H20 of PEEP, a PEEP attachment is added to the manual resuscitation bag. 2.A functional suction set-up with gloves and appropriately sized catheters must be at each bedside. 2.To permit immediate tracheal suctioning if required. H20 PEEP should not be removed from the ventilator for suctioning, unless absolutely necessary. 3.To reduce chance of hypoxemia due to loss of PEEP or oxygen.
PEEP maintains positive airway pressure.
Although loss of PEEP may compromise the patient by alveolar collapse, PEEP may make it difficult to clear secretions in some patients. In these cases, the risk over momentary losses in PEEP may be outweighed by inadequate secretional clearance. One method that may be used is to have a second person disconnect the ventilator circuit at the moment the suction catheter is inserted. This sudden loss of PEEP will instantly decrease airway pressure and may, therefore, promote an effective cough. 4.Single use catheters may be required for patients with excessive chest clearance problems.