Quick tip for families in ICU: Can a tracheostomy be done while your loved one is on ECMO?

https://intensivecarehotline.com/blog/quick-tip-for-families-in-icu-can-a-tracheostomy-be-done-while-your-loved-one-is-on-ecmo/

Quick tip for families in intensive care: Can a tracheostomy be done while your loved one is on ECMO?

Here are the phone options
One day 1:1 consulting and advocacy FACE TO FACE or via zoom $20,000 per day
https://intensivecarehotline.thrivecart.com/one-day-11-consulting-in-person-face/
Book your free 15-minute phone consultation here
http://intensivecarehotline.com/scheduling-appointment/

Call directly 24/7
+1 415-915-0090 USA/Canada
+44 118 324 3018 UK
+6141 094 2230 Australia

Email support@intensivecarehotline.com

Get 1:1 consulting and advocacy
1:1 phone counselling
http://intensivecarehotline.com/one-on-one-counselling/

Become a member for families of critically ill Patients in Intensive Care
https://intensivecarehotline.com/intensivecaresupport-org-membership/

Immediate action steps http://intensivecarehotline.com/take-control-take-charge/immediate-action-steps/
https://intensivecareathome.com
And if you need a medical record review, click on the link and we can help you with reviewing your loved one’s medical records while they’re in ICU.
https://intensivecarehotline.thrivecart.com/review-of-medical-records/

Facebook Page: https://www.facebook.com/IntensiveCareHotline
Twitter: https://twitter.com/icuhotline

30 days 24/7 unlimited 1:1 phone and email support, including speaking to doctors and nurses directly, as well as participating in family meetings over the phone for $3,299
https://intensivecarehotline.thrivecart.com/thirty-days-11-phone-consulting-us/

14 days 24/7 unlimited 1:1 phone and email support, including speaking to doctors and nurses directly, as well as participating in family meetings over the phone for $1,999
https://intensivecarehotline.thrivecart.com/fourteen-days-11-phone-consulting-us/

7 days 24/7 unlimited 1:1 phone and email support, including speaking to doctors and nurses directly, as well as participating in family meetings over the phone for $1,299
https://intensivecarehotline.thrivecart.com/seven-days-11-phone-consulting-us/
4 days 24/7 unlimited 1:1 phone and email support, including speaking to doctors and nurses directly, as well as participating in family meetings over the phone for $999
https://intensivecarehotline.thrivecart.com/four-days-11-phone-consulting-us/
2 days 24/7 unlimited 1:1 phone and email support, including speaking to doctors and nurses directly, as well as participating in family meetings over the phone for $499
https://intensivecarehotline.thrivecart.com/two-days-11-phone-consulting-us/
You don’t have to use the 2, 4, 7, or 14 days in a row and you can use the days at your own pace.
Here's the hour option
Book 60 minutes 1:1 phone consulting and advocacy for $249 (can be credited towards any of the options above)- click on the link
https://intensivecarehotline.thrivecart.com/one-hour-11-phone-consulting-us/
Or you can join the membership here where you have access to me in the membership area for only $97/month where I advise daily and where you also have access to more material including all of our eBooks! Furthermore, you’ll get a 20% discount for 1:1 phone consulting and advocacy if you are a member!
https://intensivecarehotline.com/intensivecaresupport-org-membership/
Here is also a link to case studies
https://intensivecarehotline.com/category/questions/
https://intensivecareathome.com/category/case-studies/

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

Today’s tip is, can a tracheostomy be done for patients on ECMO? So let’s dive right into it. When patients are on ECMO, they are most of the time, almost all the time on heparin. Heparin is a blood thinner that is needed for ECMO because blood is getting extracted, runs through plastic circuits and runs through the ECMO filter to oxygenate the blood and also remove carbon dioxide. It’s basically taking over, ECMO is taking over the function of the lung or of the heart. And because the formation of a blood clot is very likely if blood runs through a plastic tube and through a filter, heparin is needed to coagulate the blood and decrease the likelihood of blood clots to develop. A blood clot quite frankly, when someone is on ECMO could be deadly.

On the other hand, if someone is having a heparin on ECMO, the risk of a bleed is also real because the therapeutic range of the APTT, APTT is basically the range or the physiological range when blood should clot which is around from memory 28 to 35, needs to be higher because again, to decrease the risk of blood clot formation. That means heparin is running and blood is being coagulated and very thin.

Continuation...
https://intensivecarehotline.com/blog/quick-tip-for-families-in-icu-can-a-tracheostomy-be-done-while-your-loved-one-is-on-ecmo/