Virtually every medical office worker, dental care provider, hospital employee, or first responder must use medical suctioning. Suctioning can be an important emergency intervention as well as a key aspect of routine care.

Suctioning a patient can maintain a patent airway, remove life-threatening airway obstructions, and prevent aspiration in vomiting or bleeding patients. But airway suctioning is not without risks, including changes in blood pressure. First responders must understand the link between suctioning and blood pressure to prevent both hypotensive and hypertensive states. 

Hypoxia is one of the most common suctioning complications. It’s also preventable in most scenarios. Hyperoxygenate a patient prior to suctioning to reduce the risk of hypoxia as well as other suctioning complications. Here’s what you need to know about the process. 

In 1907, otolaryngologist Sidney Yankauer revolutionized the world of medical suction with his eponymous Yankauer suction catheter. Dr. Yankauer worked at the outpatient surgery department in Mount Sinai hospital and while there, this unassuming ENT specialist invented numerous pieces of medical equipment. Dr. Yankauer is hailed as a medical genius and admired for his prolific publishing output.

Difficult to precisely define and encompassing a wide range of situations, medical errors nevertheless can be devastatingly costly patients and to health care providers. Protecting against these mistakes is expensive, as well, with the value of the medical malpractice insurance market estimated by some to be over $17 billion and premiums increasing rapidly in recent years.

With the advent of minimally invasive in-office procedures, patients are increasingly choosing sedation instead of general anesthesia. Sedation exists on a continuum, ranging from very mild sedation to deep sedation, but it is generally safer than anesthesia and requires a shorter recovery time. Patients also may require sedation in some emergency medicine scenarios.

Anyone working in patient care knows how important oropharyngeal suctioning is to maintaining airway patency. Not only does it remove bodily fluids (blood, mucus, saliva, and vomit) from the airway, but it also allows visualization of the vocal cords during intubation—a crucial step in establishing an advanced airway.

You are called to the nursing home to treat a “patient choking.” Upon arrival, you are rushed to the room of an elderly man who has suffered three previous strokes, resulting in limited mobility and significant speech impairment. Fortunately, the patient is no longer choking. Swift action on the part of the staff prevented an airway obstruction, and the patient is now resting comfortably. But is he truly out of danger?