Is it Possible to Look After Ventilation, Tracheostomy with Anoxic Brain Injury Going Home from ICU?

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Is it Possible to Look After Ventilation, Tracheostomy with Anoxic Brain Injury Going Home from ICU?

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If you want to know what conditions we can look after at home with Intensive Care at Home, stay tuned! I’ve got news for you today.

My name is Patrik Hutzel from intensivecareathome.com where we provide tailor-made solutions for long-term ventilated adults and children with tracheostomies at home and where we also provide tailor-made solutions for hospitals and intensive care units at home whilst providing quality care for long-term ventilated adults and children with tracheostomies at home, otherwise medically complex adults and children at home, which includes Home BIPAP (Bilevel Positive Airway Pressure), Home CPAP (Continuous Positive Airway Pressure), home tracheostomy care for adults and children that are not ventilated, Home TPN (Total Parenteral Nutrition), home IV potassium infusions, home IV magnesium infusions as well as home IV antibiotics. We also provide port management, central line management, PICC (Peripherally Inserted Central Catheter) line management as well as Hickman’s line management and we also provide palliative care services at home.

We’re also sending our critical care nurses into the home for emergency department bypass services. We have done so successfully for the Western Sydney Local Area Health District, their in-touch program saving $2,000 per ED bypass service that we have provided at home.

Now, we get a lot of inquiries on what conditions we can look after at home. Today, I want to give another example reading out from a client’s medical history. Of course, I’m not giving away any details of the patient, just reading out the client’s condition.

So, the patient is with chronic respiratory failure, with tracheostomy and ventilation dependency, PEG (Percutaneous Endoscopic Gastrostomy) tube in place for nutrition and medication administration, sacral wound with wound-vacuum assisted closure being followed by wound care, pulmonology, and respiratory. Patient is minimally interactive, does have an anoxic brain injury, status post wound to the head, cervical spine, and does retract from painful tactile stimuli.

The family is at the bedside but wants to go home, which is what we are doing for them. No anxiety or depression noted or reported, having normal bowel movements, Foley catheter in place with clear yellow urine noted, for monitoring closely. No indication of pain, fever, chills, nausea, vomiting, shortness of breath or wheezing.

Other issues that the patient and client experienced were hypercapnia, acute and chronic respiratory failure with hypoxia, pneumonia, bradycardia, dysphagia (oropharyngeal phase), anoxic brain damage, pressure ulcer of the sacral region, encephalopathy, unspecified convulsions, quadriplegia, neuromuscular dysfunction of bladder, critical illness myopathy, inflammatory conditions of jaws, unspecified intracranial injury with loss of consciousness (status unknown, subsequent encounter), puncture wound without foreign body of pharynx and cervical esophagus (subsequent encounter), and then obviously have the tracheostomy, is now ventilated and ready to go home for discharge.

Besides the equipment that we will organize, which is two ventilators, two suction machines, two monitors, spare tracheostomy tubes and so forth, other things that need to be looked at are the right team, of course. You need the right team for your loved one at home for 24-hour nursing care with Intensive Care at Home.

Continue reading at: https://intensivecareathome.com/is-it-possible-to-look-after-ventilation-tracheostomy-with-anoxic-brain-injury-going-home-from-icu/