yankauer suction catheter use

Oral Suctioning with Yankauer Suction Catheter. 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Yankauer Suction Tube is widely used for suction of oropharyngeal secretions to prevent aspiration. Place a towel or waterproof pad across the patients chest. Moisten the catheter by dipping it into the container of sterile saline. Pressure should not exceed 150 mm Hg because higher pressures have been shown to cause trauma, hypoxemia, and atelectasis. Advance the catheter 3 to 4 inches to reach the pharynx. Post-procedure vital signs were heart rate 78 in regular rhythm, respiratory rate 18/minute, and O2 sat 94% on room air. After multiple intubation attempts from several different physicians, the patient was successfully intubated with the aid of a suction Yankauer, which was used to move the mass peripherally and further served as a conduit through which a bougie was passed. Oral Suctioning with Yankauer Suction Catheter (2:53 minutes), Serving more than 2,500,000 satisfied customers since 2000, Vitality Medical7910 South 3500 East Suite CSalt Lake City, Utah 84121. Barjaktarevic I, Esquinas AM, West FM, Albores J, Berlin D. Anaesthesiol Intensive Ther. A Yankauer device is rigid and has several holes for suctioning secretions that are commonly thick and difficult for the patient to clear. Post-procedure vital signs were heart rate 78 in regular rhythm, respiratory rate 18/minute, and O2 sat 94% on room air. The dominant hand will manipulate the catheter and must remain sterile. For oropharyngeal suctioning, a device called a Yankauer suction tip is typically used for suctioning mouth secretions. Oral suctioning helps clear secretions from the mouth in the case that a patient is unable to remove secretions by effective coughing. Patient complaining of not being able to cough up secretions. (NOTE: The open wrapper or container becomes a sterile field to hold other supplies.) Copyright 2013 Mais India. Oronasopharyngeal suctioning. Check the room for transmission-based precautions. For nasopharyngeal suctioning, gently insert the catheter through the naris and along the floor of the nostril toward the trachea. It can also be used to clear the operative sites during surgery. The patient is encouraged to cough during this process. A cricothyrotomy was considered, but not initially performed because of her distorted anatomy. AARC clinical practice guideline: Endotracheal suctioning of mechanically ventilated patients with artificial airways 2010. Gather supplies: Yankauer or suction catheter, suction machine or wall suction device, suction canister, connecting tubing, pulse oximeter, stethoscope, PPE (e.g., mask, goggles or face shield, nonsterile gloves), sterile gloves for suctioning with sterile suction catheter, towel or disposable paper drape, nonsterile basin or disposable cup, and normal saline or tap water. Yankauer suction devices are made of rigid firm plastic. Case report: This can often be due to patients with CVAs (cerebrovascular accidents), drooling, impaired cough reflexes related to age or conditions, or impaired swallowing. (2004). The nurse or assistive personnel who performs suctioning with these devices should use care to protect the patients soft mucous membranes and prevent unnecessary trauma. Turn off the suction. A: This device is designed to suction oropharyngeal secretions to prevent aspiration and can also be used during surgical operations to clear the site. Reassess the patients respiratory status, including respiratory rate, effort, oxygen saturation, and lung sounds. Super-cut scissors > 1 year. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS? Accessibility Lung sounds clear and no cyanosis present. Wrap the suction catheter around your dominant hand between attempts: Repeat the procedure up to three times until gurgling or bubbling sounds stop and respirations are quiet. By continuing to use this site, you are consenting to our use of cookies. Diamond Dust instruments > 1 year Remove the glove from the nondominant hand and dispose of gloves, catheter, and the container with solution in the appropriate receptacle. Federal government websites often end in .gov or .mil. VitalityMedical.com is for informational purposes only and should not be used as medical advice, to diagnose, or treat patients. JAMA. This site uses cookies to help personalize content, tailor your experience and to keep you logged in if you register. The .gov means its official. Emergency airway management: common ventilation techniques. Prehosp Emerg Care. Vital signs obtained prior to procedure were heart rate 88 in regular rhythm, respiratory rate 28/minute, and O2 sat 88% on room air. Q: Are Yankauer suction catheters sterile? The https:// ensures that you are connecting to the Increase the patients supplemental oxygen level or apply supplemental oxygen per facility policy or primary care provider order. If conscious, place the patient in a semi-Fowlers position. Failure of ETI may lead to ineffective ventilation or