Quick tip for families in ICU: When is a tracheostomy inevitable?

https://intensivecarehotline.com/blog/quick-tip-for-families-in-icu-when-is-a-tracheostomy-inevitable/

Quick tip for families in intensive care: When is a tracheostomy inevitable?

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

So a lot of the questions that we get when someone has a loved one in intensive care, on a ventilator with a breathing tube and they can’t wake up out of the induced coma and they can’t be weaned off the ventilator is whether a tracheostomy is inevitable or not.

And they’re saying, every time that they try to wake up their loved one out of the induced coma, they’re breathing against the ventilator, they’re distressed, they’re agitated. And then the ICU team has to re-sedate them, put them back in a coma, therefore prolonging the induced coma and also prolonging the time on a ventilator. And the longer someone is on a ventilator, the less likely it is they can actually come off the ventilator, and then that’s when inevitably the discussions around a tracheostomy come up.

So let’s look at this in more detail. So, yes, I have seen in over 20 years of intensive care nursing, that patients, when you try to wean them out of the induced coma, that they are struggling with waking up, they’re not coherent, they’re breathing against the ventilator. They can’t be extubated because they’re neurologically not intact. They can’t follow commands and so forth.

Continuation...
https://intensivecarehotline.com/blog/quick-tip-for-families-in-icu-when-is-a-tracheostomy-inevitable/