Quick tip for families in ICU: Why is there a delay with tracheostomy for COVID-19 patients in ICU?

https://intensivecarehotline.com/blog/quick-tip-for-families-in-icu-why-is-there-a-delay-with-tracheostomy-for-covid-19-patients-in-icu/

Quick tip for families in intensive care: Why is there a delay with tracheostomy for COVID-19 patients in ICU?

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

So what we’re currently seeing, especially with COVID goes rampant, especially in the Northern hemisphere in the United States and in the UK is that patients that should have a tracheostomy after day 10 to day 14 are not having a tracheostomy because of the risk of COVID spreading to the ICU staff if tracheostomy is being performed.

So that impacts on patients quite significantly, because they are kept in a coma sometimes for longer than usual and for longer than necessary compared to what’s happened before COVID hit the ICUs.

So we are now seeing that patients on a ventilator with a breathing tube are kept in an induced coma for much longer, often after day 20 or day 25, they’re still having a breathing tube and are still in an induced coma.

One of the major advantages of a tracheostomy after day 10 or day 14 is that people can be basically taken off sedation and opiates because the tracheostomy doesn’t cause any pain or discomfort like the breathing tube or the endotracheal tube.

Continuation...
https://intensivecarehotline.com/blog/quick-tip-for-families-in-icu-why-is-there-a-delay-with-tracheostomy-for-covid-19-patients-in-icu/