yankauer suction catheter use

Apply suction by intermittently occluding the suction valve on the catheter with the thumb of your nondominant hand and continuously rotate the catheter as it is being withdrawn. Nasal and pharyngeal suctioning are performed in a wide variety of settings, including critical care units, emergency departments, inpatient acute care, skilled nursing facility care, home care, and outpatient/ambulatory care. 2013 Apr 11-24;22(7):366-8, 370-1. doi: 10.12968/bjon.2013.22.7.366. Get all the latest information on Events,Sales and Offers.

There are two types of suctioning, oropharyngeal suctioning and nasopharyngeal suctioning. Oral Suctioning with Yankauer Suction Catheter (2:53 minutes), Serving more than 2,500,000 satisfied customers since 2000, Vitality Medical7910 South 3500 East Suite CSalt Lake City, Utah 84121. Order was obtained to suction via the nasopharyngeal route. Successful Retrograde Intubation After Failed Fiberoptic Intubation and Percutaneous Cricothyrotomy. Unable to load your collection due to an error, Unable to load your delegates due to an error.

A patient with chronic obstructive pulmonary disease presented to the emergency department in acute respiratory distress. Diamond Dust instruments > 1 year Approximately 8% of ETIs are difficult and 1% are unsuccessful. The nurse or assistive personnel who performs suctioning with these devices should use care to protect the patients soft mucous membranes and prevent unnecessary trauma. Coarse rhonchi continued to be present over anterior upper airway but no cyanosis present. Patient complaining of not being able to cough up secretions. The patient should recover for 30-60 seconds between passes.[5]. The below instruments manufactured by GerMedUSA have limited warranties: Yankauer suction catheters are oral suctioning tools used in medical procedures.

Each individual product will specify the sterility status. The Yankauer suction set is an oral suctioning tool used in medical procedures. For nasopharyngeal suctioning, gently insert the catheter through the naris and along the floor of the nostril toward the trachea.

Reassess the patients respiratory status, including respiratory rate, effort, oxygen saturation, and lung sounds. (NOTE: The open wrapper or container becomes a sterile field to hold other supplies.) When suctioning is completed, remove gloves from the dominant hand over the coiled catheter, pulling them off inside out. Sign up for newsletter today, All instruments are for Human Surgical use only, if looking for Veterinary Instruments, please visit. The tried-and-true method and design of Yankauer devices is why they are the most common suctioning devices in the world. Ensure safety measures when leaving the room: BED: Low and locked (in lowest position and brakes on), ROOM: Risk-free for falls (scan room and clear any obstacles). official website and that any information you provide is encrypted

sharing sensitive information, make sure youre on a federal government site. Your credit card is processed securely through our own credit card processing service, each transaction is verified against name, address and CVV numbers, your card is being removed from our system after processing the transaction. Increase the patients supplemental oxygen level or apply supplemental oxygen per facility policy or primary care provider order. The LibreTexts libraries arePowered by NICE CXone Expertand are supported by the Department of Education Open Textbook Pilot Project, the UC Davis Office of the Provost, the UC Davis Library, the California State University Affordable Learning Solutions Program, and Merlot. Document the procedure and related assessment findings. FOIA PMC Follow agency policy regarding setting suction pressure. Q: How is the Yankauer suction device used? All rights reserved. VitalityMedical.com is for informational purposes only and should not be used as medical advice, to diagnose, or treat patients. Don sterile gloves. A Yankauer device is rigid and has several holes for suctioning secretions that are commonly thick and difficult for the patient to clear. Assist the patient to a comfortable position, ask if they have any questions, and thank them for their time. Use the checklist below to review the steps for completion of Oropharyngeal or Nasopharyngeal Suctioning.. Hyperoxygenation and hyperventilation should be performed prior to the nasal and tracheal procedures to avoid the most common hazards of suctioning (hypoxemia, arrhythmias, and atelectasis). An official website of the United States government. Epub 2010 Nov 10. The dominant hand will manipulate the catheter and must remain sterile. The following ranges are appropriate pressure according to the patients age: Suction only when clinically indicated and for up to 15 seconds at a time to decrease the risk of respiratory complications. Check the room for transmission-based precautions. It eliminates the risk of blockage and cross contamination. The bulbous head surrounds this opening. (2010). Post-procedure vital signs were heart rate 78 in regular rhythm, respiratory rate 18/minute, and O2 sat 94% on room air. The amount of suction is set to an appropriate pressure according to the patients age. See Figure $\PageIndex{3}$[4] for an image of extension tubing attached to a suction canister that is connected to a wall suctioning source.

