Quick tip for families in ICU: Does a PEG need to be done at the same time than a tracheostomy?

https://intensivecarehotline.com/blog/quick-tip-for-families-in-icu-does-a-peg-need-to-be-done-at-the-same-time-with-a-tracheostomy/

Quick tip for families in ICU: Does a PEG need to be done at the same time than a tracheostomy?

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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, should a tracheostomy and a PEG be done at the same time. So a lot of patients in intensive care that need a tracheostomy or a trache also often have a PEG tube at the same time. A PEG tube is a feeding tube that’s basically inserted in the stomach through the abdominal wall.

Now, from my experience, a PEG and a tracheostomy do not have to be done at the same time. Although I know from experience that hospitals and ICUs are often trying to push families in intensive care to agree to do a PEG and a tracheostomy at the same time.

Now I tell you my point of view, from my experience now, number one, they don’t have to be done at the same time. I even oppose doing them at the same time, and I’ll tell you why.

So when someone is ventilated with a breathing tube or with a tracheostomy, they can’t eat and they need to be fed and they need to have nutrition. Now, when someone is first being put on a ventilator and intubated patients often have an orogastric tube or a nasogastric tube, that’s basically inserted through the nose or through the mouth and it’s going into the stomach and enteral feeding can be commenced through that tube.

Continue reading at: https://intensivecarehotline.com/blog/quick-tip-for-families-in-icu-does-a-peg-need-to-be-done-at-the-same-time-with-a-tracheostomy/