My Dad's been in ICU for 6Months on Dialysis, Ventilated&Tracheostomy.He Can't Wean Off Ventilation!

https://intensivecareathome.com/my-dads-been-in-icu-for-6-months-on-dialysis-ventilated-tracheostomy-he-cant-wean-off-ventilation/

My Dad's been in ICU for 6 Months on Dialysis, Ventilated & Tracheostomy. He Can't Wean Off Ventilation!

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Hi, it’s 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, otherwise medically complex adults and children at home, which includes home BIPAP (Bilevel Positive Airway Pressure), home CPAP (Continuous Positive Airway Pressure), and home tracheostomy care for adults and children that are not ventilated, Home TPN (Total Parenteral Nutrition), home IV potassium infusions, home IV magnesium infusions, as well as home IV antibiotics. We also provide port management, central line management, PICC (Peripherally Inserted Central Catheter) line management, as well as Hickman’s line management, and we also provide palliative care services at home.

We’re also sending our critical care nurses into the home for emergency department bypass services as we have done so successfully in the past for the Western Sydney Local Area Health District, their in-touch program.

In essence, we are saving 50% of the cost of an ICU bed and we’re saving roughly $2,000 for the cost of an ED admission. So, significant cost savings but also significant improvement in quality of life for patients and for families.

Today, I want to answer a question from one of our readers, Sylvia who says,

“Hi Patrik,

I desperately need your help. My 86-year-old father had surgery to remove his kidney due to cancer. The cancer was localized to the kidney. It had not spread, and they were able to get all out.

My father did well during the surgery and the doctor was planning on discharging him home in a few days. However, two days after the surgery, he developed pneumonia. He was intubated for three weeks. He was not able to be extubated, and they performed a tracheostomy.

Now, almost 6 months later, he’s still in ICU unable to get off the ventilator. Our family is under so much stress. We have suffered from both physical and psychological distress. We don’t know what to do to help our father.

Recently, he has shown some minor improvements. They placed a pigtail catheter in his lungs because they were constantly filling up with fluids. However, they have not removed any fluid from his left lung in two weeks and very little from his right. However, although he makes urine, they have started dialysis three times a week because his creatinine is high.

We want our father weaned off the ventilator. However, when they do the breathing trials and place him on CPAP, his respiration becomes too high, and they discontinue and abort the trial. Either his breathing rate becomes too high, or he develops a bacteria and is not able to do the breathing trials.

This is the hardest thing our family has gone through. We are a very close family, and we are devastated to see our father and our mother, the beloved husband lying in a hospital bed for nearly 6 months not knowing how to help him. It is so frustrating. Our mother cries herself to sleep each night. She misses him so much. Prior to the surgery, my father was mobile, went on walks every day, and now he is lying in a hospital bed. Very depressed. Please help us.

From, Sylvia.”

Well, Sylvia, thank you so much for sharing your almost desperate situation with me but the good news is there is help at hand.

Continue reading at: https://intensivecareathome.com/my-dads-been-in-icu-for-6-months-on-dialysis-ventilated-tracheostomy-he-cant-wean-off-ventilation/