Quick tip for families in ICU: How to get oxygen levels and PEEP down and do a tracheostomy in ICU?

https://intensivecarehotline.com/blog/quick-tip-for-families-in-icu-how-to-get-oxygen-levels-and-peep-down-and-do-a-tracheostomy-in-icu/

Quick tip for families in intensive care: How to get oxygen levels and PEEP down and do a tracheostomy in intensive care?

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

So I have a question here from Angie, and Angie says,

My dad’s been in intensive care for two weeks now with COVID pneumonia, his oxygen levels are at 80% and his PEEP (Positive End-Expiratory Pressure) is at 15. Now I know after doing my own research, he should be having a tracheostomy by now because there’s no end in sight for him needing a ventilator with a breathing tube, they have started to prone him. But as far as I’m aware, they haven’t done anything else besides giving him remdesivir and steroids. And that hasn’t worked so far with the proning to get his oxygen levels down. What should they be doing to get his FiO2 (Fraction of Inspired Oxygen) levels and his PEEP down in order to enable a tracheostomy? Thankfully, all his other organs have been stable, so it’s just really the lung failure that we’re dealing with. Please advise.

Well, what a great question, Angie, especially in the current environment, because I did make a video the other day about why there are delays with the tracheostomy at the moment when it comes to COVID pneumonia or COVID ARDS. Let me explain.

Continuation...
https://intensivecarehotline.com/blog/quick-tip-for-families-in-icu-how-to-get-oxygen-levels-and-peep-down-and-do-a-tracheostomy-in-icu/