My Sister's Been in ICU For 6 Months with Ventilation&Tracheostomy Can She Be Weaned Off It at Home?

https://intensivecareathome.com/my-sisters-been-in-icu-for-6-months-with-ventilation-tracheostomy-can-she-be-weaned-off-it-at-home/

My Sister's Been in ICU For 6 Months with Ventilation & Tracheostomy Can She Be Weaned Off It at Home?

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If you want to know if your critically ill loved one can be weaned off the ventilator at home instead of in ICU after many months of failed weaning in ICU, stay tuned! I have news for you.

Hi, my name is Patrik Hutzel from intensivecareathome.com where we provide tailor-made solutions for long-term ventilated adults and children with tracheostomies 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 at home and that also includes ventilation weaning.

We are also providing our critical care nurses for home care to avoid emergency department readmissions. So, besides keeping ICU beds empty, we also keep emergency department beds empty by sending our critical care nurses into the home for PEG (Percutaneous Endoscopic Gastrostomy) tube changes, nasogastric tube changes, tracheostomy tube changes, catheter changes, even cast changes, and other things to keep emergency departments empty.

So, today I have an email from Anna who says,

“Hi Patrik,

My sister has been in ICU since the beginning of January. She had open heart surgery. She has many health issues, heart failure, and her kidneys only working 10%, so she’s on dialysis. She has been ventilated from the beginning of January in the last six weeks with the tracheostomy tube.

But unfortunately, all trials of weaning her of mechanical ventilation failed as every single time she ends up with carbon dioxide poisoning. Her mental state is really compromised.

Why can’t she be weaned? Can she go home, and can she be weaned at home?

From, Anna.”

Well, Anna, let’s break down your email in more detail so you can see the answer to your questions.

First off, yes, she can be weaned at home. Absolutely, that’s certainly what we’re here to do at intensivecareathome.com. That is our purpose, that is our mission. It’s really heartbreaking to hear about your sister’s difficult situation.

In essence, weaning a patient off mechanical ventilation in ICU but also at home can be complex and challenging. Especially when they have multiple health issues like in your sister situation, like heart failure, kidney problems, and obviously, complicated by prolonged mechanical ventilation with the tracheostomies. There are several factors that contribute to the difficulty in weaning ventilation such as the underlying health conditions with the heart failure and severe kidney dysfunction, which may compromise her overall ability to tolerate the stress of weaning mechanical ventilation.

Next, with prolonged mechanical ventilation comes when you are on a ventilator for an extended period of time that can weaken simply the respiratory muscles and make it harder to breathe independently.

Continue reading at: https://intensivecareathome.com/my-sisters-been-in-icu-for-6-months-with-ventilation-tracheostomy-can-she-be-weaned-off-it-at-home/