[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-317125-105":59,"doc-detail-317125-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","suctioning-essential-airway-care-for-tracheostomy-and-laryngectomy-patients","Suctioning - Essential Airway Care for Tracheostomy and Laryngectomy Patients","","Suctioning describes day-to-day airway management for tracheostomy and laryngectomy patients, focusing on how mucus and secretions accumulate after disruption of normal humidification and ciliary transport. It explains why secretions may cause obstruction and hypoxia risk, highlights that suctioning is not risk-free, and covers key types of tracheal suctioning. The content also provides patient assessment indicators, guidance on suction system selection, and catheter sizing to minimize trauma and hypoxia.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/suctioning-essential-airway-care-for-tracheostomy-and-laryngectomy-patients/317125/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/suctioning-essential-airway-care-for-tracheostomy-and-laryngectomy-patients/317125.png","ImageObject",300,407,{"name":92,"@type":93},"Ethan Miller","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-22","2026-09-20",true,{"@type":102,"interactionType":103,"userInteractionCount":29},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Why is suctioning necessary for tracheostomy and laryngectomy patients?","Question",{"text":112,"@type":113},"Mucus normally moves upward to the larynx via ciliated mucosa, but tracheostomy disrupts humidification and mucus transport. Secretions can collect at the lower end of the tracheostomy tube and often must be removed by suctioning.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What risks are associated with suctioning?",{"text":117,"@type":113},"Suctioning is not benign and may cause hypoxia, cardiac arrhythmias, trauma, atelectasis, and infection.",{"name":119,"@type":110,"acceptedAnswer":120},"How should suction catheter size be selected?",{"text":121,"@type":113},"Use the appropriate sized catheter to reduce trauma and hypoxia. The text notes the catheter diameter should be no more than half the internal diameter of the tracheal tube and references a French gauge sizing approach.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},317125,1790532469,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":29,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":29,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144},687207017582,"https://ap-avatar.wpscdn.com/davatar_994ba38a5ba835b3df7d355c54d3ed8d","Day-to-day management of Tracheostomies & Laryngectomies  \nSuctioning  \nSuctioning the airway is an essential part of routine care of the tracheostomy and laryngectomy patient. Sputum is continually produced in health and our native airways deal with this load without any difficulty. If there is an infection or the sputum load increases, there is an increased risk of the secretions causing problems such as airway obstruction of consolidation in the lung. These problems are compounded if the patient cannot cough effectively, the inhaled gases are not adequately humidified, the patient is on a ventilator orthe presence of a tracheostomy or laryngectomy compromises the bodies ability to deal with the secretions.  \nThe health of the lower respiratory tract is usually maintained by its mucus blanket. Mucus produced in the trachea and bronchi is transported up to the larynx by the ciliated mucosa of the trachea. The mucus blanket is disturbed following tracheostomy for several reasons.  \n• The loss of normal humidification from the nasal airway  \n• The post-surgical inflammation produces a more tenacious mucus blanket  \n• The presence of the tracheostomy tube paralyses the cilia in contact with it  \n• The loss of a normal cough from bypassing the larynx  \nThis results in the tracheal mucus collecting at the lower end of the tracheostomy tube. The amount of mucus build up and the problems it causes will vary between patients and with the duration of the tracheostomy. Some patients may be able to project the mucus through the tube by forced expirations, but most often it must be removed by suctioning the trachea via the tracheostomy tube. Suctioning is not a benign process and may cause hypoxia, cardiac arrhythmias, trauma, atelectasis and infection.  \nTypes of Tracheal Suctioning  \nMost patients only need routine tracheostomy suction and this should be limited to the lumen of the tube. If the suction catheter is passed deeper into the normal trachea it can further paralyse the cilia and aggravate the problem. In some patients with chest problems the tracheostomy will have been performed to give access to the lower respiratory tract. In such patients deep bronchial suction may be required. Frequency of routine tracheostomy suction varies considerably between patients depending on their clinical status.  \nSuctioning systems can be ‘open’ or ‘closed’. Open suction involves using single-use catheters inserted via the open end of the tracheostomy tube. Closed suction systems allow the same catheter to be used multiple times. They are especially useful if the patient is connected to a breathing circuit of a ventilator as repeated disconnection of the circuit is not required. Closed systems are cleaned following use with sterile saline and the systems are  \nDay-to-day management of Tracheostomies & Laryngectomies  \nusually changed every 72 hours, or according to manufacturers instructions. They do add a degree of weight to the breathing circuit and the constantly attached suction tubing risks getting caught accidentally, which may increase the risk of inadvertent disconnection or tube displacement.  \nThe images below show a selection of ‘open’ suction catheters and a ‘closed’suction system, as described above. Note the inverted red saline ampule.  \nPatient assessment  \nIn order for the practitioner to assess whether the patient requires suctioning, with an awake, co-operative patient, it may be possible to firstly encourage them to cough up the secretions, thereby reducing excessive suctioning. Support the patient in a position that will aide coughing (unless contraindicated) and address any factors that may reduce the effectiveness of coughing such as pain or hydration status.  \nIndications that the patient may require suctioning include:  \n• Noisy and or moist respirations  \n• Increased respiratory effort  \n• Prolonged expiratory breath sounds  \n• Restlessness  \n• Reduced oxygen saturation levels  \n• Increased or ineffective coughing  \n• ","cbCainRzNlbixCAq","https://ap.wps.com/l/cbCainRzNlbixCAq","pdf",8991377,"English","# Types of Tracheal Suctioning\n# Patient Assessment\n# Indications for Suctioning\n# Suction Catheter Selection\n# Frequency of Suctioning","[{\"question\":\"Why is suctioning necessary for tracheostomy and laryngectomy patients?\",\"answer\":\"Mucus normally moves upward to the larynx via ciliated mucosa, but tracheostomy disrupts humidification and mucus transport. Secretions can collect at the lower end of the tracheostomy tube and often must be removed by suctioning.\"},{\"question\":\"What risks are associated with suctioning?\",\"answer\":\"Suctioning is not benign and may cause hypoxia, cardiac arrhythmias, trauma, atelectasis, and infection.\"},{\"question\":\"How should suction catheter size be selected?\",\"answer\":\"Use the appropriate sized catheter to reduce trauma and hypoxia. The text notes the catheter diameter should be no more than half the internal diameter of the tracheal tube and references a French gauge sizing approach.\"}]","Suctioning - Essential Airway Care for Tracheostomy and Laryngectomy Patients | PDF",1789928918,15]