How to do proper endotracheal tube suction in ICU & how far the suction catheter should be inserted

The above video explains 2 very important aspects if ventilator care bundle in ICU:
1. How to do proper endotracheal tube suction in ICU and
2. How far the suction catheter should be inserted
These are very important in preventing the Ventilator associated pneumonia and trauma to tracheal carina.
We hope that this video will help our fellow nursing staff and doctors.
0:00 introduction
0:32 Theory of how much length of suction catheter should be inserted
4:01 Beside demonstration of how to do endotracheal suction
Please ask your doubts and queries in the comment section.
Also do subscribe to our channel for regular educational videos related to ICU and ER.
My name is Dr. Ankur Gupta. I am intensivist by profession and Head of the Intensive care and emergency department. I am also the Founder President of Educational Society of Bedside Intensive Care Medicine (ESBICM). My passion is to teach the medical students and nurses regarding the practical aspects of working in ICU and ER. In the early days I used to record my lectures in ICU and upload them so that those who have missed, can listen to them or those who have attended can revise in case they didn’t understand some stuff. I slowly found that those videos were proving to be help for doctors and nurses in other hospitals, states, and even other countries. I started getting feedback and request for other lectures. But the trigger for this channel came when due to one of my videos, one emergency resident was able to save life of a patient with celphos poisoning. That day I decided to start a dedicated educational channel for residents and nurses working in ICU and ER.
Why the name RegularCrisis ?
As you all know, those working in ER and ICU are facing tough conditions like ventilating the patient, doing CPR, managing crashing patients, life saving surgeries, life threatening trauma, interacting with attendants in their difficult times, etc... on daily basis. All these are crisis like situation for anyone else but for us working in ICU and ER, it’s a regular thing; that's why the term 'RegularCrisis'. I hope that this channel will continue to help hundred and thousands of medical students, doctors, nurses and paramedic healthcare staffs who are working dedicatedly in ICU and ER for saving the lives of millions of patient.
#regularcrisis #howtodoendotrachealtubesuction #howfarthecathetershouldbeinserted

[@kanupriya2468]

Hi , I am an inpatient physiotherapist and practise suctioning with the patients who required it . One suction time should not be more than 8-12 secs and u can do 2-3 reps as per patient requirement . Also keep checking vitals (mainly spo2) and provide enough o2 in between the suction reps to oxygenate lungs if not connected to the ventilator.

[@TheICUChannel]

Very well put up ... thanks for the input... pinning your comment

[@Johnieee]

Great doctor, still many health care workers dont know how much insert into the tracheostomy tube, this video helps to avoid their mistakes ,

[@TheICUChannel]

Glad it helped

[@rebeccab7213]

Great video thanks Doctor! And wow I was really touched by what you wrote... As a former paramedic, current medical student, I really appreciated what you said. You are doing cool things :) Thanks for sharing,

[@syedhaider9403]

Thankyou so much. These details are such which normally doctors don't pay attention to and if you keep care of such things it will have a positive effect on patient recovery. Thankyou so much.

[@dheerajsharma3106]

Very nice video sir with practical demonstration

[@drastishgore]

Great video , covered most of basics things that has to follow everyone . Thanks for spreading knowledge

[@rexqt5337]

Awesome job

[@mylifevlog1905]

Very good

[@rajofficial_07]

Nice nd more informative video👍🏻

[@drsiddharthsoniphysician]

Thanks Dr saheb.. Veryyyyyyy informative...

[@mahimapanhalkar9291]

Very informative.I am a recently graduated ICU nurse and this is indeed helpful. Thankyou for your contribution Doc!

[@TheICUChannel]

Thanks and best wishes

[@NPcookvlog173]

Thank you..this is so much helpful...

