Quick tip for families in ICU:ECMO&Left hypoplastic heart,cardiac arrest&CPR.Tracheostomy or DNR?

https://intensivecarehotline.com/blog/quick-tip-for-families-in-icu-ecmo-left-hypoplastic-heart-cardiac-arrest-cpr-tracheostomy-or-dnr/

Quick tip for families in ICU: ECMO for Left hypoplastic heart syndrome, cardiac arrest & CPR. Tracheostomy or DNR?

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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 talking to a client and the client’s 10-year old daughter is in ICU with Left Hypoplastic Heart Syndrome.

Now, initially the client’s daughter went on ECMO for heart failure, and then she got weaned off ECMO. She was doing quite well. All the time she’s been on a ventilator and the breathing tube and in an induced coma. After she came off ECMO, she had a cardiac arrest and then obviously survived the cardiac arrest with CPR.

Now here’s the client’s dilemma, so the client’s daughter is still in an induced coma after about four weeks in ICU, and she’s still on sedation and vasopressors and she has been asked to sign a DNR or “Do Not Resuscitate” order.

Now, given that my client’s daughter is still in an induced coma, the first thing that needs to happen in a situation like that, she needs to get out of the induced coma, needs to have a tracheostomy because with the tracheostomy, the client’s daughter can be removed from the induced coma, can be woken up and also the need for vasopressors, which is a form of life support is reduced.

Continuation...
https://intensivecarehotline.com/blog/quick-tip-for-families-in-icu-ecmo-left-hypoplastic-heart-cardiac-arrest-cpr-tracheostomy-or-dnr/