Quick tip for families in ICU: At what stage is a tracheostomy absolutely necessary in ICU?

9 months ago
7

https://intensivecarehotline.com/blog/quick-tip-for-families-in-icu-at-what-stage-is-a-tracheostomy-absolutely-necessary-in-icu/

Quick tip for families in ICU: At what stage is a tracheostomy absolutely necessary in ICU?

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

So today’s tip is about some questions that I had from a client and the client has their 94-year old mother in ICU after heart attacks, query stroke, also after CPR was performed after cardiac arrest and the client’s mother had potentially a hypoxic brain injury after the cardiac arrest and she’s now in intensive care for about 12 days, and she’s not waking up. So here are some questions from the client that I want to answer, and that will help you as well to make informed decisions, have peace of mind, control, power, and influence when your loved one is critically ill in intensive care.

So the client asks,

Can a tracheostomy be avoided for 30 days?

Patrik: Yes, but not with undesired side effects, such as pain, discomfort, vocal cord damage, and the risk of the breathing tube or endotracheal tube be removed accidentally and leading to a respiratory arrest, cardiac arrest, and therefore death.

In giving time for the hypoxic injured brain to heal, it can take 17 to 37 days to wake up from being comatose in some cases, can we wait it out safely and not do a tracheostomy?

Patrik: Waking up from a hypoxic brain injury can take weeks, months, sometimes even years, how long is a piece of string.

Continuation...
https://intensivecarehotline.com/blog/quick-tip-for-families-in-icu-at-what-stage-is-a-tracheostomy-absolutely-necessary-in-icu/

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