Tips to Prevent Unnecessary Hypoxia During Tracheostomy Suctioning

What are the key strategies to avoid hypoxia during tracheostomy suctioning?

a) Limit suctioning to no more than 10 seconds
b) Apply suction continuously while inserting the catheter
c) Use a catheter that is smaller in diameter
d) Suction only when secretions are visible in the tracheostomy tube

Answer:

To avoid unnecessary hypoxia during tracheostomy suctioning, the nurse should limit the suctioning to no more than 10 seconds, apply suction only while withdrawing the catheter, use a smaller diameter catheter, and suction only when secretions are visible.

In order to prevent unnecessary hypoxia during the suctioning of a tracheostomy, a nurse should primarily limit suctioning to no more than 10 seconds. This is important as prolonged suctioning can lead to hypoxemia and cardiac complications. However, maximum care must be taken during the whole process. For instance, applying suction continuously while inserting the catheter can lead to trauma, hence it is recommended that suction should be applied only while withdrawing the catheter.

Furthermore, it's beneficial to use a catheter that is smaller in diameter to prevent mucosal damage. This reduces the risk of injury to the trachea during suctioning. Lastly, suctioning only when secretions are visible in the tracheostomy tube can avoid unnecessary suctioning which can potentially cause irritation and damage to the trachea.