High Risk Extubation to BiPAP 70% FiO2 Instead of Tracheostomy! This is How We Help Families in ICU!

https://intensivecarehotline.com/ventilation/quick-tip-for-families-in-intensive-care-high-risk-extubation-to-bipap-70-fio2-instead-of-tracheostomy-this-is-how-we-help-families-in-the-icu/

High Risk Extubation to BiPAP 70% FiO2 Instead of Tracheostomy! This is How We Help Families in ICU!

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

So today I want to talk about a success story where we worked with a client few weeks ago or a couple of weeks ago, who had their mother in intensive care for about two weeks on a ventilator with a breathing tube. And the ICU team initially was very reluctant to do a tracheostomy even though we couldn’t really see a way forward without doing a tracheostomy because this lady, after severe pneumonia; aspiration, pneumonia, was up to 100% of FIO2. Sort of hovering between 70% to 100% of FIO2, just for anyone wondering, is that a lot of oxygen? Yes, it is. Room air is 21% of oxygen. The air that you and I breathe in is 21% oxygen. So this lady needed 70% to 100% of oxygen to keep her alive quite literally. And it was touch and go.

PEEP of 10 to 15 and nobody would be doing a tracheostomy with a PEEP of 10 to 15 or with FIO2 (Fraction of Inspired Oxygen) above 40%. So it was touch and go.

Continue reading at: https://intensivecarehotline.com/ventilation/quick-tip-for-families-in-intensive-care-high-risk-extubation-to-bipap-70-fio2-instead-of-tracheostomy-this-is-how-we-help-families-in-the-icu/