My Sister's in ICU,Failed Tracheostomy Decannulation&Ventilation Weaning!Can She Go Home for Weaning

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My Sister's in ICU, Failed Tracheostomy Decannulation & Ventilation Weaning! Can She Go Home for Weaning

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Hi, it’s Patrik Hutzel from intensivecareathome.com where we provide tailor-made solutions for long-term ventilated adults and children with tracheostomies at home 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 specialized nursing care at home to otherwise medically complex adults and children at home including Home BIPAP (Bilevel Positive Airway Pressure), Home CPAP (Continuous Positive Airway Pressure), 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 home IV antibiotic infusions. 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, which also includes ventilation weaning.

We’re also providing our critical care nurses for home care to avoid emergency department readmissions. So, besides keeping ICU beds empty, we also keep emergency department beds empty by sending our critical care nurses into the home. We have done so successfully for the Western Sydney Local Area Health District in-touch program.

So today I have another question from a reader, from Dina who says,

“Hi Patrik,

My sister is in ICU. She has a tracheostomy. They keep putting her back on the ventilator even though she was doing very well two weeks ago by being capped and cannulated. Now, we have to stay until she gets off the ventilator and tracheostomy. She ended up with a pneumonia because they haven’t been mobilizing her, we think. We want her at home as soon as possible. Is it possible to get Intensive Care at Home for the ventilator and tracheostomy weaning at home so we can get out of ICU sooner? She has no quality of life in ICU and she’s getting more and more depressed.”

Well, Dina, thank you so much for sharing your question with me and I’m very sorry to hear what your sister is going through in this situation.

The problem really is that if they’re not mobilizing her, it’ll be very difficult to wean her off the ventilator and she’d be stuck in a vicious cycle. So, it sounds to me like she came very close to being weaned off the ventilator and even have the tracheostomy removed if she was capped on the cannula. So, that’s a good sign. But obviously she must have had some setbacks and now she’s stuck in the ICU and she’s not really moving forward.

So, what to do? Of course, Intensive Care at Home is the best option here because we believe that going home in a situation like that will be a win-win situation for everyone. First off, your sister will have a much better quality of life in her own home. You and your family will have a much better quality of life by being at home because at the moment, it sounds to me like you’re staying day and night in ICU and you’re living there more or less. That’s number one.

Number two, there’s a significant cost reduction in doing Intensive Care at Home compared to going back to an ICU or stay in ICU where the ICU bed costs $5,000 to $6,000 per bed day.

Continue reading at: https://intensivecareathome.com/my-sisters-in-icu-failed-tracheostomy-decannulation-ventilation-weaning-can-she-go-home-for-weaning/