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    Bronchial Lavage

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    This document describes the bronchial lavage technique to eliminate secretions in patients with an artificial airway. Explains that bronchial lavage should be performed periodically in patients on mechanical ventilation to aspirate secretions. It details the necessary material such as aspiration probes and syringes, and the procedure that includes introducing saline solution and aspirating while rotating the probe to mainly clean the bronchi. He also recommends monitoring vital signs during the procedure.

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    Bronchial Lavage

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    12 views19 pages
    This document describes the bronchial lavage technique to eliminate secretions in patients with an artificial airway. Explains that bronchial lavage should be performed periodically in patients on mechanical ventilation to aspirate secretions. It details the necessary material such as aspiration probes and syringes, and the procedure that includes introducing saline solution and aspirating while rotating the probe to mainly clean the bronchi. He also recommends monitoring vital signs during the procedure.

    Original Description:

    This document describes the bronchial lavage technique to eliminate secretions in patients with an artificial airway. Explains that bronchial lavage should be performed periodically in patients on mechanical ventilation to aspirate secretions. It details the necessary material such as aspiration probes and syringes, and the procedure that includes introducing saline solution and aspirating while rotating the probe to mainly clean the bronchi. He also recommends monitoring vital signs during the procedure.

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    Bronchial lavage

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    This document describes the bronchial lavage technique to eliminate secretions in patients with an artificial airway. Explains that bronchial lavage should be performed periodically in patients on mechanical ventilation to aspirate secretions. It details the necessary material such as aspiration probes and syringes, and the procedure that includes introducing saline solution and aspirating while rotating the probe to mainly clean the bronchi. He also recommends monitoring vital signs during the procedure.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    12 views19 pages

    Bronchial Lavage

    Uploaded by

    ScribdTranslations
    This document describes the bronchial lavage technique to eliminate secretions in patients with an artificial airway. Explains that bronchial lavage should be performed periodically in patients on mechanical ventilation to aspirate secretions. It details the necessary material such as aspiration probes and syringes, and the procedure that includes introducing saline solution and aspirating while rotating the probe to mainly clean the bronchi. He also recommends monitoring vital signs during the procedure.

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    WASHING TECHNIQUE

    BRONCHIAL
    WASHED
    BRONCHIA
    L
    AIM

    Eliminate secretions in patients


    with artificial airway.
    Indications
    • All patients on mechanical ventilation
    must be aspirated periodically.
    • The frequency with which the procedure
    should be performed will vary depending on
    a series of circumstances: respiratory
    pathology, type of
    mechanical ventilation, neurological
    status, degree of sedation and/or
    relaxation, respiratory instability, etc.
    • Aspiration of the tracheal tube will be
    performed when secretions are visualized
    or suspected due to
    auscultation or
    modification of MV
    parameters,
    retention of secretions or partial
    obstruction of the airway
    Material and equipment
    • Suction probe. Its diameter should be the
    largest that does not obstruct the tracheal
    tube.
    • Tubes to connect the aspiration probe to the
    collection container. This system must be
    replaced with another sterile one every 24
    hours.
    • Manometer to measure the pressure applied.
    • Connection to the vacuum system.
    • Sterile gloves.
    •
    Chloride
    syringes sodium to 0.9%, if
    needs washing clarify and mobilize
    secretions
    Procedure
    • Handwashing

    • Set aspiration at 50-85 mmHg for infants and


    90-115 mmHg for children

    • Increase the oxygen to 100% or 20% more than


    the patient needed.
    The aspiration must be performed by two people to
    maintain the highest degree of asepsis and optimize the
    stability of the airway and ventilation.
    1-3 ml of
    saline solution (0.3 ml in newborns).
    Without applying aspiration, quickly and
    gently introduce the probe through the tube
    until the patient coughs or a slight
    obstruction is noted. Do not force the
    passage of the catheter when an obstacle is
    seen. Remove the probe 0.5-1 cm and aspirate
    while rotating it between the thumb and
    index finger. The maneuver should last
    between 5 and 10 s. After performing this
    aspiration, reconnect to the respirator or
    ventilate with a bag.
    Procedure
    • The steps are repeated with the patient's
    head turned to each side to facilitate the
    introduction of the probe into the two main
    bronchi.
    • If the endotracheal tube, oropharynx and nose
    are aspirated with the same tube, it should
    be done in that order, to avoid nosocomial
    infections, and discard it later.
    • Monitor HR, pulse oximetry, capnography, and
    coloration of the skin and mucous membranes
    throughout the procedure; after checking that
    lung auscultation is symmetrical
    There are closed aspiration systems that allow aspiration without
    the need to disconnect the patient, through a single probe that is
    continuously protected by a plastic jacket and isolated from the
    external environment.
    Suction system

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