Flush the catheter with saline. This site uses cookies to help personalize content, tailor your experience and to keep you logged in if you register. Thank you for subscribing, we have sent a special discount coupon on your email address. Moisten the catheter by dipping it into the container of sterile saline. The use of this website is subject to terms and conditions. (2020). Federal government websites often end in .gov or .mil. NCI CPTC Antibody Characterization Program. 2017;49(4):294-302. doi: 10.5603/AIT.a2017.0044. location = 'http://maisindia.com/thank-you/'; Adjust the bed to a comfortable working height and lower the side rail closest to you. Replace the oxygen delivery device using your nondominant hand, if appropriate, and have the patient take several deep breaths. Perform oral hygiene on the patient after suctioning. Advance the catheter approximately 5 to 6 inches to reach the pharynx. Yankauer Suction Tube is widely used for suction of oropharyngeal secretions to prevent aspiration. Apply lubricant to the first 2 to 3 inches of the catheter, using the lubricant that was placed on the sterile field. American Association for Respiratory Care. Extension tubing is used to attach the Yankauer or suction catheter device to a suction canister that is attached to wall suction or a portable suction source. By continuing to use this site, you are consenting to our use of cookies. Yankauer with bulb tips are the most common suctioning instrument in the world. Encourage the patient to take several deep breaths. Dr. Smith notified and a STAT order was received for a chest X-ray and to call with results. J Emerg Med. Clipboard, Search History, and several other advanced features are temporarily unavailable. Don additional PPE. This tool is used for suctioning of oropharyngeal secretion or clears the operative site like fluid, blood, pus and/or gas from a wound or body cavity.

HHS Vulnerability Disclosure, Help Coarse rhonchi present over anterior upper airway. When performing nasal suctioning, have the patient lean their head backwards to open the airway. Failure of ETI may lead to ineffective ventilation or oxygenation, potentially causing organ damage and eventually death. Any First time Orders which exceed $300.00 or more automatically qualify for free standard shipping (US Only), this excludes Puerto Rico, Hawaii & Alaska.

Thus, giving an exceptional built-in corrosion resistance. Roll the catheter between your fingers to help advance it. It is a reusable tool that can be cleaned and sterilized easily. JavaScript seems to be disabled in your browser. The devices are used to suction oropharyngeal secretions to help prevent aspiration. Suctioning via the oropharyngeal (mouth) and nasopharyngeal (nasal) routes is performed to remove accumulated saliva, pulmonary secretions, blood, vomitus, and other foreign material from these areas that cannot be removed by the patients spontaneous cough or other less invasive procedures. Place a towel or waterproof pad across the patients chest. Gather supplies: Yankauer or suction catheter, suction machine or wall suction device, suction canister, connecting tubing, pulse oximeter, stethoscope, PPE (e.g., mask, goggles or face shield, nonsterile gloves), sterile gloves for suctioning with sterile suction catheter, towel or disposable paper drape, nonsterile basin or disposable cup, and normal saline or tap water. However, routine suctioning does require a provider order. For the best experience on our site, be sure to turn on Javascript in your browser.

