Quick tip for families in ICU: Why do ICU patients go back on the ventilator?

https://intensivecarehotline.com/blog/quick-tip-for-families-in-icu-why-do-icu-patients-go-back-on-the-ventilator/

Quick tip for families in ICU: Why do ICU patients go back on the ventilator?

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

So currently we’re working with a client who has their 80-year old dad in ICU for the last four weeks. Initially, my client’s dad went into ICU after a significant brain bleed. He ended up in ICU with an intracranial pressure monitor (ICP). The intracranial pressures were high initially, but came down eventually after a few days.

He had a follow-up CT scan that showed the swelling was going down, that the bleed was being absorbed and that the midline shift that was caused by the bleed is going down. Then he ended up with a tracheostomy because he initially couldn’t come off the ventilator.

Then he came off the ventilator, went to the stepdown unit/high dependency unit and he was still off the ventilator, but wasn’t still waking up. And then eventually returned back into ICU with pneumonia, had to be put back on the ventilator, ended up with IV antibiotics and so forth. He had atelectasis in his chest x-ray and was quite sick again.

So that’s where he’s up to at the moment. He’s back in ICU on a ventilator, not waking up, antibiotics are on, the pneumonia is slowly clearing up. The atelectasis is slowly disappearing and it looks like he can come off the ventilator maybe as early as tomorrow or the day after.

Continuation...
https://intensivecarehotline.com/blog/quick-tip-for-families-in-icu-why-do-icu-patients-go-back-on-the-ventilator/