Continuous Positive Airway Pressure (CPAP) - Hudson suctioning
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Indications for Hudson CPAP suctioning
- Increased secretions
- Increased respiratory effort
- Increased oxygen requirement
- Increased respiratory distress
- Increased apnoeas
- Suction catheter sizes 7,8
- Non-Sterile Gloves
Pressure should be set at 100 - 150mmHg as appropriate for gestational age.
Frequency of suctioning
- First 6 hours - suction 2-4hrly
- Following this suction a minimum of 6 hourly
- NB: When Hudson CPAP is discontinued, suctioning will be
required at least six hourly
OR more frequently if symptomatic for the first 24 hours then as required to maintain a clear airway.
Follow the steps below to suction baby. This is a two person procedure (one could be a parent) to support and comfort the baby through this procedure.
- Ensure Neopuff is checked and within reach if needed.
- Consider the need to Pre-oxygenate by
- Using blowby Oxygen, OR
- Removing only one side of the CPAP prong at a time.
- Suction mouth first, as this clears oropharynx and lubricates catheter.
- Measure from nose to pinna then add half that distance to measurement already obtained. Ensure the catheter passes to the back of nasopharynx to clear secretions.
- Baby should be suctioned at least twice down each nostril.
- If unable to get down a nostril due to trauma, use finger port at nares and kink suction catheter.
- Note on observation chart, colour, type, and amount of secretions and infant's tolerance of the procedure.
Note: Saline (NaCl 0.9%) instillation is only used if secretions are deemed to be thick and tenacious on individual assessment.
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- Date last published: 26 November 2015
- Document type: Clinical Guideline
- Services responsible: Neonatology
- Owner: Newborn Services Clinical Practice Committee
- Editor: Sarah Bellhouse
- Review frequency: 2 years
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