Yankauer devices can also be used to clear operative sites for surgical procedures. Epub 2017 Sep 4. Silver or Chrome plated instruments > 1 year Pick up the connecting tubing with the nondominant hand and connect the tubing and suction catheter. This page titled 22.4: Oropharyngeal and Nasopharyngeal Suctioning Checklist and Sample Documentation is shared under a CC BY-SA 4.0 license and was authored, remixed, and/or curated by Ernstmeyer & Christman (Eds.) Diagnosis and management of temporomandibular joint dysfunction before surgery: a case report. A: Sterile Yankauer catheters are available for use in medical procedures. A cricothyrotomy was considered, but not initially performed because of her distorted anatomy. Please enable it to take advantage of the complete set of features! The below instruments manufactured by GerMedUSA have limited warranties: We ship via UPS and USPS. In the home setting and other community-based settings, maintenance of sterility is not necessary. Procedure explained to the patient. Turn off the suction. Post-procedure vital signs were heart rate 78 in regular rhythm, respiratory rate 18/minute, and O2 sat 94% on room air. Vital signs obtained prior to procedure were heart rate 88 in regular rhythm, respiratory rate 28/minute, and O2 sat 88% on room air. Copyright 2013 Mais India. 2018 Jun 5;319(21):2179-2189. doi: 10.1001/jama.2018.6496. Oral suctioning helps clear secretions from the mouth in the case that a patient is unable to remove secretions by effective coughing. Yankauer suction devices are made of rigid firm plastic. Order was obtained to suction via the nasopharyngeal route. It allows effective suction without damaging nearby tissues. Nasopharyngeal suctioning removes secretions from the nasal cavity, pharynx, and throat by inserting a flexible, soft suction catheter through the nares. We can't find products matching the selection. Yankauer suction supplies is a tracheostomy device used to clear blood, saliva, and other secretions in the airway. The Yankauer suction tip features a large opening that allows effective suctioning without causing damage to the local tissue. After first pass of suctioning, patient began coughing uncontrollably. Oronasopharyngeal suctioning. No cyanosis present. While there are a variety of tools and aids that can be used to assist in difficult intubations, rapid airway access is essential, and common tools do not always work. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS? Legal. The patient was unable to be intubated by conventional techniques because of a mass obstructing the view of her vocal cords. If conscious, place the patient in a semi-Fowlers position. A Yankauer Suction Set consist of catheters, appropriate tubing, and various other compatible accessories. Because it has high tensile strength and resistance against environmental changes, it is highly compatible with steam sterilization. Patient complaining of not being able to cough up secretions. For tracheal suctioning, do the same. Put on a face shield or goggles and mask. This type of suctioning is performed when oral suctioning with a Yankauer is ineffective. In many agencies, Yankauer suctioning can be delegated to trained assistive personnel if the patient is stable, but the nurse is responsible for assessing and documenting the patients respiratory status. Comparison of bougie-assisted intubation with traditional endotracheal intubation in a simulated difficult airway. Accessibility StatementFor more information contact us atinfo@libretexts.orgor check out our status page at https://status.libretexts.org. The benefit of the Yankauer bulb-tip design is its ability to suction the area without damaging surrounding tissue. These devices are often made with a firm plastic tip with a bulbous opening that's designed to suction without damaging the surrounding tissue. How much time is taken for suctioning procedure? Place the connecting tubing in a convenient location (e.g., at the head of the bed). document.addEventListener( 'wpcf7mailsent', function( event ) { After multiple intubation attempts from several different physicians, the patient was successfully intubated with the aid of a suction Yankauer, which was used to move the mass peripherally and further served as a conduit through which a bougie was passed.

How frequent should Yankauer suction to be changed. Q: Are Yankauer suction catheters sterile? BMJ Case Rep. 2021 Sep 20;14(9):e244635. Remove the supplemental oxygen placed for suctioning, if appropriate. Specifically in the internal human body environment. Case report: Ensure the patients privacy and dignity. Prehosp Emerg Care. Pressure should not exceed 150 mm Hg because higher pressures have been shown to cause trauma, hypoxemia, and atelectasis. It comes in a standard size. Copyright 2019 Elsevier Inc. All rights reserved. JAMA. Titanium instruments > 3 years Barjaktarevic I, Esquinas AM, West FM, Albores J, Berlin D. Anaesthesiol Intensive Ther. Low maintenance is required.

doi: 10.1136/bcr-2021-244635. Additionally, these devices are often used to clear operative sites during surgical procedures. The https:// ensures that you are connecting to the With the dominant gloved hand, pick up the sterile suction catheter. For nasal suctioning, increase the amount of O2 the patient is receiving for a few minutes prior to the procedure and instruct the patient to take several deep breaths. MeSH For oropharyngeal suctioning, insert the catheter through the mouth, along the side of the mouth toward the trachea. Background:

