Why Does a Critically Ill Patient in ICU Need Fentanyl for Re-Intubation and Ventilation After TBI?

https://intensivecarehotline.com/blog/quick-tip-for-families-in-intensive-care-why-does-a-critically-ill-patient-in-icu-need-fentanyl-for-re-intubation-and-ventilation-after-tbi-traumatic-brain-injury/

Why Does a Critically Ill Patient in ICU Need Fentanyl for Re-Intubation and Ventilation After TBI?

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

So, today I have a question from Peter who says, “If a patient has a TBI (Traumatic Brain Injury) and is taken off sedation and the ventilator, and you start talking or responding to commands and then aspirate the following day, why would you put someone back into an induced coma with fentanyl when they have never been on fentanyl before?”

That is a great question, Peter. Here is the answer to it. So, someone has been having a TBI (Traumatic Brain Injury) is on sedation and in a coma, and then they’re waking up. They would have possibly been on fentanyl to begin with when they were on the ventilator in the first place. So, when someone goes on a ventilator with a breathing tube, they’re often sedated most of the time. When they are sedated, they’re getting sedatives such as Propofol, Precedex, Midazolam/Versed, usually one of them plus opiates.

Continue reading at: https://intensivecarehotline.com/blog/quick-tip-for-families-in-intensive-care-why-does-a-critically-ill-patient-in-icu-need-fentanyl-for-re-intubation-and-ventilation-after-tbi-traumatic-brain-injury/