My Dad's in ICU with Pneumonia, 14 Days Induced Coma,Not Waking Up, What Questions Do I Need to Ask?

https://intensivecarehotline.com/blog/quick-tip-for-families-in-intensive-care-my-dads-in-icu-with-pneumonia-14-days-induced-coma-not-waking-up-what-questions-do-i-need-to-ask/

My Dad's in ICU with Pneumonia, 14 Days Induced Coma,Not Waking Up, What Questions Do I Need to Ask?

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

I have an email from Andy who says,

“Hi Patrik,

My dad had COVID pneumonia and he’s on a ventilator for almost two weeks now, he hasn’t woken up. They just took him off fentanyl and midazolam/Versed. He was on the lower dose of sedation. He’s over 65. When will he wake up?”

Thank you, Andy, for sharing your dad’s situation with me.

Now, here is one of the issues. So, many patients after an induced coma, don’t wake up. It’s a bit like switching on a light with a dimmer instead of switching on the light with a switch. It’s a gradual process especially, after two weeks, a lot of things can happen in two weeks.

One of the things that can happen in two weeks is that morphine or fentanyl, the opiates that he’s on, and midazolam end up in the tissues of the body. Therefore, don’t get metabolized and don’t get excreted very quickly. Therefore, there’s a delay in waking up. That is one of the things that can happen.

Continue reading at: https://intensivecarehotline.com/blog/quick-tip-for-families-in-intensive-care-my-dads-in-icu-with-pneumonia-14-days-induced-coma-not-waking-up-what-questions-do-i-need-to-ask/