22.4: Oropharyngeal and Nasopharyngeal Suctioning Checklist and Sample Documentation, [ "article:topic", "license:ccbysa", "showtoc:no", "authorname:ernstmeyerchristman", "Yankauer suction tip", "oropharyngeal suctioning", "program:openrn", "licenseversion:40", "source@https://wtcs.pressbooks.pub/nursingskills" ], https://med.libretexts.org/@app/auth/3/login?returnto=https%3A%2F%2Fmed.libretexts.org%2FBookshelves%2FNursing%2FNursing_Skills_(OpenRN)%2F22%253A_Tracheostomy_Care_and_Suctioning%2F22.04%253A_Oropharyngeal_and_Nasopharyngeal_Suctioning_Checklist_and_Sample_Documentation, $ \newcommand{\vecs}[1]{\overset { \scriptstyle \rightharpoonup} {\mathbf{#1}}}$ $ \newcommand{\vecd}[1]{\overset{-\!-\!\rightharpoonup}{\vphantom{a}\smash{#1}}} $$\newcommand{\id}{\mathrm{id}}$ $ \newcommand{\Span}{\mathrm{span}}$ $ \newcommand{\kernel}{\mathrm{null}\,}$ $ \newcommand{\range}{\mathrm{range}\,}$ $ \newcommand{\RealPart}{\mathrm{Re}}$ $ \newcommand{\ImaginaryPart}{\mathrm{Im}}$ $ \newcommand{\Argument}{\mathrm{Arg}}$ $ \newcommand{\norm}[1]{\| #1 \|}$ $ \newcommand{\inner}[2]{\langle #1, #2 \rangle}$ $ \newcommand{\Span}{\mathrm{span}}$ $\newcommand{\id}{\mathrm{id}}$ $ \newcommand{\Span}{\mathrm{span}}$ $ \newcommand{\kernel}{\mathrm{null}\,}$ $ \newcommand{\range}{\mathrm{range}\,}$ $ \newcommand{\RealPart}{\mathrm{Re}}$ $ \newcommand{\ImaginaryPart}{\mathrm{Im}}$ $ \newcommand{\Argument}{\mathrm{Arg}}$ $ \newcommand{\norm}[1]{\| #1 \|}$ $ \newcommand{\inner}[2]{\langle #1, #2 \rangle}$ $ \newcommand{\Span}{\mathrm{span}}$, 22.3: Assessments Related to Airway Suctioning, 22.5: Checklist for Tracheostomy Suctioning and Sample Documentation, Checklist for Oropharyngeal or Nasopharyngeal Suctioning, Sample Documentation of Expected Findings, Sample Documentation of Unexpected Findings, https://www.aarc.org/wp-content/uploads/2014/08/09.04.1080.pdf, https://opentextbc.ca/clinicalskills/chapter/5-7-oral-suctioning/, source@https://wtcs.pressbooks.pub/nursingskills, status page at https://status.libretexts.org, Chest auscultation of coarse, gurgling breath sounds, rhonchi, or diminished breath sounds, Reported feeling of secretions in the chest, Suspected aspiration of gastric or upper airway secretions, Clinically apparent increased work of breathing. Allow 30 seconds to 1 minute between passes to allow reoxygenation and reventilation. American Association for Respiratory Care. Introduce yourself, your role, the purpose of your visit, and an estimate of the time it will take. Remove the glove from the nondominant hand and dispose of gloves, catheter, and the container with solution in the appropriate receptacle. AARC clinical practice guideline: Nasotracheal suctioning - 2004 revision & update. Remove face shield or goggles and mask; perform hand hygiene. The suction volume counted as blood loss during surgeries. Use appropriate listening and questioning skills. Patient tolerated procedure without difficulties. Vital signs obtained prior to procedure were heart rate 88 in regular rhythm, respiratory rate 28/minute, and O2 sat 88% on room air. Tungsten carbide Scissors > 5 years Do not apply suction as the catheter is inserted. Over 2,500,000 satisfied customers since 2000, 7 FDA Approved Air Purifiers for Covid-19. The catheter is run along the gum line to the pharynx in a circular motion. Coarse rhonchi present over anterior upper airway. We also acknowledge previous National Science Foundation support under grant numbers 1246120, 1525057, and 1413739. Allow the patient to recover and hyperventilate and hyperoxygenate between each passing of the suction catheter. It is commonly a firm plastic pull tip with a huge opening encompassed by an adjusted head and is intended to permit powerful attractions without harming encompassing tissue. If unconscious, place the patient in the lateral position, facing you. Accessibility A small amount of clear, white, thick sputum was obtained. 8600 Rockville Pike 2017 Oct;53(4):550-553. doi: 10.1016/j.jemermed.2017.06.003. Yankauer suction set employed for suction purposes like removal of blood, fluids, pus and gas during surgery. Yankauer; airway management; bougie; difficult airway; difficult intubation; endotracheal intubation; ventilator support. A: The Yankauer is connected to the tubing which connects to the suction machine. Set it up on the work surface and fill with sterile saline using sterile technique. Bookshelf This can be achived in daily living or during surgical procedures. Bethesda, MD 20894, Web Policies The stainless body renders the surface inert to many chemical reactions. Would you like email updates of new search results? Open the sterile suction package using aseptic technique.

