Weaning from Mechanical Ventilation and Management of Tracheostomy in COVID-19 era
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- čas přidán 27. 07. 2024
- #ventilator #tracheostomy #covid19 #decannulation
This video lecture offers a brief review of the weaning process for COVID-19 patients who need prolonged mechanical ventilatory support. The topics include causes of prolonged ventilatory support, routine daily weaning practice, tracheotomy indications and benefits, timing of tracheotomy, safety precautions in respect to SARS COV-2 spread in daily care and post-tracheostomy management until the tracheostomy tube is removed. Expert opinion from pulmonary, ENT, and critical care team should be obtained as needed.
Presenters:
Ali Sadoughi, MD
Director, Interventional Pulmonology & Bronchoscopy
Assistant Professor of Medicine
Divisions of Pulmonary and Critical Care
Bradley A. Schiff
Associate Professor,
Department of Otorhinolaryngology - Head & Neck Surgery
Montefiore Medical Center/ Albert Einstein College of Medicine
The protocols and recommendations described in this video were created for internal Montefiore clinical purposes only and cannot be construed to serve as general recommendations or guidelines for anyone outside of Montefiore.
These treatment protocols are recommendations for caring for patients with COVID while Montefiore is operating under its Emergency Procedures for the declared state of emergency for the COVID pandemic. Additionally, these protocols may change as more research data becomes available. Please frequently check for updates.
Clinicians should always rely on the specific patient’s medical condition for clinical decision-making, even if that requires a deviation from the protocol. - Věda a technologie
Thanks I found this. Reading your comments somehow makes me become more hopeful that weaning from ventilator takes time. My husband also suffered from covid pneumonia and he is intubated for 3 weeks and been on trache for almost a week now and still sedated .Doctors trying to wean off him by putting him on cpap mode but he still not able to tolerate it after 30 min or 1 hr and BP starts also going up and sometimes heart rate. One day also they tried reducing the sedation but he gets agitated. Praying for your loved ones full healing and recovery.
Same story with my wife. Godspeed well wishes for them both.
@@therisingphoenixvapery102 yes, God will heal them🙏
@@malessuy3437 Please god.
@@malessuy3437 Hi.. How is your husband now? Hope he is fine.
@@AyushSharma-fg9hm thank u for asking. Yes he is out from hospital last week and recovering because he has still some breathlessness when walking.
My dad had a trache placed on him july 25th its now aug 4 its been a week. He hasnt been able to talk yet or breathe on his own yet. He still needs the ventilator. However, He is awake, sitting up, and is responding and watching tv and such. Do you know how much longer it will be until he can eat and talk and breathe on his own without ventilator? His oxygen therapy is at 40%-50%.
Hey Valerie, sorry to hear about your dad but glad he’s at least up and eating and talking. How has he been doing since? My dad was placed on a ventilator on August 23rd but they might make the switch to a trache next week so I’m a bit worried. Hope you and your family are doing well!
Same here. Any updates on your dad Valerie, Ramon?
@@ramondiaz-soria1163 my brother had the same thing done. He has know been a trach for about two weeks. For him everything is taking longer since of his immune system being low. They say the trach is the best option for the patient since they will feel better than having all those tubes in their mouths and it's more painful
@@ramondiaz-soria1163 and how has your dad been?
@@posthumanismkarma6120 my dad is intubated for over 2 weeks . Now they want to do tracheostomy on him they gave us a day to decide (family) I am scare for him . What is the update of your bro