In-depth Report on Clinical Indications of Endotracheal Suctioning

This report provides a comprehensive overview of the clinical indications for endotracheal tube suctioning, a crucial procedure for clearing airways and managing respiratory distress in patients. It identifies key issues such as breathing inefficiency in premature babies, young adults, and older individuals due to respiratory distress, highlighting the role of endotracheal tube suctioning in removing secretions. The report explores challenges related to vacuum pressure, blockage location, insufficient suction frequency, and the importance of family involvement in patient care. It also addresses pulse rate desaturation issues and the significance of appropriate catheter size. A literature review of ten articles supports these points, covering topics from the challenges faced by healthcare professionals to the impact of morphine on pain reduction during suctioning. The report concludes by emphasizing the need for skilled execution of the endotracheal tube suctioning procedure and recommending preoxygenation by experts to maintain stable oxygen levels. Desklib provides access to a variety of resources, including past papers and solved assignments, to aid students in their studies.

CLINICAL INDICATIONS
OF ENDOTRACHEAL
TUBE SUCTIONING

IntroductionIntroduction
• Endotracheal tube suctioning is one of the main
elements of therapy of bronchial hygiene and it
helps to remove pulmonary secretion in order to
clear airways of care users.
• This process can be considered as one kind of
mechanical ventilation that allows aspiration of
pulmonary secretion.

Contd…Contd…
Aim of the project
• Evaluation of existing clinical
indications of endotracheal tube
suctioning process in order to ensure
in-depth discussion of all perspectives
of this topic.
• This topic has been selected because it
would shed light on clinical indications
of endotracheal tube suctioning.
• Resources used are databases of Google
Scholar, ProQuest and SCOPUS.

Contd…Contd…
Objectives
1. To practice important skills as well as
techniques of Endotracheal tube suctioning.
2. To perform required process by considering
proper guidance regarding this topic.
3. To enrich knowledge regarding potential
issues that may be faced while the process of
endotracheal suctioning is taking place
4. To assess advantages of endotracheal tube
suctioning and obtaining required
confidence in order to practice procedure of
Endotracheal Tube Suctioning.

Identification of issues and its implication relevance with
topic
•Premature babies, young adults, and
older people face breathing
inefficiency due to respiratory distress.
•As mentioned by Dastdadeh, Ebadi &
Vahedian-Azimi (2016), due to wide
range of physical issues, normal
functioning of respiratory distress
changes and this system fails to
eradicate excessive secretion of
airways from body.

Contd…
Issues related to vacuum
pressure while removing
secretion
•As opined by Schults et al.
(2018), endotracheal tube
suction helps to mitigate this
problem by removing
secretion from airways by
mechanical process.

Contd…
Location of blockage and
respiratory distress due to
insufficient suction frequency
•According to Sole, Bennett, &
Ashworth (2015), process of
oxygen intake gets hampered due
to occurrence of respiratory
distress and it may lead to
creation of imbalance in level of
important gases such as carbon
dioxide and oxygen in blood of
human being.

Contd…
Issues related to lack of knowledge
on family members of patient
•Schults et al. (2018) have
contradicted that this theory
mentions that family members must
take initiative to provide effective
care to service user in order to help
them to recover from respiratory
distress.

Contd…
Pulse rate desaturation due to issues
related to preoxygenation
•As mentioned by Bruschettini et al.
(2016), it is important to provide 100%
oxygen to people who are required to
undergo endotracheal suctioning.
•On another hand, Daniel et al. (2017),
have mentioned that it can be said that
desaturation of heartbeat can be handled
by performing endotracheal suctioning.

Contd…
Issues related to
inappropriate size of
catheter
•As mentioned by Ismail &
Zahran (2015), 2.5 to 3.0 mm
can be considered as most
appropriate size of catheter
that needs to be inserted in the
airways of patient.

Literature Review: Article 1Literature Review: Article 1
• Therapists, physicians and nurses face great challenges
while conducting this process.
• Endotracheal intubation interferes with natural muco-
ciliary functioning.
• The principal is to increase amount of secretions with
minimal aversive effects.

Literature Review: Article 2Literature Review: Article 2
• Life threatening children and infants when admitted to a
PICU or Pediatric Intensive Care Unit, they get intubated
or mechanically ventilated as per their physical condition.
• Although this process of endotracheal suctioning seems to
have several complications, there is no adequate
information of having impairment using this technique.
• Several literature reviews revealed that practice protocols
and guidelines vary greatly.