Quick tip for families in intensive care: Why Hydromorph when someone is on a ventilator in ICU?

https://intensivecarehotline.com/blog/quick-tip-for-families-in-intensive-care-why-hydromorph-when-someone-is-on-a-ventilator-in-icu/

Quick tip for families in intensive care: Why hydromorph when someone is on a ventilator in ICU?

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

So today’s question is coming from Helene, and Helene is writing in,

Hi Patrik,

My 77 year-old mom is on hydromorphine or Dilaudid in intensive care while she’s on a ventilator with a breathing tube. And I’m wondering when I researched more about Dilaudid or hydromorphine, it causes respiratory depression and respiratory distress. And why would she be on Dilaudid or hydromorphine if she’s already on a ventilator and the goal should be to wean her off the ventilator and she’s got low oxygen saturations and she has a lot of secretions? That doesn’t make any sense to me. Can you please explain?

From Helene

Hi Helene,

What a great question Helene and I’m glad you’ve asked it. So let’s look at this.

When someone is in an induced coma on a ventilator in intensive care with a breathing tube or endotracheal tube, a breathing tube or an endotracheal tube in the mouth is very, very uncomfortable plus the pressure that’s going into the lungs through the ventilation makes the whole experience very uncomfortable. And which is why patients need to be induced into a medically induced coma and medications such as hydromorphine or Dilaudid, but also morphine fentanyl, propofol, midazolam, Precedex sometimes ketamine are being used.

Continuation...
https://intensivecarehotline.com/blog/quick-tip-for-families-in-intensive-care-why-hydromorph-when-someone-is-on-a-ventilator-in-icu/