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Related Concept Videos

Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

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Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
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Suctioning the Oropharyngeal Airway01:25

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In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
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Tracheostomy suctioning is a critical procedure healthcare professionals perform to maintain a patent airway in patients with a tracheostomy tube. This procedure is necessary when secretions accumulate in the airway, causing respiratory distress. Here is a step-wise procedural guide for performing tracheostomy suctioning using an open system.
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Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...
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Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
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AARC Clinical Practice Guidelines: Artificial Airway Suctioning.

Thomas C Blakeman1, J Brady Scott2, Mark A Yoder3

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Artificial airway suctioning guidelines recommend as-needed suctioning for neonates and pediatric patients. Evidence-based recommendations cover indications, methods, and complications for effective airway management in all age groups.

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Area of Science:

  • Critical Care Medicine
  • Respiratory Therapy
  • Evidence-Based Practice

Background:

  • Artificial airway suctioning is a fundamental skill for maintaining airway patency.
  • Effective suctioning techniques are crucial for preventing complications and ensuring patient safety.
  • Existing practices vary, necessitating evidence-based guidelines.

Purpose of the Study:

  • To develop evidence-based recommendations for artificial airway suctioning.
  • To address indications, complications, timing, duration, and methods of suctioning.
  • To provide guidance for neonatal, pediatric, and adult patients.

Main Methods:

  • Systematic review of existing literature.
  • Modified RAND/UCLA Appropriateness Method for guideline development.
  • Inclusion of neonatal, pediatric, and adult patient populations.

Main Results:

  • Identified specific indicators for suctioning across age groups (e.g., breath sounds, visual secretions, ventilator waveforms).
  • Recommended as-needed suctioning for neonates and pediatric patients; both open and closed systems are suitable for adults.
  • Specified preoxygenation, sterile technique for open suctioning, appropriate catheter size, suction pressure, and duration limits (max 15s).
  • Advised against routine saline instillation and routine bronchoscopy for secretion removal.

Conclusions:

  • Established clear, evidence-based recommendations for artificial airway suctioning.
  • Promoted optimal patient care through standardized, effective suctioning practices.
  • Aimed to reduce complications associated with artificial airway management.