than 0.5cm beyond the tip of the ETT, to prevent mucosal irritation and injury….Equipment.

How do you deep suction a child?

To suction, block the thumbport with the thumb of your non-sterile hand and withdraw the catheter. Do not suction longer than 5 to 10 seconds. Let your child rest for 15 to 20 seconds before suctioning again. If mucus is thick, lavage with 3 to 5 drops of normal saline into the nostril before suctioning.

How far do you insert a suction catheter?

The rigid tip catheter must be inserted following the pharyngeal curvature, with the suction OFF (usually there is a control hole on the tip, if not you will need to crimp the suction hose to initiate suctioning). Insert the catheter only as far as you properly measured it.

What are the adverse effects of nasopharyngeal suctioning?

However, there are also potential risks. Nasal-pharyngeal suctioning can produce bradycardia, laryngospasm, cardiac dysrhythmias, and edema and trauma to mucous membranes (Oberc, 1991), tachycardia, emotional distress, bronchospasm, and cardiac arrest (Young, 1988).

What are 3 indications that a child needs their tracheostomy suctioned?

Here are signs that you may need to suction: Your child is breathing more quickly or seems very restless. You hear a whistling or rattling sound when your child breathes. There are bubbles of mucus at the trach opening or you hear gurgling or rattling sounds as if mucus is present.

How do you suction a nasopharyngeal catheter in a child?

(2) Place a container of water (or normal saline solution), 4×4 gauze squares, an emesis basin, and tissues on the bedside table. (3) Select the appropriate size catheter (14 or 16 French for adults, 10 or 12 French for children) and attach it to the suction tubing.

How big is a nasopharyngeal catheter in an adult?

Nasotracheal Suctioning: Measure catheter from nose tip to earlobe and downward to thyroid cartilage or neck (approximately 20-24 cm in adults; 14-20 cm in older children; 8-14 cm in young children and

How to suction the oropharynx and nasopharyngeal?

Suction of the oropharynx and mouth: 1 (1) Moisten the catheter in the water. 2 (2) With suction diverted, insert the catheter gently into the mouth toward the back of the throat. 3 (3) Apply suction and rotate the catheter to suction the secretions. 4 (4) Withdraw the catheter and clear it by aspirating water through it.

Can a child be suctioned via an artificial airway?

• An artificial airway in situ (suctioning via an artificial airway is not covered in this guideline, except a nasopharyngeal airway) The general principles of suctioning are the same, whether the child requires suction of the mouth, pharynx or via an artificial airway. 4, 5 Indications for Nasopharyngeal Suctioning