My Mom Had a Stroke&She Can’t Come Off the Ventilator, Can She Go Home with INTENSIVE CARE AT HOME?

https://intensivecareathome.com/73-year-old-mom-stroke-intubated-intensive-care-cant-come-off-ventilator-breathing-tube-can-tracheostomy-go-home-intensive-care/

My 73 year old Mom had a stroke and is intubated in Intensive Care. She can’t come off the ventilator and the breathing tube, can she have a tracheostomy and go home and have INTENSIVE CARE AT HOME?

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In this week’s blog I want to answer a question from one of our readers of our blog and the question this week is

My 73 year old Mom had a stroke and is intubated in Intensive Care. She can’t come off the ventilator and the breathing tube, can she have a tracheostomy and go home and have INTENSIVE CARE AT HOME?

Hi Patrik,

my otherwise very healthy 73 year old mother had a stroke around 2 weeks ago. She is still in ICU in one of the big public Hospitals in Melbourne as she needs ventilator with pressure support and the breathing tube to help her breathe. The doctors haven’t given her much hope unless her breathing on her own improves. I am wondering if your service INTENSIVE CARE AT HOME can be an option for her?

Just some more details and to shed more light on her current situation. Her CO2(=Carbondioxide) levels were getting high when her pressure support was down to 7 so they’ve put it back up to 8. CO2(=Carbondioxide) levels at the moment are fluctuating between 57-67 mmHg.

She’s currently off all sedation and is getting more and more awake and she seems to be out of the induced coma by now.

She’s responding and she has made it very clear that she wants to fight and that she wants to live!

I was hoping to get the ICU to do a tracheostomy and then get her home with your INTENSIVE CARE AT HOME service if she can’t get off the ventilator soon.

The doctors in the ICU were quite adamant that tracheostomy isn’t an option for her since the amount she is breathing at the moment isn’t enough to sustain life and they seem to have the opinion that most of the swelling in the brain would’ve gone down by now. Anyway, I was adamant with them about giving her time and they agree with that and are relaying my thoughts to the main ICU consultant on duty this week.

They’re saying her breathing levels, the amount she’s taking in, isn’t high enough to sustain life. I.e. she’s taking in 200 mls and she needs to be at 400 mls per breath she’s taking. Also they’re saying no nursing home will take someone with a ventilator and I raised tracheostomy and ventilation at home as an option and they said it be highly involved with 24 hour care needed pretty much.

Can you please let me know what our options are?

Regards,

Steve...

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