Quick tip for families in ICU: Cardiac arrest &hypoxic brain injury, should a tracheostomy be next?

https://intensivecarehotline.com/blog/quick-tip-for-families-in-icu-cardiac-arrest-hypoxic-brain-injury-should-a-tracheostomy-be-next/

Quick tip for families in ICU: Cardiac arrest and hypoxic brain injury, should a tracheostomy be next?

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Hi, it’s Patrik Hutzel from intensivecarehotline.com with another quick tip for families in intensive care.

Today’s tip is about, cardiac arrest, hypoxic brain injury, and then the outlook of a tracheostomy and LTAC, home care and how to choose the best option for you and your loved one. So here’s the situation.

A 55-year old man had a cardiac arrest out of hospital, had some significant downtime, until they could reestablish the heartbeat and the blood pressure, which led him to have a hypoxic brain injury as well. Now he’s in ICU for 10 days, on a breathing tube, and on some sedation. And the ICU team is pushing for either tracheostomy, PEG (percutaneous endoscopic gastrostomy) tube and LTAC, or end-of-life.

Bear in mind, this man is 55 years of age. He’s not brain dead. He does have, by the looks of things, a significant hypoxic brain injury, but that doesn’t mean, you should be rushing things.

Now, the first question for our client, that I set to our client to ask is, have they done everything beyond the shadow of a doubt to get this man off the ventilator and the breathing tube, and avoid the tracheostomy rather than pushing for a tracheostomy?

It turns out that with a Glasgow Coma Scale of 5 and him not waking up after being off sedation, it looks like, a tracheostomy is the right next step. But nevertheless, you should always ask that question. Have you done everything beyond the shadow of a doubt to get my family member off the ventilator and the breathing tube and avoid the tracheostomy? If you can verify that, fair enough.

Continuation...
https://intensivecarehotline.com/blog/quick-tip-for-families-in-icu-cardiac-arrest-hypoxic-brain-injury-should-a-tracheostomy-be-next/