Suctioning trach while going in

The inline suction allows for continuous oxygenation. Can we apply suction while entering the trachea?
Yes. Suctioning on the way in an out reduces the potential for a mucus plug to be dislodged when inserting the catheter sans suction before you can remove it by suctioning on the way out. It's less traumatic to suction the way in and out according to current EBP

Suctioning is a breath taking experience. Not much air for oxygenation or breathing can happen around the catheter and tube. I will suction visible secretions going in only a short distance but will release the suction and withdrawal after a few seconds.I also don't know very many caregivers for adults who document the length of the trach or ETT and suction only to that point such as neo/pedi people do. If you hit tissue going in with the suction applied, the risk for damage is greater. This is especially true for trachs which have a tendency to be malpositioned toward the tracheal wall due to the weight of a vent or aerosol circuit.

Quote from GrannyRRTSuctioning is a breath taking experience. Not much air for oxygenation or breathing can happen around the catheter and tube. I will suction visible secretions going in only a short distance but will release the suction and withdrawal after a few seconds.I also don't know very many caregivers for adults who document the length of the trach or ETT and suction only to that point such as neo/pedi people do. If you hit tissue going in with the suction applied, the risk for damage is greater. This is especially true for trachs which have a tendency to be malpositioned toward the tracheal wall due to the weight of a vent or aerosol circuit.

Quote from JustBeachyNurseYes. Suctioning on the way in an out reduces the potential for a mucus plug to be dislodged when inserting the catheter sans suction before you can remove it by suctioning on the way out. It's less traumatic to suction the way in and out according to current EBP

Quote from GrnTeaCitation for this, please? It seems counterintuitive to be removing someone's functional reserve capacity for any reason.