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2-19. NASOPHARYNGEAL AND OROPHARYNGEAL SUCTIONING
2025-03-01 15:45:05| Spiritual Career Counseling
2-19. NASOPHARYNGEAL AND OROPHARYNGEAL SUCTIONING a. The nose, mouth, and throat may be cleared of mucus, vomitus, blood, or other material by a procedure called suctioning. (1) Material that accumulates in the mouth and throat can usually be expectorated. Mucus accumulations in the nostrils can be removed by blowing the nose. If the patient is unable to cough, expectorate, or otherwise clear the upper air passages effectively, there is a danger that the accumulated material may be aspirated into the lower air passages (trachea, bronchi, and lungs). (2) These suctioning procedures may be carried out using medical asepsis (clean technique) since the nostrils, mouth, and throats are not sterile areas. In specific cases, such as isolation, sterile technique may be required. b. Wash your hands and assemble the necessary equipment. Set it up at the patient's bedside. (1) Set up the suction apparatus (portable suction machine or in-wall suction) and connect a sufficient length of tubing to r...
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Oropharyngeal vs. Nasopharyngeal Intubation: Pros and Cons
2025-03-01 15:45:05| Spiritual Career Counseling
Posted by Sam D. Say Jul 6, 2024 8:00:00 AM 5 min read As an EMS professional, one of the most critical decisions you will make is when to secure an advanced airway. Airway decisions are crucial: they must be expedient, effective, and appropriate.Today, paramedics have a range of options for advanced airways. With the advent of the Combitube and the King airway, there are alternatives to oral or nasotracheal intubation. Oral intubation using an endotracheal tube is still considered the airway of choice, but there are situations where nasotracheal intubation is the better alternative.Let's discuss the pros and cons of these two important airway interventions.Deciding When to IntubateBased on your primary survey, the first step in placing an advanced airway is the decision to intubate. This survey should include the patient's vital signs and O2 saturation.A patient inrespiratory distresswill typically present the following signs and symptoms, which may not be serious enough to warrant an...
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Airway Suctioning: Overview and Practice Questions (2025)
2025-03-01 15:45:05| Spiritual Career Counseling
Nasal SuctioningNasal suctioning involves the removal of secretions from the nostrils and nasal passages. Its typically performed using a soft-tipped, flexible suction catheter.Nasal suctioning is common in neonates and infants since they are obligate nasal breathers, meaning they predominantly breathe through their noses.It helps to clear obstructed nasal passages to facilitate better breathing, especially when the baby has a cold or other respiratory issues.Oral SuctioningOral suctioning targets the removal of secretions from the mouth and the anterior part of the throat. A Yankauer suction tip is often the preferred instrument for this type of suctioning because of its rigidity and larger bore.It is frequently used post-operatively, or for patients with a decreased level of consciousness, to prevent aspiration of oral secretions.Pharyngeal SuctioningPharyngeal suctioning is geared towards removing secretions from the back of the throat or oropharynx. It can be achieved with either...
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22.4 Oropharyngeal and Nasopharyngeal Suctioning Checklist & Sample Documentation Nursing Skills 2e
2025-03-01 15:45:05| Spiritual Career Counseling
Suctioning via the oropharyngeal (mouth) and nasopharyngeal (nasal) routes is performed to remove accumulated saliva, pulmonary secretions, blood, vomitus, and other foreign material from these areas that cannot be removed by the patients spontaneous cough or other less invasive procedures. Nasal and pharyngeal suctioning are performed in a wide variety of settings, including critical care units, emergency departments, inpatient acute care, skilled nursing facility care, home care, and outpatient/ambulatory care. Suctioning is indicated when the patient is unable to clear secretions and/or when there is audible or visible evidence of secretions in the large/central airways that persist in spite of the patients best cough effort. Need for suctioning is evidenced by one or more of the following:Visible secretions in the airwayChest auscultation of coarse, gurgling breath sounds, rhonchi, or diminished breath soundsReported feeling of secretions in the chestSuspected aspiration of gastr...
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Employment
Suctioning: How to Perform Nasopharyngeal and Oropharyngeal Suctioning
2025-03-01 15:45:05| Spiritual Career Counseling
Suctioning is 'the mechanical aspiration of pulmonary secretions from a patient with an artificial airway in place'. The procedure involves patient preparation, the suctioning event(s) and follow-up care.Suction is used to clear retained or excessivelower respiratory tractsecretions in patients who are unable to do so effectively for themselves. This could be due to the presence of an artificial airway, such as an endotracheal or tracheostomy tube, or in patients who have a poor cough due to an array of reasons such as excessive sedation or neurological involvement.SuctioningHaving an artificial airway in situ impairs the cough reflex and may increase mucus production. Therefore, in the neonatal and paediatric ICU, suctioning of an artificial airway is likely to be the most common procedure.Oropharangeal and nasopharangeal suction is a technique intended to stimulate a cough to remove excess secretions and/or aspirate secretions from theairwaysthat cannot be removed from a patients ow...
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