Hi! It’s Patrik Hutzel from Intensivecarehotline.com with another quick tip for families in Intensive Care.
This morning, Tony called and Tony is one of our clients and he asked that his mum is not waking up after an induced coma. She’s been in the induced coma for seven days for a septic shock. So she’s in an induced coma and she’s ventilated and she was on Propofol and on Fentanyl. Now, they switched the Propofol off but she’s still on Fentanyl.
Now Tony, the reality is the Fentanyl needs to come off as well before you can make an appropriate assessment whether your mum can wake up or not, but there’s also a multitude of other things going into that situation like, you know, can she come off the ventilator? So you’re only really talking about 20% of the information that you need to know if your mum can wake up or not.
So that’s my tip for today, take off sedation. But also look for other signs such as ventilation. Can somebody come off the ventilator? What other medications is the patient on and so forth. Because there’s a much bigger picture at play when somebody is not waking up after an induced coma. That’s my tip for today, take care and I’ll talk to you in a few days.