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A Suction Machine is a device for removing liquids
or gases by suction, especially an instrument that
uses suction to remove substances, such as mucus
or serum, from a body cavity. A is
used to create a partial vacuum. A suction machine
has been prescribed by your doctor to help removesecretions and mucus from your airways. In
addition, a suction machine may be needed when
you have a moist cough, are unable to effectivelyclear secretions from the throat, or are having
difficulty breathing or feel that you can not get
enough air.
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Preparation of equipment: negative pressure
The suction unit may bea piped vacuum systemor a portable unit.
Biomedical Engineeringprovide a guide totesting the correct setup of suction units
The negative pressure ofthe unit must be checkedprior to attaching the
catheter to the suction
tubing
This is done by turning onthe unit, placing a finger
over the end of the suctiontubing and then noting thesuction manometerreading (
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SUCTION CATHETERS
A. Open ended catheterhas a large opening
for thick mucus plugs at the end of the
catheter and two opposite eyes. ( to
distribute (-) pressure wider area
B. Whistle-tip catheter - has a large oblique
opening in the end.
C. With any catheter, the system must be
closed.
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What is a suction catheter?A suction catheter is a flexible, long tube attached on oneend to the breathing tube (endotracheal or tracheostomy
tube). The other end of the suction catheter is connectedto a collection container (suction canister) and a devicethat generates suction.
When is a suction catheter used?Critically ill or injured patients who require a breathing(endotracheal) tube or tracheostomy tube needoccasional suctioning to remove secretions from theairway. The respiratory therapist, nurse, or ICU techniciansuctions a patient by inserting a small flexible tube calleda suction catheter into the breathing tube. The purposeof suctioning is to keep the airways clear of secretionsand hopefully prevent plugging of the airways
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Rigid suction catheters (ie Yankauer suckers) may be used to clear themouth of thick and/or particulate matter. (Rationale 21)
In all other circumstances, catheters must notexceed more than 50
per cent of the internal diameter of the airway. (Glass & Grap,1995)(Rationale 22)
Catheters must haverounded tips (Link et al, 1976)(Rationale 23)
Catheters must havetwo or three small lateral holes to provide relief
if the distal hole becomes occluded. Catheters must not have morethan three lateral holes.
The greater the number of lateral holes the weaker the wall of thesuction catheter (Link et al, 1976). Lateral holesof the suctioncatheters must besmaller thanthe distal hole(Link et al, 1976; Jung& Gottleib, 1976)(Rationale 24, Rationale 25, Rationale 26)
Whenever possible suction catheters with integrated vacuumcontrols should be used (Prasad & Hussey, 1995). When these areunavailable a Y connector must beincorporated between thesuction tubing & catheter. (Rationale 27)
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Retractor Style Yankauer
Suction Machine Tip
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potentially harmful effects. These may
include:
Hypoxaemia (Bersten et al. 2003), as oxygen as well
as secretions may be removed from the lungs when
suctioning (Woodrow 2000).
Vasovagal response causing arrhythmias and
hypotension (Wainright and Gould 1996, Bersten
et al. 2003). Mucosal trauma (Moore 2003). Suction should only
be applied when withdrawing the catheter, never
when inserting it.
Cross-infection (Woodrow 2000, Moore 2003).
Suction procedures should therefore be as brief as possible,
lasting approximately 15 seconds (Woodrow 2000).
The instilling of 0.9% saline via a tracheostomy or endotracheal
tube prior to suctioning is sometimes performed;
however, there is little evidence to support this practice
and it could potentially cause harm (Akgul and Akyolcu
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Suction procedures should therefore be as brief as
possible,
lasting approximately 15 seconds (Woodrow 2000).
The instilling of 0.9% saline via a tracheostomy or
endotracheal
tube prior to suctioning is sometimes performed;
however, there is little evidence to support this
practice and it could potentially cause harm
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