What is the maximum recommended suction duration per attempt for an adult with a tracheostomy?

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Multiple Choice

What is the maximum recommended suction duration per attempt for an adult with a tracheostomy?

The main idea is to keep suction passes very brief to protect oxygenation and the airway. For an adult with a tracheostomy, a very short suction pass is recommended to minimize drops in oxygen saturation, potential bradycardia, and mucosal injury while still clearing secretions. In practice, pre-oxygenate when possible, insert the catheter just inside the tracheostomy to reach the secretions, and apply suction while withdrawing the catheter rather than pushing it deeper. If secretions persist, perform additional brief passes with time allowed for re‑oxygenation between attempts, and monitor SpO2 and heart rate closely. Use appropriate suction pressure for adults and maintain sterile technique.

The main idea is to keep suction passes very brief to protect oxygenation and the airway. For an adult with a tracheostomy, a very short suction pass is recommended to minimize drops in oxygen saturation, potential bradycardia, and mucosal injury while still clearing secretions. In practice, pre-oxygenate when possible, insert the catheter just inside the tracheostomy to reach the secretions, and apply suction while withdrawing the catheter rather than pushing it deeper. If secretions persist, perform additional brief passes with time allowed for re‑oxygenation between attempts, and monitor SpO2 and heart rate closely. Use appropriate suction pressure for adults and maintain sterile technique.

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