Quick tip for families in ICU: Why there can be delays with a tracheostomy with COVID-19 Pts in ICU

https://intensivecarehotline.com/blog/quick-tip-for-families-in-icu-why-there-can-be-delays-with-a-tracheostomy-with-covid-19-patient-in-icu/

Quick tip for families in intensive care: Why there can be delays with a tracheostomy with COVID-19 patients 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 when someone is doing their research at the moment, if they have a loved one in intensive care, especially with COVID at the moment, they’re trying to find out, how long can someone stay on a breathing tube or an endotracheal tube? How long can someone be on a ventilator before they need a tracheostomy? And when you look at research pre-pandemic, pre-COVID, you will find that the standard time for someone to be on a breathing tube or an endotracheal tube before they can have a tracheostomy is around 10 to 14 days. Now that has probably gone out of the window with COVID. And I’ll tell you why, let me explain.

So when someone goes into ICU with COVID, they often end up with a COVID pneumonia or with COVID ARDS also known as lung failure. When someone is going into ICU with COVID pneumonia or COVID ARDS, the oxygen requirements that they need on a ventilator, as well as PEEP and other supports from a ventilator are very, very high. And we’ve known now, we can see from experience now, that it takes a long, long time for oxygen requirements to come down. Patients are often being proned, or they end up on ECMO and that further complicates things.

Continuation...
https://intensivecarehotline.com/blog/quick-tip-for-families-in-icu-why-there-can-be-delays-with-a-tracheostomy-with-covid-19-patient-in-icu/