Hi! It’s Patrik Hutzel here from Intensivecarehotline.com with another quick tip for families in Intensive Care.
Yesterday, I had a client contact me and she said that her mom has been in ICU now for two weeks on non-invasive BiPAP for high CO2 levels or high carbon dioxide levels and there’s a very good chance that carbon dioxide will go down while it’s on BiPAP. At the same time the ICU is trying to push the family to get a tracheostomy done and then have a permanent tracheostomy in permanent ventilation.
Now, she asked me what the next step is, in a situation like that. Well, I said maybe her mom just needs a few more days of ventilation to get the CO2 down, but other issues are, that her mom is not getting mobilized, not getting her out of bed.
So, you know ventilation, weaning, and getting CO2 down is also often a matter of you know, mobilization and getting patients to inhale and exhale often. It’s a matter of using nebulizers as well. But, you know doing a tracheostomy and then having their mother potentially on a ventilator with the tracheostomy for the rest of their lives could be a big issue.
That’s my tip for today. Take care and I’ll talk to you in a few days.