SUBGLOTTIC SUCTIONING | SUBGLOTTIC ASPIRATION | SUBGLOTTIC DRAINAGE
Summary
TLDRThis educational video introduces subglottic suctioning, a critical procedure for removing secretions above the cuff of an endotracheal or tracheostomy tube in ventilated patients. It explains the importance of this technique in preventing ventilator-associated pneumonia (VAP) and outlines when and how to perform it, including manual and automated methods. The video emphasizes the need for suction in patients on mechanical ventilation over 72 hours and the use of a subglottic suction line for effective management.
Takeaways
- π· Subglottic suctioning is a technique used to remove secretions from above the cuff of an endotracheal or tracheostomy tube.
- π It's important to subscribe to the channel and enable notifications for instant updates on similar topics.
- π The process is crucial for preventing ventilator-associated pneumonia (VAP), also known as VAP Bundle.
- π The suctioning is indicated for patients on mechanical ventilation for over 72 hours, especially when using a tube with a subglottic suction line.
- π Subglottic suction should be performed every two to four hours, depending on the volume of secretions.
- πΌ A 5 ml syringe is typically used for the aspiration of secretions during subglottic suctioning.
- πΆ The frequency of suctioning may vary based on the amount of secretions: every four hours for less than 5 ml, and every two hours for more than 5 ml.
- ποΈ Subglottic suction is also done before extubation, patient positioning, and before deflating the endotracheal tube cuff.
- π§ There are different methods of subglottic suctioning, including manual, continuous, intermittent, and automated intermittent suctioning.
- π§° Understanding the parts of the endotracheal tube, such as the evacuation port and the subglottic suction line, is essential for manual suctioning.
- π€ Automated intermittent subglottic suction devices offer a closed system that eliminates the need for manual suctioning and helps prevent cross-contamination.
Q & A
What is the main purpose of subglottic suctioning?
-The main purpose of subglottic suctioning is to remove oropharyngeal secretions from above the cuff of the endotracheal or tracheostomy tube to prevent ventilator-associated pneumonia (VAP) and facilitate mechanical ventilation.
Why can't patients with an endotracheal tube naturally clear secretions above the cuff?
-Patients cannot naturally clear secretions above the cuff because the endotracheal tube prevents glottic closure, which is necessary for the natural expulsion of secretions.
What is the potential consequence of inadequate endotracheal tube cuff pressure?
-Inadequate cuff pressure may allow secretions to slip down into the trachea, potentially leading to ventilator-associated pneumonia.
Why is subglottic suction included in the VAP bundle?
-Subglottic suction is included in the VAP bundle as one of the interventions to reduce the risk of ventilator-associated pneumonia by preventing the accumulation of secretions above the endotracheal tube cuff.
For whom is subglottic suction indicated?
-Subglottic suction is indicated for patients requiring mechanical ventilation for more than 72 hours, and it is recommended that the endotracheal tube should have a subglottic suction line in such cases.
How often should subglottic suction be performed?
-Subglottic suction should be performed every two to four hours using a 5 ml syringe, with the frequency adjusted based on the amount of secretions: every four hours if less than 5 ml, and every two hours if more than 5 ml.
When should subglottic suction be done before extubation?
-Subglottic suction should be done before extubation to clear secretions from above the cuff and reduce the risk of aspiration.
What are the different methods of performing subglottic suction?
-Subglottic suction can be performed manually, continuously, intermittently, or using an automated intermittent suction device.
What is the role of the evacuation port in the endotracheal tube during subglottic suctioning?
-The evacuation port is an opening on the endotracheal tube used to connect to the subglottic suction line and aspirate the accumulated secretions.
How does an automated intermittent subglottic suction device improve patient care?
-An automated intermittent subglottic suction device eliminates the need for manual suctioning, provides consistent suctioning, and helps maintain a closed system to prevent cross-contamination.
What is the importance of understanding the parts of the endotracheal tube before performing subglottic suction?
-Understanding the parts of the endotracheal tube, such as the cuff, pilot balloon, and subglottic suction line, is crucial for correctly performing subglottic suction and ensuring patient safety.
Outlines
π· Introduction to Subglottic Suctioning
This paragraph introduces the topic of subglottic suctioning, a technique used to remove secretions from above the cuff of an endotracheal or tracheostomy tube. It explains the importance of this procedure in preventing ventilator-associated pneumonia (VAP), also known as VAP bundle, and emphasizes the need for subscription and notifications for the channel. The video aims to educate about the accumulation of secretions and the risks associated with inadequate cuff pressure, which can lead to aspiration and pneumonia.
π¨ββοΈ Indications and Timing for Subglottic Suction
This section outlines when subglottic suction is necessary, specifically for patients on mechanical ventilation for over 72 hours, and the importance of having a subglottic suction line in the endotracheal tube for such cases. It details the frequency of suctioning, suggesting aspiration every two to four hours depending on the volume of secretions, and highlights additional times when suctioning should occur, such as before extubation, patient positioning, and cuff deflation.
