DOES INTENSIVE CARE AT HOME TAKE INTUBATED PATIENTS?

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DOES INTENSIVE CARE AT HOME TAKE INTUBATED PATIENTS?

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In today’s blog post, I want to answer a question from one of our clients and the question today is

“Does Intensive Care at Home Take Intubated Patients?”

So this is a question we get quite frequently, whether at Intensive Care at Home, we take intubated patients, which means are we taking patients on a breathing tube or an endotracheal tube home?

The short version to that question is no. However, there is one exception to that rule. Let me just explain to you why we don’t take intubated patients. An intubated patient belongs into intensive care at this particular point in time. They are too critically ill and also it’s not considered a stable airway, a breathing tube or an endotracheal tube. If the breathing tube or an endotracheal comes out, for whatever reason it takes reintubation by a doctor. Whereas if a tracheostomy falls out at home, it can be reinserted by one of our critical care nurses. Now that is the shorter version to that question.

There’s other reasons as well, why we don’t take intubated patients. Often intubated patients are on multiple doses of inotropes or vasopressors. They’re often in an induced coma and also intubation should be considered as a short term measure in ICU. It should not be a long term measure or long term treatment in ICU. Whereas if someone has a tracheostomy, it is often considered long term and many patients have a tracheostomy and ventilation long term, and that’s absolutely why they’re the right fit for us for Intensive Care at Home if they can’t be weaned off the ventilator.

For someone on a breathing tube or an endotracheal tube, their goal should be to be weaned off the ventilator full stop. If they can’t wean off the ventilator and they need a tracheostomy, and then again, they can’t be weaned off the ventilator for whatever reason. Yes. Then they’re absolutely a candidate for Intensive Care at Home, but intubated patients, it’s just they belong into ICU for the reasons that I just mentioned.

Now, there is one exception to that rule and we have done that on a couple of occasions, we do take intubated patients home for what’s considered a one-way extubation and I have made blog posts about that about one-way extubations at home. So for example, if a patient in ICU is on a breathing tube or an endotracheal tube and is considered to be a one-way extubation for palliative care, we have done that at home where we take a patient home and do remove the breathing tube at home so they can have end of life care at home. We have done that. And if your loved one is in that situation, you should definitely contact us and consider it as an option.

Thank you so much for tuning into this week’s blog. If you have any questions, please reach out to us. Go to intensivecareathome.com, call us on one of the numbers on the top of the website, or send us an email to [email protected], that’s [email protected].

Thank you.

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