Quick tip for families in ICU: What are the right steps when weaning off ventilation & tracheostomy?

https://intensivecarehotline.com/blog/quick-tip-for-families-in-icu-what-are-the-right-steps-when-weaning-off-ventilation-tracheostomy/

Quick tip for families in intensive care: What are the right steps when weaning off ventilation and tracheostomy?

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

I had a question this week from a client who has their father in intensive care for about two weeks now. Initially they went into intensive care with a brain bleed. He wasn’t waking up. The Glasgow coma scale was anywhere between 3 and 8 and he’s still not woken up.

They had a tracheostomy to protect the airway and now they’re at the stage of where they have time off the ventilator, breathing with a trach collar and basically going back and forth between the ventilator and the trach collar and the client basically asked, how long should my father be off the ventilator at one time?

And the answer to that question really is that it depends. Some ICUs, they keep patients on the ventilator for two hours and off for two hours. See how they breathe. Are they struggling? Is it smooth sailing? Is their breathing rate adequate? Is it not too high? Is the oxygen saturation stable? Is it above 92%? Do they have a lot of phlegm coming up? How often do they need to suction? Do they have a good cough? Can they clear the airway? Are arterial blood gases supporting that your father stays off the ventilator? So those are all the questions that need to be answered.

Continuation...
https://intensivecarehotline.com/blog/quick-tip-for-families-in-icu-what-are-the-right-steps-when-weaning-off-ventilation-tracheostomy/