Just for clarification, this baby did not have the lungs suctioned.  This
was a gastric
aspiration, "deep" as in all the way to the stomach.  The reason it was done
on three
separate occasions was because of the amount of mucous baby continued to
spit up.
Lu Bush,BSN,RNC,IBCLC
Austin, Texas
----- Original Message ----- . Specifically in reference to the
> case of the Premature baby who aqcuired a clavicle fracture and had to
> tolerate deep suctioning x 3. ....SNIP....> .Deep sucx frustrates me
> to no end. What do we think we are doing? You can't suction away
adventious
> lung sounds in the bases , they are in the alevoli, and no suction cath I
> have seen is adept enough at reaching the alevoli. Routine sucx is not
> allowed at our hospital anymore, thank goodness. A baby rarely needs sucx
at
> all unless there is Meconium at Delivery and then the infant would be
> intubated and suctioned that way, if indicated. If there is mucous coming
> from the infants mouth in copious amounts or interfering with airway
mangmnt
> , usually passing a small orogastric tube and GENTLY sucx out the stomach
and
> esophagus will be sufficient. Anatomically speaking, remember how small
the
> oral and airway space is in a neonate and the potential damage from deep
sxc
> should be carefully weighed. I will get off my soapbox now, thankyou....
>
>  Lisa Mooney, LT, NC , USNR , RN, BSN , (Taking IBCLC exam in JULY)
>
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