It is typically a firm stainless suction tip having a large opening. It is manufactured from stainless material along with chrome plating. Driver BE, Prekker ME, Klein LR, Reardon RF, Miner JR, Fagerstrom ET, Cleghorn MR, McGill JW, Cole JB. Adjust the suction to the appropriate pressure: Adults and adolescents: no more than 150 mm Hg. Assist the patient to a comfortable position. Oral Suctioning with Yankauer Suction Catheter. Suction only on withdrawal and do not suction for more than 10 to 15 seconds at a time to minimize tissue trauma. If the patient is on a ventilator, you can either hyperoxygenate and ventilate with the Ambu bag or provide a few extra machine assisted breaths prior to the procedure. Lippincott procedures. Noninvasive positive pressure ventilation was unsuccessful in improving the patient's tidal volume and work of breathing. Remove the oxygen delivery device, if appropriate. Advance the catheter 3 to 4 inches to reach the pharynx. Occlude the suction valve on the catheter to check for suction.

Keywords: We hope that knowledge of this novel, yet simple and effective technique will help physicians successfully intubate patients with distorted oropharyngeal anatomy who cannot be intubated using conventional methods. The patient is encouraged to cough during this process. }, false ); Mais India Medical Devices is an alliance between the multi-million dollar global leader Mais Medical and the world-wide leader in medical machine manufacturing Sysmech Enterprises, 525 P, Pace City II, Sector 37, Gurugram, Haryana 122001. Wrap the suction catheter around your dominant hand between attempts: Repeat the procedure up to three times until gurgling or bubbling sounds stop and respirations are quiet. It is widely used in a broad range of medical approaches. Hold the catheter between your thumb and forefinger. Vitality Medical. Careers. LEEP/LLETZ Coated Gynecological Instruments. Tungsten Carbide Needle holders > 1 year Super-cut scissors > 1 year. (OpenRN) via source content that was edited to the style and standards of the LibreTexts platform; a detailed edit history is available upon request. Move the bedside table close to your work area and raise it to waist height. No cyanosis present. This can often be due to patients with CVAs (cerebrovascular accidents), drooling, impaired cough reflexes related to age or conditions, or impaired swallowing. Procedure was stopped and emergency assistance was requested from the respiratory therapist. It allows the fluid to flow out from body cavity by creating suction. Br J Nurs. All Rights Reserved. Yankauer suction set is an oral suctioning tool employed for suction purposes like removal of blood, fluids, pus and gas during surgery. The user then adjusts the suction to the required level. This is known as an oral suctioning tool. Lung sounds clear and no cyanosis present. The .gov means its official. A: This device is designed to suction oropharyngeal secretions to prevent aspiration and can also be used during surgical operations to clear the site. Endotracheal intubation (ETI) is used to effectively manage a patient's airway. The nondominant hand is considered clean rather than sterile and will control the suction valve on the catheter.

Tools and techniques to successfully obtain airway access are essential. This site needs JavaScript to work properly. See Figure $\PageIndex{2}$[3]for an image of a sterile suction catheter. Report any concerns according to agency policy.

