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It has been suggested by Pedersen et al3 that ETS should be performed at least every 8 hours to slow the formation of the secretion biofilm within the lumen of the endotracheal tube (ETT).
What is the appropriate procedure for endotracheal tube suctioning?Suction should only be to the tip of the ETT, and should never exceed more than 0.5cm beyond the tip of the ETT, to prevent mucosal irritation and injury. Measurement of length to suction is to be predetermined at shift commencement.
What should you do before endotracheal suctioning?Consider administering 100% oxygen for 30 to 60 seconds before suctioning via the ventilator. Administer 100% oxygen before suctioning to prevent a decrease in oxygen saturation during the suctioning procedure.
How often should ventilated patients be suctioned?Some patients need suction every 30 minutes due to excessive mucus production, which is quickly and easily assessed. Others may need it only once or twice per shift and may require a thorough assessment before suction is applied.
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Endotracheal suctioning of the client receiving mechanical ventilation should be performed:
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