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Closed suction suction technique and guidance

Closed Suction ?? Suction Technique and Guidance Looking towards the baby ? s head circle the colour in front of the calculated number ie where ET tube is cut add cm To Determine Suction Depth Observe in area directly from the lavage port connector Number on ET tube nearest the endotracheal adapter tip cm Add cm to the suction at ET tube tip cm Total cm SUCTION TECHNIQUE Add to normal unit suction pressure When suctioning SUPPORT HOLD the ETT Y -adapter PASS the catheter down the ET tube - cm a time until you see the appropriate colour as calculated above in the OBSERVATION AREA Depress the thumb valve and count for second to transfer the suction to the end of the suction catheter - if your baby will tolerate this Slowly pull back the suction catheter keeping the SUCTION ON Pull ba ck until you see the BLACK MARK in the RINSE CHAMBER To Rinse Clean the Suction C atheter Attach syringe to the saline flush port FIRST DEPRESS the thumb valve to TURN ON SUCTION and the slowly introduce the saline ensuring your suction is on at all times This should be done after each suctioning procedure When you have finished d isconnect the syringe and replace flush port cap To Lavage Attach syringe to saline flush port Gently HOLD the Y -adapter ET tube as VERTICAL as possible INTRODUCE the SALINE in - ml increments REMEMBER When st setting up you will need to prime the flush port with ml Closed Suction Catheter Size Selection Size fr ET tube mm Closed Suction Open Suction Grey Grey Green Green Yellow Purple Blue Blue Black Black Y-Adapter Size Selection Each ? Y ? Adapter has a number printed on it Match the number on the ? Y ? to the size of the ET tube or half a size smaller Eg ET Tube Size of ? Y ? mm mm mm mm Trouble Shooting Guide Ventilator displays leak Check all connections are tightly in place and secure Catheter bag has blown up Remove the catheter from the ? Y ? adpter and squeeze air out of the catheter bag and replace immediately Catheter is not suctioning Pull catheter out of airway until black marker is in the rinse chamber With the suction on flush the catheter with saline until cleared Secreation plugs on the tip can be removed by disconnecting the catheter and wiping with a sterile wipe Recconect