The site is secure. Effect of Use of a Bougie vs Endotracheal Tube and Stylet on First-Attempt Intubation Success Among Patients With Difficult Airways Undergoing Emergency Intubation: A Randomized Clinical Trial. : The risk for complications rises with each intubation attempt. It can also be used to clear the operative sites during surgery. Yankauer products are generally sterile unless otherwise specified due to the nature of their indications. 2011 Jan-Mar;15(1):30-3. doi: 10.3109/10903127.2010.519821. Place a small amount of water-soluble lubricant on the sterile field, taking care to avoid touching the sterile field with the lubricant package. Put on a clean glove and occlude the end of the connection tubing to check suction pressure. For oropharyngeal suctioning, a device called a Yankauer suction tip is typically used for suctioning mouth secretions. For the best experience on our site, be sure to turn on Javascript in your browser. See Figure $\PageIndex{1}$[2] for an image of a Yankauer device. AARC clinical practice guideline: Endotracheal suctioning of mechanically ventilated patients with artificial airways 2010. (2004). Before Suctioning is indicated when the patient is unable to clear secretions and/or when there is audible or visible evidence of secretions in the large/central airways that persist in spite of the patients best cough effort. If any of our instrument Malfunctions or conk outs, were here to repair or replace your instrument depending upon the warranty of the tool. Need for suctioning is evidenced by one or more of the following: In emergent situations, a provider order is not necessary for suctioning to maintain a patients airway.

Olsen Hegar Needle Holder Tungsten Carbide Color Coated, Wire Cutters Tungsten Carbide Color Coated, Bone Cutting Forceps Cardio and Thoracic Instruments, Bulldog Clamps Cardio and Thoracic Instruments, Dissecting Lobectomy Espohageal Scissors Cardio and Thoracic Instruments, Dressing Forceps Cardio & Thoracic Instruments, LUNG GRASPING FORCEPS CARDIO AND THORACIC INSTRUMENTS, Needle Holders Cardio and Thoracic Instruments, Potts-Smith Debakey Scissors Cardio and Thoracic Instruments, Retractors Cardio and Thoracic Instruments, Rib Contactors Cardio and Thoracic Instruments, Rib Shears Cardio and Thoracic Instruments, Thoracic Forceps Cardio and Thoracic Instruments, Tissue Forceps Cardio and Thoracic Instruments, Vascular - Coaraction Clamps Cardio and Thoracic Instruments, Eye Lachrymal Dilators Probes and Accessory Items, Eye Strabismus Tenotomy and Cataract Scissors, Troutman Barraquer Colibri Corneal Forceps, Gynecology Miscellaneous Obstetric Instruments, Gynecology Rotating Shaft Cervical Biopsy Forceps, LEEP/LLETZ Graves Speculum with Smoke Evacuation Tube Coated, LEEP/LLETZ Kogan Endocervial Specula Coated, LEEP/LLETZ Maxi-View Speculum with Smoke Evacuation Tube Coated, LEEP/LLETZ Open Sided Speculum Right with smoke Evacuation Tube Coated, LEEP/LLETZ Pederson Speculum with Smoke Evacuation Tube Coated, LEEP/LLETZ Redundant Wall Vaginal Retractor Coated, LEEP/LLETZ Sterile Disposable Electrodes Coated, Miscellaneous Laryngeal Instruments Mouth and Throat, Drills Burrs Braces and Trephines Neurosurgery, Neurosurgery Clip Applying and Holding Instruments, Miscellaneous Plastic Surgical Instruments, Ligator Cotton Carrier and Suction Tubes Rectal, Dressing and Tissue Forceps Tungsten Carbide Insert, Operating Scissors Super Sharp Tungsten Carbide, Olsen Hegar Needle Holder Left Hand with Scissors, Needle Holders Tungsten Carbide Jaws - Gold Rings, Scissors - Tungsten Carbide Insert Blades, Baumgartner Needle Holder Tungsten Carbide, Click Here See Our All Surgical Instruments, Yankauer Suction Tube 20 Fr Standard Size. Disclaimer, National Library of Medicine

Confirm patient ID using two patient identifiers (e.g., name and date of birth). This helps guide the catheter toward the trachea rather than the esophagus.

Carefully remove the sterile container, touching only the outside surface. Procedure explained to the patient. Emergency airway management: common ventilation techniques. They will then remove the patients oxygen mask if present and insert the catheter. Raise the bed rail and place the bed in the lowest position. Disclaimer: Always review and follow agency policy regarding this specific skill. Noninvasive ventilation in difficult endotracheal intubation: systematic and review analysis. Epub 2017 Sep 18. Insert the catheter. and transmitted securely. Assess the effectiveness of suctioning by listening to lung sounds and repeat, as needed, and according to the patients tolerance.

Sitemap 17

yankauer suction catheter useshark uv810 lower duct hose

yankauer suction catheter use