[@sumitsinha9608]

Great going team.....👍

[@ranitaadak4863]

Thanks very good demonstration

[@ankuraryan8951]

Excellent job👏👏

[@nithyajay2681]

Thanks you sir.its very clear session

[@topshort1]

Very nice sir it's an important measure to be known in situation of emergence

[@rohandey1870]

Thank you so much doc. As an icu trainee, I know how much valuable information you are giving. Please make this type of videos as much as you can

[@TheICUChannel]

Sure , please do share with other fellows whom u feel it is useful

[@rohandey1870]

@@TheICUChannel surely

[@shivanibhardwaj7775]

Thanku

[@viccaoxy9035]

Thanks for the video

[@vedikatupare7924]

Thank you so much all medical team members. This video is very useful for to grow required knowledge and how to take proper care of ventilator patient mainly at the time Suctioning . This one is easily understand and achievable video. 👌Thanks

[@TheICUChannel]

Thanks a lot

[@kalyandipghosh4005]

Thank You Doc

[@arbaznadaf1182]

Nice video thank you sir

[@randzelletiongson8463]

tnxs doc and nurses w@tching here in philippines!

[@TheICUChannel]

Wow, lots of thanks and love from India 🇮🇳 , welcome to ESBICM

[@nursingofficeraspirants]

Thankyou sir good explain

[@drvickybaxi4044]

Excellent as always...dr.ankur gupta...very well narrated...superb video ..useful in day to day practice👍👍👍👍

[@TheICUChannel]

Hey thanks Vivek ... nice to see you here ... thanks for your words

[@dranshul9276]

I am a physiotherapist, thanks for explaining it very well , I have done ET suctioning many times after giving chest physio . Thanks to almighty all my patients have got better. Thank you so much for the explanation 🙏

[@TheICUChannel]

Thanks dr Anshul

[@kasturirawool6675]

Thank you👍

[@riyapriyadarsinikar1488]

very nyc

[@somashekarmbshekar1824]

Very informative, explained in detail, covered all the aspects, well explained demonstration. Thank you so much sir and to your team.

[@TheICUChannel]

Thanks and welcome to ESBICM

[@somashekarmbshekar1824]

@@TheICUChannel sir cuff pressure manometer video removed from the watchlist, can you please reupload it.

[@jayashreec1335]

Thank u so much

[@nexusvarsha1434]

Very nice video and demonstration be thankful to you and your team

[@TheICUChannel]

Thanks a lot

[@DEEPAKSINGH-00]

Thanku sir❣️

[@ramdevdhaker2293]

Thanks sor

[@roddajagadeeswari4263]

U r very rt sir. It's been very useful. I wish you could make more n more videos of this kind. Thanks alot.

[@TheICUChannel]

Definitely, due to covid a little less frequent videos are coming . But will revert with more regularly

[@doctorfaheemkhanbalouch6322]

👏🏻👏🏻👍👍

[@arjunswami2423]

Super...prsentation sir...thanku so much sir....

[@TheICUChannel]

Thanks a lot u liked and found useful .

[@Explorer199]

Well done sir...we hope to get more such practical videos in future. All the best 😊

[@TheICUChannel]

Thanks for the words ...

[@kodaknikonedgopro8862]

Thanks for Ur efforts Dr coz you helping us a lot outta here. Have gone through a couple of Ur videos and they are definitely very informative. Am a clinical medicine student I've Subscribed thumbs up, n greetings from Kenya.

[@TheICUChannel]

Thanks a lot dear, hope coming videos will also be useful. Do share.

[@diksha_nayyar]

Loved this video thankyou😊

[@TheICUChannel]

Thank u

[@BalaMurugan-sg1zy]

Thank you so much sir ...crisp concepts

[@TheICUChannel]

Thank you

[@nikhleshsharma1997]

Thank you so much very informative

[@TheICUChannel]

Glad u liked

[@gloriamarie]

It was very helpful.. Thank u sir

[@TheICUChannel]

glad to hear that , welcome

[@sunilshukla5318]

Thanks to all team members..

[@neeradipranahitha4493]

Thank you sir for explaining clearly

[@TheICUChannel]

Welcome .

[@dipansukhrolia1782]

Very good vedio sir, what is the role of putting saline and sodium barconate before et suction

[@nur.k18]

So well u explained

[@TheICUChannel]

Thanks Nurjahan

[@rinkytigga7805]

Thank you so much sir

[@TheICUChannel]

Thanks Rinky.

[@Savevintage]

Thnku u all.

[@poojagupta3171]

Very nyc video

[@TheICUChannel]

Glad that u liked Pooja .

[@pixie89]

Great

[@TheICUChannel]

Thanks .

[@funnyjoy9724]

Thank you sir

[@TheICUChannel]

Thanks , hope it helps .

