Quick tip for families in ICU: What should happen next after a tracheostomy has been done in ICU?

https://intensivecarehotline.com/blog/quick-tip-for-families-in-icu-what-should-happen-next-after-a-tracheostomy-has-been-done-in-icu/

Quick tip for families in ICU: What should happen next after a tracheostomy has been done in ICU?

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

Today, I want to exclusively talk to our audience in the United States and I want to talk about when it comes to the decision-making criteria around when to do a tracheostomy.

Now you’ve heard me say before that a tracheostomy should be done after 10 to 14 days of mechanical ventilation with a breathing tube and the inability to wean off a ventilator. Those are the guidelines and they are the guidelines across the world.

However, there is such a big flaw in the US in particular, when it comes to the follow-on support when someone has a tracheostomy. Again, you’ve heard me say before if you are watching these videos regularly, that most patients in the United States, when they have a tracheostomy in ICU are being sent to LTAC or subacute facilities as quickly as possible. And that is just the care that’s provided in subacute or an LTAC. It’s just not up to the standards for a ventilated patient, with a tracheostomy. They’re making all these promises on their websites, that they can wean patients off the ventilators, and they publish their success rates, but what we see in practice, it’s just not happening.

Continuation...
https://intensivecarehotline.com/blog/quick-tip-for-families-in-icu-what-should-happen-next-after-a-tracheostomy-has-been-done-in-icu/