top of page

Aspiration of secretions by tracheostomy

Introduction of a sterile tube through the patient’s tracheostomy cannula, connected to suction.


– Maintain patency of the patient’s airway. – Achieve the elimination of secretions obstructing the airway to facilitate respiratory ventilation. – Prevent respiratory infections as a result of accumulation of secretions.


– Vacuum aspirator. – Tray.

– Oxygen inlet. – Flow meter. – Vacuum gauge. – Connector tube.


– Sterile suction probes of the appropriate number. – Receptacle for secretions. – Sterile gloves. – Sterile gauze. – Mask. – Washing solution: sterile water or sterile saline solution. – Soaker. – Disposable gowns. – Waste bag. – Disposable paper towelettes. – Oxygen mask. – Sterile lubricant. – Nursing records.


– Follow procedure suctioning of oropharyngeal and nasopharyngeal secretions. – Place patient in semi-fowler. – Insert the suction tube without suctioning, no more than 1 cm longer than the length of the tracheostomy cannula. – Instill 3-5 cc of saline solution, if secretions are very thick, to humidify them and stimulate coughing. – Aspirate secretions when removing the tube with gentle movements and slight rotation. – Discard probe, mask, gloves, and gown. – Leave the patient in an appropriate position. – Collect the material. – Remove gloves. – Wash hands. – Record in the nursing documentation: procedure, reason, date and time, incidences, characteristics of secretions and patient response.


– Sterile technique. – Repeated aspiration may damage the mucosa and cause ulceration and hemorrhage. Routine use of aspiration is contraindicated.

3 views0 comments


bottom of page