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Quick tip for families in intensive care: Should a tracheostomy be done after COVID-19, ARDS, ECMO and CPR?
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Hi, it’s Patrik Hutzel from intensivecarehotline.com with another quick tip for families in intensive care.
So today’s question is about, should you do a tracheostomy after COVID-19, ARDS or lung failure, ECMO and the cardiac arrest?
So that’s a sort of a three to four step question I’m going to answer today so stay tuned.
So currently we are working with a client who has been diagnosed with COVID-19 about 30 days ago. The client ended up in ICU initially on a ventilator because of respiratory failure, went into ARDS also known as lung failure, ended up on ECMO, which is basically taking over the functions of the lung for a period of time so the lungs can rest and heal.
When the client went on ECMO, he had a cardiac arrest and he potentially sustained a hypoxic brain injury from the cardiac arrest because his brain was potentially starved from oxygen during the cardiac arrest.
So now about 30 days later, he’s off ECMO. The lungs are slowly recovering and he’s not waking up and EEG and MRI has actually shown that there is most likely brain damage and his Glasgow coma scale is about a 4 or 5, and he’s not waking up even though he’s been off sedation for about 12 days now.
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