How Can My 9-Month-Old Baby Be Weaned Off the Ventilator and Tracheostomy in PICU?

https://intensivecarehotline.com/blog/quick-tip-for-families-in-intensive-care-how-can-my-9-month-old-baby-be-weaned-off-the-ventilator-and-tracheostomy-in-picu/

How Can My 9-Month-Old Baby Be Weaned Off the Ventilator and Tracheostomy in PICU?

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

Today, I have an email from Sonia who says,

“Hi Patrik,

I have my 9-month-old baby girl in intensive care. She had four failed extubations. So, she had to have a tracheostomy and has been stuck on a ventilator since May last year. Her respiratory rate has been high since birth. When she’s asleep, it’s between 50 to 60 breaths per minute, but when she’s awake, it’s anything between 70 to 90 breaths per minute. She currently has a PEEP (Positive End -Expiratory Pressure) of 10, and pressure control and pressure support of 6. Do you have any advice on how we are able to wean her off? She has no airway issues; the CT (Computed Tomography) scan was okay. The only thing that the doctor says is that her lung volume is less than a baby her age. Can you please advise?”

Well, that’s a great question, Sonia.

So, number of observations there, if your baby is nine months old and she had four failed extubations and she now has a tracheostomy, one thing you haven’t said is, was she prematurely born?

Continue reading at: https://intensivecarehotline.com/blog/quick-tip-for-families-in-intensive-care-how-can-my-9-month-old-baby-be-weaned-off-the-ventilator-and-tracheostomy-in-picu/