Husband in ICU for 3 Months on Ventilator,Tracheostomy&Dialysis. He Can't Be Weaned, Can He Go Home?

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My Husband is in ICU for 3 months on a Ventilator with Tracheostomy and on Dialysis. He Can't Be Weaned Off the Ventilator. Can He Go Home?

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In today’s episode of “YOUR QUESTIONS ANSWERED” I want to answer a question from one of my clients, Alicia and Alicia has her 72-year old husband in intensive care for three months now and Alicia wants to know if her husband can go home even on a ventilator with tracheostomy and on dialysis.

“My Husband is in ICU for 3 months on a Ventilator with Tracheostomy and on Dialysis. He Can’t Be Weaned Off the Ventilator. Can He Go Home?

“My Husband is in ICU for 3 months on a Ventilator with Tracheostomy and on Dialysis. He Can't Be Weaned Off the Ventilator. Can He Go Home?

So Alicia writes. My husband’s 72 years of age, had a right tibial artery blockage with loss of blood flow to his great toe and atherectomy by a vascular surgeon was done and a nephrotoxic contrast media caused worsening of kidney dysfunction to stage 5, but gradually improved somewhat next hospital day.

My husband had a heart attack or an MI and intermittent atrial fibrillation for the first time. Prior to that, he had history of mild congestive heart failure.

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He was readmitted for a right great toe amputation then he went back home again. After that his kidney function deteriorated and his third admission was on the 7th of July for uremia with mental confusion and he was started on emergency dialysis.

About 10 days later, he developed first hospital acquired pneumonia. It was slow to respond to antibiotics after that there was an acute and rapid drop in oxygen levels and he was finally put on a ventilator.

The infectious disease specialist thought that probably it was secondary to a large mucus block. My husband couldn’t come off the ventilator for the next two weeks and a tracheostomy and PEG tube was done on the 24th of August during the course of his intensive care stay.

He developed a sacral pressure ulcer during his stay, which progressed markedly and after debridement and removal of large amount of adjacent tissue, it’s now a stage 3 pressure sore and wound treated by wound care team and has been on a rotating bed.

Now the intensive care team then wanted to transfer him to a long-term acute care hospital, which I refused. Because I know that he is so much better off in an intensive care unit, especially with his ventilation and tracheostomy needs...

Continue reading at: https://intensivecarehotline.com/questions/my-husband-is-in-icu-for-3-months-on-a-ventilator-with-tracheostomy-and-on-dialysis-he-cant-be-weaned-off-the-ventilator-can-he-go-home/