3. Tracheostomy tube suctioning and cleaning

• Tracheostomy tube– Inner cannula– Obturator– Ties– Fenestrations

3. Tracheostomy tube suctioning and cleaning

• Removal of accumulated secretions– Patient comfort– Increased respiratory efficiency– Decreased risk of complete airway obstruction– Decreased risk of infection

3. Tracheostomy tube suctioning and cleaning

• Suctioning procedure1. Wash hands2. Position patient in a semi-sitting position3. Prepare materials4. Attach catheter to suction tubing5. Proceed with suctioning the sterile saline to

moisten catheter

3. Tracheostomy tube suctioning and cleaning

• Suctioning procedure6. Cover the suction port with thumb while

inserting the catheter and rotating it between the thumb and forefinger. Periodically release the suction pressure for a brief second.

7. Allow the patient to breathe or cough between suctioning.

3. Tracheostomy tube suctioning and cleaning

• Suctioning procedure8. Observe for sign of respiratory distress. If

needed, use manual ambu-bagging.9. Flush catheter with saline.

3. Tracheostomy tube suctioning and cleaning

• Cleaning the inner cannula– To clear the airway of accumulated secretions and

bacteria– Should be done twice a day– Done by immersing it in hydrogen peroxide and

rinsing with normal saline

• The tracheostomy site should also be cleaned with sterile cotton buds and normal saline

• Soiled ties should be replaced

4. Catheter insertion

• Females– Place the catheter in the

urethral meatus– From the urethral meatus,

the catheter should follow the direction of the urethra (proceeds slightly upward as it advances towards the bladder)

– Half the catheter must be inserted before inflating the balloon

4. Catheter insertion

• Males– The distal urethra should

be placed in a slight stretch straight up to straighten the urethra

– The catheter must be inserted at least 24 cm before inflating the balloon