Quick tip for families in ICU: Is ICP& tracheostomy needed after subarrhachnoid haemorrhage in ICU?

https://intensivecarehotline.com/blog/quick-tip-for-families-in-icu-is-icp-tracheostomy-needed-after-subarachnoid-haemorrhage-in-icu/Show more

Quick tip for families in ICU: Is an ICP and a tracheostomy needed after subarrhachnoid haemorrhage in ICU?

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

So my tip today is about brain bleeds or subarachnoid hemorrhages and intensive care unit stays or ICU stays.

Many patients in intensive care that end up with a brain bleed or a subarachnoid hemorrhage end up on a ventilator in an induced coma. They often end up with an ICP also known as intracranial pressure monitoring to measure the pressure in the brain because if the pressure in the brain gets too high, it could be lethal, it could be deadly, brain cells could die because of lack of oxygen and also increased pressure would also show up again if another bleed was to occur.

With that, goes hand in hand, often with mechanical ventilation, a breathing tube or endotracheal tube and the question then often is how long do people need to stay on a ventilator when they have a brain bleed or a subdural hemorrhage?

So it really depends on how quickly they can wake up. It depends on, are the brain pressures stable? Can the ICP monitor be taken out? Can the patient then be woken up and be extubated or taken off the ventilator? But it’s often not as simple as that, because depending on the damage that is being done with the brain bleed, patients may not wake up quickly.

Continuation...
https://intensivecarehotline.com/blog/quick-tip-for-families-in-icu-is-icp-tracheostomy-needed-after-subarachnoid-haemorrhage-in-icu/