Can you mobilize a ventilated patient in ICU with tracheostomy, ventilation and nasogastric tube?

https://intensivecarehotline.com/blog/quick-tip-for-families-in-intensive-care-can-you-mobilize-a-ventilated-patient-in-icu-with-tracheostomy-ventilation-and-nasogastric-tube/

Quick Tip for Families in ICU: Can you mobilize a ventilated patient in ICU with tracheostomy, ventilation and nasogastric tube?

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Hi, it’s Patrik Hutzel from intensivecarehotline.com with another quick tip for families in intensive care.

So yesterday, I was in a family meeting with one of our clients. The client’s mom is 50 years of age, and she has been in ICU since August which is about 4 months now. She has had a cardiac arrest initially. She’s suffering from liver failure and initially, she was off the ventilator with the tracheostomy, but then ended up with another pneumonia. And she was put back on the ventilator and was ventilated up to 80% of FiO2 (fraction of inspired oxygen), with a high PEEP (positive end expiratory pressure), high pressures, and so forth, with average arterial blood gases at best. And now, the intensive care team is suggesting to the client that they should give consent to a PEG (percutaneous endoscopic gastrostomy) tube so that they can start mobilizing her.

Given that I was part of the meeting, I challenged the ICU team on that straightaway because you don’t need a PEG tube to mobilize someone. I’ve looked after patients in intensive care where I worked for over 20 years in three different countries, and where I also worked as a nurse unit manager for over 5 years. We have mobilized patients in intensive care with a nasogastric tube. It’s not a matter of whether someone has a PEG tube or a nasogastric tube. It’s a matter of doing the work. Doing the work and getting hands on and not making any excuses.

Continue reading at: https://intensivecarehotline.com/blog/quick-tip-for-families-in-intensive-care-can-you-mobilize-a-ventilated-patient-in-icu-with-tracheostomy-ventilation-and-nasogastric-tube/