Quick tip for families in intensive care: When to give consent to a tracheostomy?

https://intensivecarehotline.com/blog/quick-tip-for-families-in-intensive-care-when-to-give-consent-to-a-tracheostomy-2/

Quick tip for families in intensive care: When to give consent to a tracheostomy?

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

So this morning, I was talking to a client, he’s got his 76-year old dad in ICU after pneumonia that developed into ARDS, which is also known as lung failure.

Now, the client has been in intensive care since the 10th of January. At the time of the recording of this video, which is the 3rd of February, he has been ventilated with a breathing tube and his sedation came off about a week ago and he has no signs of waking up. His Glasgow Coma Scale (GCS) varies between a 3 and a 6. He is not opening eyes spontaneously, it’s not there yet, but the intensive care team has done an MRI scan of the brain. They’ve done a CT scan of the brain. They’ve done an EEG and clearly brain function is there.

Now the client is asking, should they give consent to a tracheostomy? And my answer to this is a clear yes, because the brain is intact. And from experience, I can tell you most patients in intensive care, after a prolonged induced coma do wake up especially if they’ve been heavily sedated, which was the case in his dad’s situation.

He is also on kidney failure, he is on dialysis, which means the kidneys take a longer time to excrete any sedatives.

Continuation...
https://intensivecarehotline.com/blog/quick-tip-for-families-in-intensive-care-when-to-give-consent-to-a-tracheostomy-2/