Cerebral Palsy, Nasopharyngeal Airway, Deep Suctioning& BIPAP at Home, Why You Need ICU/PICU Nurses!

https://intensivecareathome.com/cerebral-palsy-nasopharyngeal-airway-deep-suctioning-bipap-at-home-why-you-need-icu-picu-nurses/

Cerebral Palsy, Nasopharyngeal Airway, Deep Suctioning& BIPAP at Home, Why You Need ICU/PICU Nurses!

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Hi, it’s Patrik Hutzel from Intensive Care at Home, where we provide tailor-made solutions for long-term ventilated adults and children with tracheostomies, and where we also provide tailor-made solutions for hospitals and intensive care units whilst providing quality services for long-term ventilated patients and medically complex patients at home, including home TPN (total parenteral nutrition) and IV fluids and IV antibiotics.

So, in last week’s blog, I talked about, “Can Intensive Care at Home help my sister on a ventilator with the tracheostomy and PEG, live a normal life at home?” You can check out last week’s blog by clicking on the link below this video.

In today’s blog post, I want to talk about, “Cerebral palsy, and deep suctioning, and BIPAP (bilevel positive airway pressure).” And the reason I want to bring this up is simply we are currently having an inquiry from a family who has a two-and-a-half-year-old boy at home with cerebral palsy. He needs regular deep suctioning with an NPA, a nasopharyngeal airway. He needs deep suctioning that means someone has to go down with a suction catheter into the lungs to get rid of all the secretions that, unfortunately, he can’t get rid of as part of his condition. He desaturates very frequently, which means he drops his oxygen saturation frequently beyond or below 90% of oxygen levels. Therefore, he’s at risk that he ends up with a hypoxic brain injury or some form of brain damage.

Furthermore, he’s on regular oxygen and most importantly, he has regular hospital readmissions now. Unfortunately, this client is funded only for support workers, and that’s funded through the NDIS (National Disability Insurance Scheme), and that is not only clinically unsafe, obviously. Clearly, support workers cannot keep him at home predictably because deep suctioning with a nasopharyngeal airway, even the insertion of a nasopharyngeal airway, should not be done by a support worker. It shouldn’t even be done by a general registered nurse. It’s an intensive care nursing skill, which is what we provide here at Intensive Care at Home.

We send intensive care nurses into the home predominantly for long-term ventilation and tracheostomy, but also for patients like this little boy who needs frequent deep suctioning. One of the parents of the little boy showed me a video of their very distressed son before he was going to hospital, before they called an ambulance after a night of deep suctioning that the parents provided. Again, they shouldn’t be providing that because they’re not trained in it.

Again, this is an intensive care nursing skill because you’re going with a suction catheter into someone’s lungs. You can’t just let anyone do that because a lot of damage can be done there if you’re not doing it correctly. And if you are doing it correctly, those children or even young adults stay at home predictably, because that’s all we do at Intensive Care at Home. We keep adults and children out of intensive care with our intensive care nursing skills that we bring into the community.

Continuation...
https://intensivecareathome.com/cerebral-palsy-nasopharyngeal-airway-deep-suctioning-bipap-at-home-why-you-need-icu-picu-nurses/