Thank you!! I have my first clinicle for nursing school tomorrow and I just wanted to be familiar with the equipment that may be in the patients room. Finally after 2 days I found your videos! You do a great job at explaining the equipment. Keep up the good work!
Hi George, I have seen a few of your videos. Great job! Very clear and informative. Have you made any videos that discuss appropriate suctioning pressures for various purposes? i.e. When should I use intermittent suctioning? What pressures should I use for tracheal suctioning? Thanks for your videos. They have been a wonderful resource.
Hi Chrissy. Here's what we generally do but always confirm the acceptable protocols for where you work and provide patient care. Please note that the following values pertain to negative pressure. Also, I have done some suctioning videos that are available on my channel. Generally: With tracheal suctioningl we stick to these pressures: Infant 60-80 mmHg; Ped 80-120 mmHg; Adult up to 120 mmHg. That being said, if secretions are thick and copious, higher levels of suction can be used for a short time if its less detrimental to patient care than multiple suctions at lower levels ...IE: suctioning an adult @ 150 mmHg to get those nasty secretions removed.........the key is patient safety. EVAC suctioning (tracheal above the cuff) initial suction up to 120 mmHg, then set to continuous suction @ 20-30 mmHg. Oral pharyngeal suction is usually full line. Gastric suctioning: Depends on the style of regulator you have access to intermittent pressure 50-80 mmHg Continuous 30 mmHg Thoracic: Usually 20 cmH2O is a good place to start with adults, 10-15mmHg with pediatric patients. If the patient has a combined hemo-pneumothorax then you may have to go with a more negative pressure but ensure your doing so safely and watch for adverse effects. Hope this helps and thanks for your comments.
I would like to ask some1 a question. I wonder if the regulator is on the wall but upside is it working correctly. My wifes granda mother is in the icu and i think they have no clue how to do stuff. She had internal bleeding coming from a mass in utrs. It was cauterized but she has been swelling. The regulator is back works os it operating correctly the gauge say full blast on red
Hi: yes it should still function correctly. It may look weird, but most suction regulators work the same way and the position its in should not affect it unless its a piece of junk. Have someone there check it if you think there is a problem with it. I personally do not like having equipment the wrong side up. I hope that your wife's grandmother makes a full and speedy recovery.
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Thank you SO much. Never got training on this just kinda expected to know how to do it. So helpful!!
Thank you!! I have my first clinicle for nursing school tomorrow and I just wanted to be familiar with the equipment that may be in the patients room. Finally after 2 days I found your videos! You do a great job at explaining the equipment. Keep up the good work!
Amazing and very informative video. Thanks for your time .
Thank you for teaching. I love your videos.
WELL EXPLAINED THANK YOU !
Well done... pleasant, knowledgeable and to the point. I picked up some new knowledge and am now a follower and supporter.
Very informative great explanation thank you because I start to used for suction also
Great job in explaining
Great video!!! Well explained!
Great work as usual ...thx
Thank you so much!!
Thank you so much. This is very helpful.
Good lectures
You're the best!!
Thank you
Hi George, I have seen a few of your videos. Great job! Very clear and informative. Have you made any videos that discuss appropriate suctioning pressures for various purposes? i.e. When should I use intermittent suctioning? What pressures should I use for tracheal suctioning? Thanks for your videos. They have been a wonderful resource.
Hi Chrissy. Here's what we generally do but always confirm the acceptable protocols for where you work and provide patient care. Please note that the following values pertain to negative pressure. Also, I have done some suctioning videos that are available on my channel.
Generally:
With tracheal suctioningl we stick to these pressures: Infant 60-80 mmHg; Ped 80-120 mmHg; Adult up to 120 mmHg. That being said, if secretions are thick and copious, higher levels of suction can be used for a short time if its less detrimental to patient care than multiple suctions at lower levels ...IE: suctioning an adult @ 150 mmHg to get those nasty secretions removed.........the key is patient safety.
EVAC suctioning (tracheal above the cuff) initial suction up to 120 mmHg, then set to continuous suction @ 20-30 mmHg.
Oral pharyngeal suction is usually full line.
Gastric suctioning: Depends on the style of regulator you have access to
intermittent pressure 50-80 mmHg
Continuous 30 mmHg
Thoracic: Usually 20 cmH2O is a good place to start with adults, 10-15mmHg with pediatric patients. If the patient has a combined hemo-pneumothorax then you may have to go with a more negative pressure but ensure your doing so safely and watch for adverse effects.
Hope this helps and thanks for your comments.
Hi George. Thanks for taking the time to reply. The information is very helpful and appreciated.
No problem
I would like to ask some1 a question. I wonder if the regulator is on the wall but upside is it working correctly. My wifes granda mother is in the icu and i think they have no clue how to do stuff. She had internal bleeding coming from a mass in utrs. It was cauterized but she has been swelling. The regulator is back works os it operating correctly the gauge say full blast on red
Hi: yes it should still function correctly. It may look weird, but most suction regulators work the same way and the position its in should not affect it unless its a piece of junk. Have someone there check it if you think there is a problem with it. I personally do not like having equipment the wrong side up. I hope that your wife's grandmother makes a full and speedy recovery.
Can suction be unpleasant for a nag tube in the stomach
Jellita Manacio
Just call it a valve.
Regulator is a term that describes both "what it is" and "what it does".
Most people, mechanics and engineers would agree.