Medicine is an ever-changing ecosystem. As technology improves, new equipment is created that performs better, is safer, and easier to use. However, some devices withstand the test of time and have been with us for decades and its design will be with us into the future, albeit with some modern touches.

Even in a brand new hospital with all of the latest technology, systems are not completely foolproof. As a medical professional, the more you can anticipate problems, the more prepared you will be to handle them and advanced planning may help avoid a potential crisis.

A hospital visit can save a patient’s life. It can also destroy it if they pick up a virulent healthcare-associated infection (HAI). Centers for Disease Control and Prevention (CDC) estimates that on any given day, 1 in 31 hospital patients have at least one HAI. 

The Yankauer suction catheter has a long and storied history in both emergency medicine and routine care. Developed in 1907, it has been a mainstay of airway management for more than a century. Dr. Yankauer was a groundbreaking provider in his time, who wanted to carefully suction surgical patients without damaging delicate tissue.

Suctioning can be life saving, and may prevent serious complications in the dental office or surgical suite. But suctioning can also be painful and traumatic, especially if the first attempt fails. Suction complications are common and become more likely when you use the wrong suction strategy. These tips can help you choose the right suction strategy for every patient every time. 

Emerging evidence suggests that bariatric patients are at a higher risk of developing severe COVID illness. This means they may represent a disproportionate share of your patients during the pandemic. If you’re suctioning a bariatric patient, here are six complexities to consider. 

As COVID-19, the virus that causes the novel coronavirus infection, continues to ravage the world, medical providers have had to change virtually everything about how they practice. Suctioning a patient is no exception. Providers once only had to weigh the risks and benefits of suctioning to the patient. Now they must also consider how suctioning might endanger their own health, and how it might imperil subsequent patients if they become infected. 

Airway suctioning can generate dangerous aerosols that effectively transmit the virus. In emergency scenarios, Suction Assisted Laryngoscopy and Airway Decontamination (SALAD) may offer a lower-risk alternative to traditional airway suctioning.

Overweight or obese patients can present suctioning difficulties. Because most American adults are overweight or obese, medical providers must train in the treatment of bariatric patients. These patients are highly susceptible to airway difficulties, particularly during surgery. The following strategies can help you effectively suction bariatric patients, even when they present with difficult airways.