oxygenation, potentially causing organ damage and eventually death. A patient with chronic obstructive pulmonary disease presented to the emergency department in acute respiratory distress. Your credit card is processed securely through our own credit card processing service, each transaction is verified against name, address and CVV numbers, your card is being removed from our system after processing the transaction. Sign up for newsletter today, All instruments are for Human Surgical use only, if looking for Veterinary Instruments, please visit. Procedure explained to the patient. Remove the supplemental oxygen placed for suctioning, if appropriate. Vitality Medical. It is widely used in a broad range of medical approaches. Vital signs obtained prior to procedure were heart rate 88 in regular rhythm, respiratory rate 28/minute, and O2 sat 88% on room air. All rights reserved. This page titled 22.4: Oropharyngeal and Nasopharyngeal Suctioning Checklist and Sample Documentation is shared under a CC BY-SA 4.0 license and was authored, remixed, and/or curated by Ernstmeyer & Christman (Eds.) Suction only on withdrawal and do not suction for more than 10 to 15 seconds at a time to minimize tissue trauma. Additionally, these devices are often used to clear operative sites during surgical procedures. No cyanosis present. The bulbous head surrounds this opening. FOIA Diagnosis and management of temporomandibular joint dysfunction before surgery: a case report. Dr. Smith notified and a STAT order was received for a chest X-ray and to call with results. The tried-and-true method and design of Yankauer devices is why they are the most common suctioning devices in the world. Set it up on the work surface and fill with sterile saline using sterile technique. Q: How is the Yankauer suction device used? Noninvasive positive pressure ventilation was unsuccessful in improving the patient's tidal volume and work of breathing. The use of this website is subject to terms and conditions. It is typically a firm stainless suction tip having a large opening. Background: The nondominant hand is considered clean rather than sterile and will control the suction valve on the catheter. There are two types of suctioning, oropharyngeal suctioning and nasopharyngeal suctioning. A Yankauer Suction Set consist of catheters, appropriate tubing, and various other compatible accessories. PMC These devices are often made with a firm plastic tip with a bulbous opening that's designed to suction without damaging the surrounding tissue. Copyright 2019 Elsevier Inc. All rights reserved. Advance the catheter approximately 5 to 6 inches to reach the pharynx. See Figure $\PageIndex{3}$[4] for an image of extension tubing attached to a suction canister that is connected to a wall suctioning source. The site is secure. Raise the bed rail and place the bed in the lowest position. Order was obtained to suction via the nasopharyngeal route. Follow agency policy regarding setting suction pressure. The LibreTexts libraries arePowered by NICE CXone Expertand are supported by the Department of Education Open Textbook Pilot Project, the UC Davis Office of the Provost, the UC Davis Library, the California State University Affordable Learning Solutions Program, and Merlot. HHS Vulnerability Disclosure, Help The user then adjusts the suction to the required level. : The risk for complications rises with each intubation attempt. Ensure the patients privacy and dignity. Remove face shield or goggles and mask; perform hand hygiene. Insert the catheter. It eliminates the risk of blockage and cross contamination. Nasopharyngeal suctioning removes secretions from the nasal cavity, pharynx, and throat by inserting a flexible, soft suction catheter through the nares. Lippincott procedures. A: Sterile Yankauer catheters are available for use in medical procedures. Allow the patient to recover and hyperventilate and hyperoxygenate between each passing of the suction catheter. Place a small amount of water-soluble lubricant on the sterile field, taking care to avoid touching the sterile field with the lubricant package. Don additional PPE. When suctioning is completed, remove gloves from the dominant hand over the coiled catheter, pulling them off inside out. The stainless body renders the surface inert to many chemical reactions. (OpenRN) via source content that was edited to the style and standards of the LibreTexts platform; a detailed edit history is available upon request. It comes in a standard size. Procedure was stopped and emergency assistance was requested from the respiratory therapist. Because it has high tensile strength and resistance against environmental changes, it is highly compatible with steam sterilization. If unconscious, place the patient in the lateral position, facing you. Confirm patient ID using two patient identifiers (e.g., name and date of birth). If the patient is on a ventilator, you can either hyperoxygenate and ventilate with the Ambu bag or provide a few extra machine assisted breaths prior to the procedure. Hold the catheter between your thumb and forefinger. Please enable it to take advantage of the complete set of features! document.addEventListener( 'wpcf7mailsent', function( event ) { Place the connecting tubing in a convenient location (e.g., at the head of the bed). 