Can My Dad Go Home from ICU with INTENSIVE CARE AT HOME to be Weaned Off CPAP and Tracheostomy?

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Can My Dad Go Home from ICU with INTENSIVE CARE AT HOME to be Weaned Off CPAP and Tracheostomy?

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If you want to know if CPAP can be weaned at home with the tracheostomy, stay tuned! I’ve got news for you.

My name is Patrik Hutzel from intensivecareathome.com where we provide tailor-made solutions for long-term ventilated adults and children with tracheostomies at home and where we also provide tailor-made solutions for hospitals and intensive care units at home whilst providing quality care for long-term ventilated adults and children with tracheostomies at home. We also provide care to otherwise medically complex adults and children at home including Home BIPAP (Bilevel Positive Airway Pressure), Home CPAP (Continuous Positive Airway Pressure) ventilation, home tracheostomy care when adults and children are not ventilated, also Home TPN (Total Parenteral Nutrition), home IV potassium infusions, home IV magnesium infusions, as well as IV antibiotic infusions at home. We also provide port management, central line management, PICC (Peripherally Inserted Central Catheter) line management, Hickman’s line management, as well as palliative care and ventilator weaning at home.

We’re also providing our critical care nurses to provide emergency department bypass services as we have done in the past for the Local Area Western Sydney Health District. We also avoid emergency department presentations by sending our critical care nurses into the home to change PEG (Percutaneous Endoscopic Gastrostomy) tubes, catheters, tracheostomy tubes, even do casts and also home X-rays with another organization. So, that’s just for information.

Today, I have an email from Stephanie who says,

“Hi, Patrik,

My dad has been in ICU for two months now. He isn’t weaning off CPAP with a tracheostomy. ICU says he’s not making enough progress to leave intensive care yet. Therefore, we want to bring him home, but we need to know who would be paying for a service like Intensive Care at Home.”

Well, Stephanie, thank you so much for reaching out and who will pay for a service like ours.

Well, first of all, if your dad is in ICU and he can’t be weaning off the CPAP, that means he’s already made some progress away from a controlled ventilation mode such as ACV (assist control ventilation) or SIMV (synchronized intermittent mandatory ventilation). He has already made some progress, so it sounds to me like he might be halfway there, but you haven’t shared enough information to really find out what needs to happen next to wean your dad off the ventilator.

Now, if ICU says it’s taking a lot longer and your dad is probably depressed in ICU, he has no quality of life whatsoever, and you and your family probably spend day and night in ICU to be with your dad. We can provide this much needed win-win situation which means we can provide your dad with quality of life at home. We can provide you and your family with quality of life at home, and we can free up the ICU bed that is in high demand. We can free up their staff, their resources, etc. Lastly, we can cut the cost of an intensive care bed by approximately 50%. ICU beds cost around $5,000 to $6,000 per bed day. It’s a win-win to reduce the cost by approximately 50%.

So, what does it look like at home? Well, your dad needs a ventilator, he needs suction machine, he needs monitors, he needs spare ventilator, he needs spare tracheostomies, emergency equipment for tracheostomy changes, inner cannulas, and nebulizer machine.

Continue reading at: https://intensivecareathome.com/can-my-dad-go-home-from-icu-with-intensive-care-at-home-to-be-weaned-off-cpap-continuous-positive-airway-pressure-and-tracheostomy/