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Goals and Learning Outcomes

Knowledge gaps about current clinical guidelines for secretion management persist despite evidence that use of standardized guidelines decrease adverse effects of endotracheal suctioning. The continued use of traditional methods, such as deep suctioning for long durations, routine instillation of normal saline with suctioning, or manual chest physiotherapy for all patients with respiratory compromise, continues despite evidence that these practices pose potential harm. Clinical practice in suctioning, normal saline instillation, and chest physiotherapies must be based on current evidence to provide safer and more efficient care of the pediatric patient. This course reviews three key areas of secretion management based on the available evidence including suction techniques, the use of normal saline, and manual chest physiotherapies.


After taking this course, you should be able to:

  • Identify clinical indications, risks, clinical practice guidelines, and evidence-based practice for suctioning in pediatric patients.
  • Identify clinical indications, risks, clinical practice guidelines, and evidence-based practice for the use of normal saline in pediatric patients.
  • Identify clinical indications, risks, clinical practice guidelines, and evidence-based practice for manual chest physiotherapies in pediatric patients.

Course Termination Date: Not yet determined

Content Expiration Date: 12/31/25

Course Originally Released On: 01/01/23

Course Authors

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Course Reviews

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Accreditation Information


In support of improving patient care, Relias LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Provider approved by the California Board of Registered Nursing, CEP#13791

Disclaimer: Not all courses will provide California Board of Registered Nursing approval. Per California Assembly Bill No. 241, continuing education courses related to direct patient care shall address at least one or a combination of the following:(1) Examples of how implicit bias affects perceptions and treatment decisions of licensees, leading to disparities in health outcomes; or (2) Strategies to address how unintended biases in decision-making may contribute to health care disparities by shaping behavior and producing differences in medical treatment along lines of race, ethnicity, gender identity, sexual orientation, age, socioeconomic status, or other characteristics.



Relias LLC reports to CEBroker for the following boards (Provider # 50-1489): Arkansas State Board Of Nursing, District Of Columbia Board Of Nursing, Florida Board Of Nursing, Georgia Board Of Nursing, Kansas State Board of Nursing, Kentucky Board of Nursing, Michigan Board of Nursing, Mississippi Board of Nursing, New Hampshire Board of Nursing, New Mexico Board Of Nursing, North Dakota Board of Nursing, South Carolina Board Of Nursing and West Virginia Board Of Registered Nurses


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None of the planners/faculty, unless otherwise noted, for this educational activity have relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.