2013 Apr 11-24;22(7):366-8, 370-1. doi: 10.12968/bjon.2013.22.7.366. Coarse rhonchi continued to be present over anterior upper airway but no cyanosis present. Silver or Chrome plated instruments > 1 year Titanium instruments > 3 years Remove the oxygen delivery device, if appropriate. LEEP/LLETZ Coated Gynecological Instruments. Accessibility StatementFor more information contact us atinfo@libretexts.orgor check out our status page at https://status.libretexts.org. J Emerg Med. Get all the latest information on Events,Sales and Offers. They will then remove the patients oxygen mask if present and insert the catheter. For the best experience on our site, be sure to turn on Javascript in your browser. Use the checklist below to review the steps for completion of Oropharyngeal or Nasopharyngeal Suctioning.. After first pass of suctioning, patient began coughing uncontrollably. Bethesda, MD 20894, Web Policies Coarse rhonchi present over anterior upper airway. Keywords: Procedure explained to the patient. Adjust the bed to a comfortable working height and lower the side rail closest to you. Coarse rhonchi present over anterior upper airway. Patient complaining of not being able to cough up secretions. Effect of Use of a Bougie vs Endotracheal Tube and Stylet on First-Attempt Intubation Success Among Patients With Difficult Airways Undergoing Emergency Intubation: A Randomized Clinical Trial. How frequent should Yankauer suction to be changed. Br J Nurs. The devices are used to suction oropharyngeal secretions to help prevent aspiration. This helps guide the catheter toward the trachea rather than the esophagus. Epub 2017 Sep 4. MeSH Ensure safety measures when leaving the room: BED: Low and locked (in lowest position and brakes on), ROOM: Risk-free for falls (scan room and clear any obstacles). With the dominant gloved hand, pick up the sterile suction catheter. Adjust the suction to the appropriate pressure: Adults and adolescents: no more than 150 mm Hg. Bookshelf For tracheal suctioning, do the same. Approximately 8% of ETIs are difficult and 1% are unsuccessful. Occlude the suction valve on the catheter to check for suction. (2010). No cyanosis present. Patient tolerated procedure without difficulties. Before Clipboard, Search History, and several other advanced features are temporarily unavailable. 2017;49(4):294-302. doi: 10.5603/AIT.a2017.0044. Over 2,500,000 satisfied customers since 2000, 7 FDA Approved Air Purifiers for Covid-19. 8600 Rockville Pike See Figure $\PageIndex{1}$[2] for an image of a Yankauer device. Report any concerns according to agency policy. Apply suction by intermittently occluding the suction valve on the catheter with the thumb of your nondominant hand and continuously rotate the catheter as it is being withdrawn. This tool is used for suctioning of oropharyngeal secretion or clears the operative site like fluid, blood, pus and/or gas from a wound or body cavity. Don sterile gloves. While there are a variety of tools and aids that can be used to assist in difficult intubations, rapid airway access is essential, and common tools do not always work. The below instruments manufactured by GerMedUSA have limited warranties: We ship via UPS and USPS. Put on a face shield or goggles and mask. Allow 30 seconds to 1 minute between passes to allow reoxygenation and reventilation. In the home setting and other community-based settings, maintenance of sterility is not necessary. Carefully remove the sterile container, touching only the outside surface. Introduce yourself, your role, the purpose of your visit, and an estimate of the time it will take. The following ranges are appropriate pressure according to the patients age: Suction only when clinically indicated and for up to 15 seconds at a time to decrease the risk of respiratory complications. Specifically in the internal human body environment. It is commonly a firm plastic pull tip with a huge opening encompassed by an adjusted head and is intended to permit powerful attractions without harming encompassing tissue. Thank you for subscribing, we have sent a special discount coupon on your email address. Would you like email updates of new search results? This can be achived in daily living or during surgical procedures. See Figure $\PageIndex{2}$[3]for an image of a sterile suction catheter. Any First time Orders which exceed $300.00 or more automatically qualify for free standard shipping (US Only), this excludes Puerto Rico, Hawaii & Alaska. Epub 2017 Sep 18. Yankauer devices can also be used to clear operative sites for surgical procedures. Yankauer suction set is an oral suctioning tool employed for suction purposes like removal of blood, fluids, pus and gas during surgery. location = 'http://maisindia.com/thank-you/'; Disclaimer: