My Husband is in ICU for Four Months. Can He Go Home with Intensive Care At Home?

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My Husband is in ICU for Four Months. Can He Go Home with Intensive Care At Home?

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In today’s video, I want to answer a question from one of our readers and interested clients, Carrie and Carrie has a 72-year old husband in ICU now for four months and Carrie is wanting to know if he can go home with intensive care at home.

My Husband is in ICU for Four Months. Can He Go Home with Intensive Care at Home?

So I read out Carrie’s emails so you can understand what situation her and her husband are in. Because many families in intensive care are in a similar situation and they don’t know what they don’t know and they don’t know what to do, which is why they’re reaching out to us. And we can help them to take their loved one home and bring intensive care in their home. So that’s the whole idea.

So let me read out Carrie’s email now.

My husband is 76 and he had a right tibial artery blockage with loss of blood flow to his great toe. You had an atherectomy by a vascular surgeon done on December the 15th and nephrotoxic contrast media caused worsening of kidney dysfunction to stage five but gradually improved somewhat. The next hospital day, my husband had a heart attack and intermittent atrial fibrillation for the first time.

Prior to that he had a history of mild congestive heart failure. He got readmitted just a couple of days before Christmas with a right great toe amputation and then he went back home. His kidney function deteriorated and his third admission was just after the New Year for uremia with mental confusion and to start emergency dialysis.

About 10 days later, he developed his first hospital acquired pneumonia and he was very slow to respond to that with antibiotics. He then had an acute and rapid drop in oxygen levels around 4:00 AM on the 10th of January, and he was put on a ventilator for the first time. The infectious disease specialist thought it was probably secondary to a large mucus plug. His tracheostomy and his PEG tube was subsequently put in on the 27th of January.

During his stay in ICU, he also developed a sacral pressure ulcer during hospitalization which progressed markedly and after debridement and removal of large amount of tissue is now at a stage three pressure sore wound, which is treated by the wound care team and he has been on an air mattress. He was then a couple of weeks later developed a second hospital-acquired pneumonia and MRSA. He improved clinically with antibiotics and his white cell count decrease from 28,000 to 18,000 but has never returned to normal.

On the 20th of February, his white cell count was 14,500. His chest x ray has shown bilateral pleural effusions. It was worst on the right but also residual infiltrate on the right lung. Last week, he had chest drains inserted to drain the pleural effusions. Presently he’s having haemodialysis three times a week with additional treatments added or for fluid removal as needed.

The lengthy hospitalizations, multiple complications and lack of adequate nutrition have resulted in extreme weakness. My husband remains primarily bedridden except for being up in a chair for two-hour sessions, one to two times a day. He has continued to have paroxysmal atrial fibrillation, more frequently when he’s extremely tired or stressed. In terms of ventilation weaning, my husband had worked up to 24 hours of two times the ventilator but then had to start over because of the pneumonia and extreme fatigue. He has been on the tracheostomy collar for three 16-hour sessions in one 20-hour session this past week...

Continue reading at: https://intensivecareathome.com/my-husband-is-in-icu-for-four-months-can-he-go-home-with-intensive-care-at-home/