10 things you need to know about tracheostomy in and outside of intensive care! Live stream!

https://intensivecareathome.com/10-things-you-need-to-know-about-tracheostomy-in-and-outside-of-intensive-care-live-stream/

10 things you need to know about tracheostomy in and outside of intensive care! Live stream!

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Welcome to another Intensive Care Hotline and Intensive Care at Home livestream. My name is Patrik Hutzel and I’m your host today. I’m looking forward to this livestream today as I do to all of our livestreams, and I want to welcome you once again.

So, today’s topic is, “10 things you need to know about a tracheostomy inside and outside of intensive care.” And for some of you watching you might already be thinking, “Well, how can there be a tracheostomy outside of intensive care?” Well, there definitely can be and we will evaluate on that as we go along today. So, let me just make a note here so that I don’t forget to talk about this later.

We get so many inquiries here at Intensive Care Hotline and Intensive Care at Home about tracheostomies. What they do, what they don’t do? What are the advantages? What are the benefits? What are the disadvantages of a tracheostomy? And I will elaborate more on that today.

And before I dive into today’s topic, you may wonder what makes me qualified to talk about this topic. So, my name is Patrik Hutzel. I am a critical care nurse by background. I have worked in intensive care for coming close to 25 years now in three different countries. Out of those nearly 25 years, I have managed two intensive care units as a nurse unit manager. I am also managing now my own Intensive Care at Home Nursing Service where we provide a genuine alternative to a long-term stay in intensive care for long-term ventilated patients with tracheostomies, which is our topic today. Over the last nine years, I have also, as part of my intensivecarehotline.com, consulted and advocated for hundreds of families in intensive care, all around the world. So, we are specialized on patient and family advocacy in intensive care as well. So that’s a little bit about me.

Now, if you have questions to today’s topic, type them into the chat pad. If you have questions that are not related to today’s topic, type them into the chat pad. I will get to them at the end of this presentation.

Okay, so let’s dive right into today’s topic, “10 things you need to know about tracheostomy inside and outside of intensive care.” Okay, so let’s start with number one.

The number one is, avoid a tracheostomy wherever you can. Now, tracheostomies have their time and their place, and I’ve written about this extensively. I’ve made countless videos about advantages, disadvantages of a tracheostomy. I’ve made countless videos about indications and contraindications for a tracheostomy and so forth. So, if you go to our websites, intensivecarehotline.com and intensivecareathome.com, you will find countless articles and videos about the topic. However, for today’s presentation you need to avoid a tracheostomy whenever you can.

Now when can you avoid a tracheostomy? When we have clients come to us and say, “Hey, the ICU team is telling me I have two options, either a tracheostomy or a palliative care, meaning end of life care.” Well, (A) if you are ever presented with a ride or a die situation, if you will, you always have to question. They are often not the only two options. They’re the two options that are being presented to you. And they’re the two options that are being presented to you because you haven’t asked the right questions, you haven’t done your research yet.

So, the most important question is, has the ICU done everything beyond the shadow of a doubt to get your loved one off the ventilator and the breathing tube before they even suggest a tracheostomy? And you will often find that with a second opinion, which we can give to you, that they haven’t done everything beyond the shadow of a doubt.

The biggest challenge for families in intensive care is that they don’t know what they don’t know. They don’t know what to look for. They don’t know what questions to ask. They don’t know their rights and they don’t know how to manage doctors and nurses in intensive care.

Continuation...https://intensivecareathome.com/10-things-you-need-to-know-about-tracheostomy-in-and-outside-of-intensive-care-live-stream/