Always review and follow agency policy regarding this specific skill. Replace the oxygen delivery device using your nondominant hand, if appropriate, and have the patient take several deep breaths. For nasal suctioning, increase the amount of O2 the patient is receiving for a few minutes prior to the procedure and instruct the patient to take several deep breaths. Open the sterile suction package using aseptic technique. A: The Yankauer is connected to the tubing which connects to the suction machine. We can't find products matching the selection. Assist the patient to a comfortable position. and transmitted securely. Apply lubricant to the first 2 to 3 inches of the catheter, using the lubricant that was placed on the sterile field. Flush the catheter with saline. Assess the effectiveness of suctioning by listening to lung sounds and repeat, as needed, and according to the patients tolerance. Nasal and pharyngeal suctioning are performed in a wide variety of settings, including critical care units, emergency departments, inpatient acute care, skilled nursing facility care, home care, and outpatient/ambulatory care. The below instruments manufactured by GerMedUSA have limited warranties: Legal. American Association for Respiratory Care. Suctioning via the oropharyngeal (mouth) and nasopharyngeal (nasal) routes is performed to remove accumulated saliva, pulmonary secretions, blood, vomitus, and other foreign material from these areas that cannot be removed by the patients spontaneous cough or other less invasive procedures. Yankauer products are generally sterile unless otherwise specified due to the nature of their indications. The patient should recover for 30-60 seconds between passes.[5]. AARC clinical practice guideline: Nasotracheal suctioning - 2004 revision & update. Tungsten carbide Scissors > 5 years Extension tubing is used to attach the Yankauer or suction catheter device to a suction canister that is attached to wall suction or a portable suction source. Use appropriate listening and questioning skills. Do not apply suction as the catheter is inserted. This is known as an oral suctioning tool. sharing sensitive information, make sure youre on a federal Encourage the patient to take several deep breaths. It is a reusable tool that can be cleaned and sterilized easily. We also acknowledge previous National Science Foundation support under grant numbers 1246120, 1525057, and 1413739. Assist the patient to a comfortable position, ask if they have any questions, and thank them for their time. For oropharyngeal suctioning, insert the catheter through the mouth, along the side of the mouth toward the trachea. Yankauer suction supplies is a tracheostomy device used to clear blood, saliva, and other secretions in the airway. The catheter is run along the gum line to the pharynx in a circular motion. Endotracheal intubation (ETI) is used to effectively manage a patient's airway. Yankauer; airway management; bougie; difficult airway; difficult intubation; endotracheal intubation; ventilator support. Roll the catheter between your fingers to help advance it. When performing nasal suctioning, have the patient lean their head backwards to open the airway. We hope that knowledge of this novel, yet simple and effective technique will help physicians successfully intubate patients with distorted oropharyngeal anatomy who cannot be intubated using conventional methods. The suction volume counted as blood loss during surgeries. Thus, giving an exceptional built-in corrosion resistance. It is manufactured from stainless material along with chrome plating. Document the procedure and related assessment findings. The Yankauer suction set is an oral suctioning tool used in medical procedures. The Yankauer suction tip features a large opening that allows effective suctioning without causing damage to the local tissue. Tungsten Carbide Needle holders > 1 year Yankauer suction catheters are oral suctioning tools used in medical procedures. It allows the fluid to flow out from body cavity by creating suction. The benefit of the Yankauer bulb-tip design is its ability to suction the area without damaging surrounding tissue. A small amount of clear, white, thick sputum was obtained. Successful Retrograde Intubation After Failed Fiberoptic Intubation and Percutaneous Cricothyrotomy. All Rights Reserved. An official website of the United States government. (2020). Careers. 2011 Jan-Mar;15(1):30-3. doi: 10.3109/10903127.2010.519821. 2017 Oct;53(4):550-553. doi: 10.1016/j.jemermed.2017.06.003. Perform oral hygiene on the patient after suctioning. 22.4: Oropharyngeal and Nasopharyngeal Suctioning Checklist and Sample Documentation, [ "article:topic", "license:ccbysa", "showtoc:no", "authorname:ernstmeyerchristman", "Yankauer suction tip", "oropharyngeal suctioning", "program:openrn", "licenseversion:40", "source@https://wtcs.pressbooks.pub/nursingskills" ], https://med.libretexts.org/@app/auth/3/login?returnto=https%3A%2F%2Fmed.libretexts.org%2FBookshelves%2FNursing%2FNursing_Skills_(OpenRN)%2F22%253A_Tracheostomy_Care_and_Suctioning%2F22.04%253A_Oropharyngeal_and_Nasopharyngeal_Suctioning_Checklist_and_Sample_Documentation, $ \newcommand{\vecs}[1]{\overset { \scriptstyle \rightharpoonup} {\mathbf{#1}}}$ $ \newcommand{\vecd}[1]{\overset{-\!