Mom’s been in ICU for 3 months, what are the long term consequences of mechanical ventilation?

https://intensivecareathome.com/moms-been-in-icu-for-3-months-what-are-the-long-term-effects-of-mechanical-ventilation/

Mom’s been in ICU for 3 months, what are the long term consequences of mechanical ventilation? Live stream!

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Good morning, good afternoon, good evening wherever you are. Welcome to another livestream for Intensive Care At Home and Intensive Care Hotline.

Today’s topic is, “My mom’s been in ICU for three months on a ventilator with a tracheostomy after COVID pneumonia and COVID ARDS, what are the long-term consequences of mechanical ventilation?”

It’s a very timely and very hot topic at the moment in the intensive care community. It has always been a hot topic in the intensive care community and for patients and for families, of course. But COVID has increased the number of patients in intensive care that needed prolonged mechanical ventilation. And prolonged mechanical ventilation is actually defined as anyone needing mechanical ventilation for more than 21 days.

And that’s only 5% of the patients that actually go in intensive care. Various studies show that. Now, those studies are predominantly from before COVID. So I would assume that the number of patients in intensive care that require prolonged mechanical ventilation has gone up. And I’m sure the studies will come out reasonably soon about that. So before we dive deeper into today’s topic, just a few things you might wonder what makes me qualify to talk about today’s topic.

My name is Patrik Hutzel, founder and editor of Intensive Care Hotline, and also founder and director of Intensive Care At Home. I have worked in intensive care for over 20 years as a critical care nurse in three different countries and out of those, over 20 years in intensive care, I’ve worked as a nurse unit manager in intensive care for over five years.

I have been consulting and advocating for families in intensive care all over the world as part of my Intensive Care Hotline consulting and advocacy service since 2013. And I have been running Intensive Care At Home since 2012. So we are looking after long-term mechanically ventilated patients outside of intensive care as a genuine alternative to intensive care.

So I believe I have lots to say today about what are the long-term consequences of mechanical ventilation, and also what are options for someone that is mechanically ventilated in intensive care for over 21 days. What are the options for them? Is it just doom and gloom? Or are there options outside of intensive care? What are the options inside of intensive care? And I will make that part of today’s discussion.

Now, if you have questions, you can type them in the chat pad. Please keep them to today’s topic if you can. And you can also call into the show after we’ve gone through today’s presentation. But if you have any questions, please just type them into the chat pad and I will answer your questions as we go along. So again, today’s topic is, “Mom’s been in ICU for three months with ventilation and tracheostomy after COVID pneumonia and COVID ARDS, what are the long-term consequences of mechanical ventilation?”

Now, first off, when you look at intensive care studies about prolonged mechanical ventilation, they pretty much tie in with all the doom and gloom that you hear from intensive care teams. And I think it’s really important to have perspective around the doom and gloom and the negativity in intensive care. Because intensive care teams often don’t look outside of intensive care. They’re the specialists what’s happening in intensive care, but they’re not the specialists at predicting long-term outcomes.

Now, the first thing you need to know is that around 90% of intensive care patients do survive, and that has not changed with COVID, as far as my research has shown. So that means the odds are in a patient’s favor.

Continuation... https://intensivecareathome.com/moms-been-in-icu-for-3-months-what-are-the-long-term-effects-of-mechanical-ventilation/