Respiratory Cloud Clinical Skills Library

Clinical knowledge review

Contraindications

Use these educational prompts with current orders, protocols, patient assessment, facility policy, and supervising-clinician direction.

Skill

Airway Suctioning (Inline Closed System)

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The selected category is identified by a yellow outline and a "Selected section" label.

Relative contraindications

Use individualized risk-benefit assessment, added precautions, or a modified approach as authorized for the patient and setting.

  • Bleeding diathesis/anticoagulation (risk of mucosal bleeding)
  • Elevated intracranial pressure
  • Severe hypoxemia, bradycardia, or arrhythmia precipitated by suctioning—proceed with caution and preoxygenation
  • Elevated intracranial pressure (ICP)
  • Bronchospasm or airway instability

Sources

Supporting sources include peer-reviewed research, evidence-based clinical practice guidelines, professional standards, and foundational respiratory care references, as applicable to the skill.

  1. American Association for Respiratory Care (AARC). (2010). AARC clinical practice guideline: Endotracheal suctioning of mechanically ventilated patients with artificial airways 2010. Respiratory Care, 55(6), 758-764. https://doi.org/10.4187/respcare.00754