-\!\rightharpoonup}{\vphantom{a}\smash{#1}}} $$\newcommand{\id}{\mathrm{id}}$ $ \newcommand{\Span}{\mathrm{span}}$ $ \newcommand{\kernel}{\mathrm{null}\,}$ $ \newcommand{\range}{\mathrm{range}\,}$ $ \newcommand{\RealPart}{\mathrm{Re}}$ $ \newcommand{\ImaginaryPart}{\mathrm{Im}}$ $ \newcommand{\Argument}{\mathrm{Arg}}$ $ \newcommand{\norm}[1]{\| #1 \|}$ $ \newcommand{\inner}[2]{\langle #1, #2 \rangle}$ $ \newcommand{\Span}{\mathrm{span}}$ $\newcommand{\id}{\mathrm{id}}$ $ \newcommand{\Span}{\mathrm{span}}$ $ \newcommand{\kernel}{\mathrm{null}\,}$ $ \newcommand{\range}{\mathrm{range}\,}$ $ \newcommand{\RealPart}{\mathrm{Re}}$ $ \newcommand{\ImaginaryPart}{\mathrm{Im}}$ $ \newcommand{\Argument}{\mathrm{Arg}}$ $ \newcommand{\norm}[1]{\| #1 \|}$ $ \newcommand{\inner}[2]{\langle #1, #2 \rangle}$ $ \newcommand{\Span}{\mathrm{span}}$, 22.3: Assessments Related to Airway Suctioning, 22.5: Checklist for Tracheostomy Suctioning and Sample Documentation, Checklist for Oropharyngeal or Nasopharyngeal Suctioning, Sample Documentation of Expected Findings, Sample Documentation of Unexpected Findings, https://www.aarc.org/wp-content/uploads/2014/08/09.04.1080.pdf, https://opentextbc.ca/clinicalskills/chapter/5-7-oral-suctioning/, source@https://wtcs.pressbooks.pub/nursingskills, status page at https://status.libretexts.org, Chest auscultation of coarse, gurgling breath sounds, rhonchi, or diminished breath sounds, Reported feeling of secretions in the chest, Suspected aspiration of gastric or upper airway secretions, Clinically apparent increased work of breathing. How much time is taken for suctioning procedure? American Association for Respiratory Care. Noninvasive ventilation in difficult endotracheal intubation: systematic and review analysis. Tools and techniques to successfully obtain airway access are essential. Put on a clean glove and occlude the end of the connection tubing to check suction pressure. BMJ Case Rep. 2021 Sep 20;14(9):e244635. Yankauer with bulb tips are the most common suctioning instrument in the world. Comparison of bougie-assisted intubation with traditional endotracheal intubation in a simulated difficult airway. Low maintenance is required. The amount of suction is set to an appropriate pressure according to the patients age. If any of our instrument Malfunctions or conk outs, were here to repair or replace your instrument depending upon the warranty of the tool. However, routine suctioning does require a provider order. Move the bedside table close to your work area and raise it to waist height. 2018 Jun 5;319(21):2179-2189. doi: 10.1001/jama.2018.6496. This site needs JavaScript to work properly. Driver BE, Prekker ME, Klein LR, Reardon RF, Miner JR, Fagerstrom ET, Cleghorn MR, McGill JW, Cole JB. The patient was unable to be intubated by conventional techniques because of a mass obstructing the view of her vocal cords. NCI CPTC Antibody Characterization Program. Need for suctioning is evidenced by one or more of the following: In emergent situations, a provider order is not necessary for suctioning to maintain a patients airway. official website and that any information you provide is encrypted Epub 2010 Nov 10. doi: 10.1136/bcr-2021-244635. For the best experience on our site, be sure to turn on Javascript in your browser. Order was obtained to suction via the nasopharyngeal route. In many agencies, Yankauer suctioning can be delegated to trained assistive personnel if the patient is stable, but the nurse is responsible for assessing and documenting the patients respiratory status. Disclaimer, National Library of Medicine Each individual product will specify the sterility status. JavaScript seems to be disabled in your browser. This type of suctioning is performed when oral suctioning with a Yankauer is ineffective. }, false ); Mais India Medical Devices is an alliance between the multi-million dollar global leader Mais Medical and the world-wide leader in medical machine manufacturing Sysmech Enterprises, 525 P, Pace City II, Sector 37, Gurugram, Haryana 122001. Suctioning is indicated when the patient is unable to clear secretions and/or when there is audible or visible evidence of secretions in the large/central airways that persist in spite of the patients best cough effort. Yankauer suction set employed for suction purposes like removal of blood, fluids, pus and gas during surgery. Unable to load your collection due to an error, Unable to load your delegates due to an error. It allows effective suction without damaging nearby tissues. Hyperoxygenation and hyperventilation should be performed prior to the nasal and tracheal procedures to avoid the most common hazards of suctioning (hypoxemia, arrhythmias, and atelectasis).

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