[@jyotichotani513]

Well explained sir👍

[@TheICUChannel]

Thanks Jyoti

[@drsachin640]

Sir plz make video on. What are the indicators for suctioning.. what things to be noted while doing suctioning,,second Ventilator me kes pta lgega esko suction ki jarurt h ya nhi ,plz make ASAP

[@Johnieee]

Respected doctor: i have a doubt every 2 weeks tt tube should be changed or not or keep 1 month(long term care need for some tt patients in home care) This is important enquiry doctor many tt patients we can see in home, thsts yy i ask, plz do a video about tt tube changing, Thanks lot doctor

[@roshankumar7899]

Sir can same suction catheter in mouth also

[@jovy4886]

rotatory movt not done by nurses, but can still improve next time. but great informative video!

[@TheICUChannel]

Nicely pointed .

[@Dr.Jyotsna]

thank you sir.. please make video on troubleshooting on central venous catheterization and femoral artery or radial artery catheterization... although in one prick I get atrial flow but while putonng catheter it sticks..

[@TheICUChannel]

Very nice suggestion, will make it … difficult to make in real time , but will try to explain theoretically

[@Dr.Jyotsna]

thanks sir.. will be eagerly waiting for this video.. these topic like doing suction, taking tracheal sample, zeroing arterial line... nursing staff knows better than us.. and some time difficult to ask them as they look up to us in difficult situation so we can't so them our weakness but as u r making video on these topic we will also learn all these... thanks...

[@doctorjee]

Great video! How would you rate the automated suction devices (like VAPCARE) vs the human suction? Regards

[@TheICUChannel]

Sorry we haven’t used this . No experience with them .

[@bhuvanahoney9273]

Do more vedios like this sir

[@TheICUChannel]

Sure

[@lifeholders_24]

Thank uuuuuuuuuuuuu so muchhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhh. Sir

[@TheICUChannel]

Thank u

[@lifeholders_24]

@@TheICUChannel sir can u plz make video on type of ET tubes and size selections criteria according to conditiond

[@TheICUChannel]

docs.google.com/forms/d/e/1FAIpQLScaY4fYpRmCKumdscZ5pUHYyv0Yg5aA3CKBPPz3V4CxTPxFRw/viewform

[@faiser83]

music is dynamic

[@sidhiambre11]

Sir can you explain about the infusion pump setting

[@TheICUChannel]

What exactly u need on that … it’s simply maths

[@MscRespiratoryTherapy]

Why do we need to clean the catheter with saline in between the suction

[@roddajagadeeswari4263]

What about nasopharyngeal suctioning. How much is the catcher length. Oral or et ...which suctioning we do first.

[@TheICUChannel]

100% its always ET first and then oral .

[@Savevintage]

Also can suction with ambu bag?

[@TheICUChannel]

Yes

[@reematripathi4865]

Sit kya suction k time hum distilled water ya normal saline ET tube mai dal saktae hai.

[@TheICUChannel]

Yes only distilled water , avoid normal saline but not sodabicarb

[@reematripathi4865]

Sir please tell why we should not take bicarb and normal saline in suction

[@Sonakishor0333]

Sterilize gloves important hai sir becoz hmare hands sterilize nhi hote h chahe hm kitna bhi wash krle ya sanitize krle becoz hamri body se anytime deadcell distroy hokr spread hoti hai...

[@TheICUChannel]

Yes 👍

[@ejose17]

Its better not to clear suction catheter with saline each time we go in. It might contaminate the catheter. overall good attempt.

[@rafitdebbarma9878]

How much negetive pressure one should apply ?

[@TheICUChannel]

nthg specific... should not be too much and not too low..

[@siadhcsf9263]

Should we use new suction catheter each time??

[@TheICUChannel]

Yes

[@sushmitaguleria5574]

I want to know about 100% saturation ... Before ... Suctioning

[@TheICUChannel]

What’s the query ?

[@soullion9001]

Suction kyu karte hai ?

[@drvikashbajad1058]

Wear gloves plz sir before procedure

[@TheICUChannel]

Yes sterile gloves

[@CSEMELEC]

Just open the items and demonstrate 🤷🏻‍♂️

[@TheICUChannel]

didn't understand ... can you elaborate?

[@jeromeretchal2630]

Please wear gloves while doing suction

[@arbaznadaf1182]

Nice video thank you sir