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Long-Term Mechanical Ventilation in Intensive Care with Tracheostomy, What are the Best Options?

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In this week’s BLOG I want to talk about

“Long term mechanical ventilation in Intensive Care with Tracheostomy, what are the best options?”

Some Patients in Intensive Care are facing the dilemma of being ventilated for a much longer time than expected.

Whenever those Patients in Intensive Care are facing the dilemma of getting a Tracheostomy and then go through multiple failed weaning attempts or don’t even get to those weaning attempts in the first place because their clinical condition doesn’t allow it, that’s when Patients, their Families and Intensive Care Units are in real trouble.

More often than not those Patients are then stuck in Intensive Care with a limited Quality of Life and/or Quality of end of life for many months to come!

Bed blocks in Intensive Care are a real issue and challenge!

More often than not those long-term ventilated Adults& Children with Tracheostomy are then also blocking a bed that could be used for the many other Patients in need of an acute Intensive Care bed.

So what’s the alternative and what are the best options?

Keep them in Intensive Care for a long time to come?

Getting the Patients and their Families involved in the decision making process?

That would probably be a good starting point.

And furthermore, we should also be looking at what proven alternatives are out there, rather than keeping long- term ventilated Adults& Children in Intensive Care for longer than necessary...


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