My Mother's Been in ICU For 2 Months Ventilated & Tracheostomy Unable to Wean, Can She Go Home?

https://intensivecareathome.com/my-mothers-been-in-icu-for-2-months-ventilated-tracheostomy-unable-to-wean-can-she-go-home/

My Mother's Been in ICU For 2 Months Ventilated & Tracheostomy Unable to Wean, Can She Go Home?

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10 Proven Strategies to Counteract Pressure to Withdraw Treatment in ICU Without Patient/Family Consent
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If you want to know if Intensive Care at Home is the right decision for your critically loved one in ICU if they’ve been there for many weeks and many months, so then stay tuned! I will answer that question for you today.

Hi, my name is Patrik Hutzel from intensivecareathome.com where we provide tailor-made solutions for long-term ventilated adults and children with tracheostomies and where we also provide tailor-made solutions for hospitals and intensive care units at home whilst providing quality care for long-term ventilated adults and children with tracheostomies at home. We also provide care to otherwise medically complex adults and children at home including Home BIPAP (Bilevel Positive Airway Pressure), Home CPAP (Continuous Positive Airway Pressure) ventilation, home tracheostomy care when adults and children are not ventilated, also Home TPN (Total Parenteral Nutrition), home IV potassium infusions, home IV magnesium infusions as well as IV antibiotic infusions at home. We also provide port management, central line management, PICC (Peripherally Inserted Central Catheter) line management, Hickman’s line management as well as palliative care at home, and that also includes ventilation weaning.

We’re also providing our CCRNs for home care to avoid emergency department readmissions. Besides keeping ICU beds empty, we also keep ED beds empty by sending our CCRNs into the home to avoid emergency department presentations.

Now, today I have an email from Morgan, and Morgan says,

“Hi Patrik,

My mom is in ICU after an emergency open heart surgery, CABG (coronary artery bypass graft) three months ago and they said, this stays up in ICU and we can either take her home with a ventilator or let her die.

Before all of this, she had no prior health problems other than breast cancer 15 years ago and she survived the chemotherapy and radiation therapy. She had complications during a cardiac catheter procedure which resulted in a coronary dissection and cardiogenic drug, which is the reason for the emergency coronary artery bypass graft or open heart surgery.

She had multiple complications after the surgery including bleeding, heart failure, and three days of CRRT. CRRT stands for continuous renal replacement therapy, also known as hemodialysis or hemofiltration. Her kidney functions are close to normal.

Now, she was on sedation for 14 out of 21 days in ICU before having a tracheostomy. Then we were told she had severe sepsis and two small strokes that were discovered once the CT scan was done in ICU. Then, she had the tracheostomy during her stay since she was unable to come off the ventilator and it’s been challenging ever since

Since she had open heart surgery, her ejection fraction (ejection fraction means the contractility of the heart and how well it’s pumping), so her ejection fraction is 40%. But we are now being told she has metabolic encephalopathy since she is not consistently responsive to commands, and she has been back on sedation for the last 14 out of her 29 days since she had the tracheostomy. She has also been failing her ventilation weaning.

Continue reading at: https://intensivecareathome.com/my-mothers-been-in-icu-for-2-months-ventilated-tracheostomy-unable-to-wean-can-she-go-home/