Module Title:Suctioning: Oropharyngeal and Nasopharyngeal

SuctioningDefinition: A flexible plastic suction catheter

is inserted into the mouth or nose to remove secretions, fluid, food and secretions from the nose, mouth and airway, reducing the risk of aspiration

Two Areas for Suctioning:OropharyngealNasopharyngeal

SuctioningEquipment necessary for suctioning:

Suction machine: wall or portableWater or Saline

Sterile ContainerSterile GlovesProtective Pad

SuctioningOropharyngeal Airway:A curved plastic or rubber device inserted

into the mouth to the posterior pharynxUsed to keep the airway open in unconscious

patientsOral Airway prevents the tongue from falling

to the back of the throatThe curve holds the tongue forwardNot to be used on those with loose teeth or

recent oral surgery

SuctioningNasopharyngeal Airway:Curved soft rubber device inserted through one

nostrilExtends from the nostril to the posterior pharynx

areaKeeps the tongue off the back of the throatMay be used in conscious patientsMay be used on those with loose teeth or recent oral

surgeryMay be referred to as a nasal trumpetShould not be used on those receiving blood thinners,

with nasal deformity, bleeding disorders or sepsis

SuctioningPatient Positioning:

Conscious Patients Whenever possible position the patient in the

High Fowler’s positionUnconscious PatientIf Hi Fowler’s is not possible, semi-fowler can

be used, or the patient may be turned on their side

SuctioningPreparation for Suctioning:

Correct Pressure:Some suction regulators have an adjustable

pressure settingPressure may be set between 80 and 120 mm

HgRespiratory Therapist or RN will advise you

of the needed settingCrimp the tubing to determine the settings

on your suction machine

SuctioningCatheter measurement for depth of tip:

For safety, measure the plastic suction catheter from the corner of the patient’s mouth to the earlobe on the same side.

Do not insert the catheter more than this distance

When using a Yankauer/tonsil tip catheter, it is not necessary to measure