The ICU Team is Denying My Grandfather a Tracheostomy After Two Weeks Ventilation, Help!

https://intensivecarehotline.com/blog/quick-tip-for-families-in-intensive-care-the-icu-team-is-denying-my-grandfather-a-tracheostomy-after-two-weeks-ventilation-help/

The ICU Team is Denying My Grandfather a Tracheostomy After Two Weeks Ventilation, Help!

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

So today I was talking to a client who has their 74-year-old grandfather in ICU with pneumonia. He’s been ventilated now for about two weeks and he’s not ready to be extubated yet by the sounds of things, but he’s been off sedation for a few days. And he’s still in an Assist Control ventilation mode, but he’s not breathing up yet.

So, the intensive care team is telling our client that their grandfather can’t have a tracheostomy but they’re not giving any reason. So, we’ve dug a little bit deeper, and we looked at, “Okay, what’s really going on here?” And it turns out that there’s no contraindication to doing a tracheostomy with what we understand.

There’s no high FIO2 (fraction of inspired oxygen) levels, no high PEEP (positive end expiratory pressure), there’s no blood thinners going like Heparin or Warfarin, there’s no risk of bleeding. So, then the tracheostomy should be done again.

Continue reading at: https://intensivecarehotline.com/blog/quick-tip-for-families-in-intensive-care-the-icu-team-is-denying-my-grandfather-a-tracheostomy-after-two-weeks-ventilation-help/