气管内吸痰操作流程口述

气管内吸痰操作流程口述
The process of suctioning mucus from the airway, also known as tracheal suctioning, is a crucial procedure to
help clear the airway and improve breathing for patients who are unable to cough effectively. This procedure is
often performed on patients who are intubated or have a tracheostomy tube in place. The purpose of suctioning is to remove secretions that may obstruct the airway and impair the patient's ability to breathe effectively. The procedure requires careful attention to detail and adherence to
aseptic technique to minimize the risk of infection and
other complications.
Before beginning the suctioning procedure, it is essential to gather all the necessary equipment and ensure that it is functioning properly. This includes a suction machine, connecting tubing, a suction catheter of the appropriate size, sterile gloves, a sterile saline solution, and a container for disposal of used supplies. It is
crucial to check the suction machine to ensure that it is
working correctly and set to the appropriate level of suction for the patient. Additionally, the healthcare provider should explain the procedure to the patient or their caregiver, addressing any concerns and obtaining consent if necessary.
The next step in the process is to perform hand hygiene and don sterile gloves to maintain aseptic technique. The healthcare provider should then assess the patient's respiratory status, including their oxygen saturation, heart rate, and respiratory rate, to establish a baseline and monitor for any changes throughout the procedure. Positioning the patient in a semi-Fowler's position or with their head slightly elevated can help facilitate the suctioning process and reduce the risk of aspiration.
Once the patient is properly positioned, the healthcare provider can begin the suctioning procedure. It is
essential to use a gentle and careful approach to avoid causing trauma to the airway. The suction catheter should be inserted into the tracheostomy tube or endotracheal tube until resistance is met, and then withdrawn slightly to
begin suctioning. The catheter should be rotated while withdrawing to ensure that all areas of the airway are effectively suctioned. It is crucial to limit the suctioning time to no more than 10-15 seconds to prevent hypoxia and other complications.
During the suctioning process, the healthcare provider should monitor the patient's vital signs and oxygen saturation closely. If the patient's oxygen saturation drops below a certain threshold or if they show signs of distress, the suctioning should be stopped immediately, and the patient's airway should be re-evaluated. After the suctioning is complete, the healthcare provider should assess the patient's respiratory status and monitor for any signs of discomfort or complications. It is essential to provide the patient with reassurance and support throughout the procedure to minimize anxiety and promote cooperation.
Following the suctioning procedure, it is crucial to dispose of all used supplies properly and perform hand hygiene to prevent the spread of infection. The suction catheter should be disposed of in a designated biohazard
container, and all reusable equipment should be cleaned and sterilized according to institutional protocols. Documentation of the procedure, including the patient's response and any complications, should be completed in the patient's medical record to ensure continuity of care and communication among healthcare providers.
In conclusion, the process of suctioning mucus from the airway is a critical procedure that requires careful attention to detail and adherence to aseptic technique. By following a systematic approach and prioritizing patient safety and comfort, healthcare providers can effectively clear the airway and improve breathing for patients who are unable to cough effectively. It is essential to communicate with the patient and their caregivers throughout the procedure, provide reassurance and support, and monitor for any signs of distress or complications. By maintaining a patient-centered approach and prioritizing best practices, healthcare providers can ensure the safe and effective performance of tracheal suctioning.。