π§ Methods of Performing Subglottic Suction
The paragraph discusses various methods of performing subglottic suction, including manual suctioning with a syringe, continuous or intermittent suction devices, and automated intermittent suction systems. It provides an overview of the parts of an endotracheal tube relevant to suctioning, such as the evacuation port and the pilot balloon, and explains the process of manual suctioning using a 5ml syringe. Additionally, it mentions the benefits of automated devices in maintaining a closed system to prevent cross-contamination.
Mindmap
Keywords
π‘Subglottic suctioning
π‘Oropharyngeal secretions
π‘Endotracheal tube
π‘Ventilator-associated pneumonia (VAP)
π‘Cuff pressure
π‘Mechanical ventilation
π‘Subglottic suction line
π‘Manual subglottic suctioning
π‘Automated intermittent subglottic suctioning
π‘Evacuation port
π‘Pilot balloon
Highlights
Introduction to subglottic suctioning, a method for removing secretions above the cuff of an endotracheal tube.
Importance of subglottic suction to prevent ventilator-associated pneumonia (VAP).
Explanation of how oropharyngeal secretions accumulate above the endotracheal tube cuff.
Risk of aspiration and VAP due to inadequate endotracheal tube cuff pressure.
Subglottic suction as part of the VAP bundle intervention.
Necessity of subglottic suction during mechanical ventilation for over 72 hours.
Requirement for an endotracheal tube with a subglottic suction line for extended ventilation.
Frequency of subglottic suctioning every two to four hours.
Adjustments in suction frequency based on the volume of secretions.
Subglottic suction performed before extubation and patient positioning.
Demonstration of manual subglottic suctioning using a 5ml syringe.
Introduction to automated intermittent subglottic suction devices.
Advantages of automated devices in closed system suctioning to prevent cross-contamination.
Overview of the parts of an endotracheal tube relevant to subglottic suctioning.
Description of the evacuation port and its role in manual suctioning.
Different methods of performing subglottic suction: manual, continuous, and automated.
Conclusion and call to action for viewers to like, subscribe, and enable notifications for future content.
Transcripts
hello everyone welcome to yellow faces
nursing in today's video we will be
discussing about subglotti suctioning
before entering into the session if you
have not subscribed our channel please
subscribe our channel and do not forget
to hit the bell icon to receive instant
notifications
let's get into the topic
what do we mean by subglottic suction
subglottic suctioning is a method of
removing oropharyngeal secretions from
above the cuff of the endotracheal or
tracheostomy tube
when we look at this image here there is
oropharyngeal secretions above the cuff
the endotracheal tube prevents glottic
closure
as a result the patient is unable to
cuff and remove the secretions in a
natural way
hence there is accumulation or pulling
of oropharyngeal secretions above the
endotracheal tube curve
and this might lead to aspiration later
moreover
if the endotracheal tube cuff pressure
is not adequate the secretions may slip
down into trachea and this might lead to
ventilator associated pneumonia
otherwise called web
and hence subglottic suction is included
as one of the intervention in web bundle
now why is subglottic suction needed
in order to prevent ventilator
associated pneumonia that is wrap
and to reduce the ventilator this
during mechanical ventilation secretions
from the upper respiratory tract
accumulate above the endotracheal tube
cuff
studies have shown that these secretions
can seep
past the cuff into the lower tract
causing pneumonia
for whom do we need to do subclottic
suction
subclotic suction is indicated in
patients requiring mechanical
ventilation for more than 72 hours
and moreover when mechanical ventilation
is needed for more than 72 hours the
endotracheal tube should have a
subglottic suction line
next
when do we do subglottic suction
aspirate the subclottic port every two
to four hours using a 5 ml syringe
if the secretion is less than 5 ml then
the aspiration can done
every four hours and if the secretion is
more than five ml then the aspiration
can be done every two hours
then cyclotic suction is done before
extivation
and before positioning the patient
and furthermore before deflating the
endotracheal tube cuff
now how is subglottic suction done
there are many ways how we perform
subglottic suction
manuals of glottic suctioning continuous
or intermittent subglottic suction
automated intermittence of glottic
suctioning
now before discussing about manual
subglottic suctioning you should be
aware about the ethy tube parts
now when we look at this image the
patient is intubated with an et tube and
the cuff is inflated
just above the curve there is an opening
which we call as evacuation port
in order to suction the secretions
the oropharyngeal secretions are
accumulated above the cuff
and there is pilot balloon for inflating
the cuff
there are two lines one is for inflating
the cuff and one is for suctioning the
subglottic secretions
which is called as subglottic suction
line
now
what is manuals of glottic suctioning
manuals of glottic suctioning involves
placing a syringe into the subglottic
suction port to aspirate the secretions
as we discussed before a 5ml syringe is
used at the subglottic port
and the secretions are aspirated
now automated intermittence of glottic
suctioning
an automated intermittent subglottic
suction device eliminates the need for
manual suctioning of subglottic
secretions
it also provides the ability to suction
the patient in a closed system to
prevent cross contamination
so this is all about subglottic
suctioning
if you find this video useful please
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thanks for watching and have a nice day
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