Ventilator removal vs tracheostomy on my Dad who has passed spontaneous breathing trials!

https://intensivecarehotline.com/blog/quick-tip-for-families-in-intensive-care-ventilator-removal-vs-tracheostomy-on-my-dad-who-has-passed-spontaneous-breathing-trials/

Quick Tip for Families in ICU: Ventilator removal vs tracheostomy on my Dad who has passed spontaneous breathing trials!

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Hi, it’s Patrik Hutzel from intensivecarehotline.com with another quick tip for families in intensive care.

So, one of our readers wrote in, “Ventilator removed versus tracheostomy on my dad who has passed the spontaneous breathing trials, but the ICU doctors are saying that the kidney panel is no good and that a tracheostomy should be done. Are they correct?” Well, that’s a really great question to ask, and the answer is that it depends. But generally speaking, if someone has passed the spontaneous breathing trials and the kidneys aren’t working, well there’s ways to manage that. It usually has nothing to do with doing a tracheostomy or not.

The only reason kidney failure might impact on the breathing, in particular, is if there’s not enough urine output, that the fluid balance might simply be very positive, i.e., too many fluids going in and not enough fluids going out, and that could push fluids into the lungs. And that could simply make things difficult for a patient in ICU to be weaned off the ventilator if there’s fluids on the lungs, also known as pulmonary edema.

However, if you are telling me that your dad is passing the spontaneous breathing trials, then I assume your dad is awake. He can obey commands. He has a good strong cough. His arterial blood gases are good. His chest x-rays are good.

Continuation:
https://intensivecarehotline.com/blog/quick-tip-for-families-in-intensive-care-ventilator-removal-vs-tracheostomy-on-my-dad-who-has-passed-spontaneous-breathing-trials/