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Health Forum    Respiratory Diseases
Health Discussion Forum

 When I sleep, I sometimes can't breathe and I wake up, what is it?
I've had this for years. Sometimes it worries me a little bit. I would wake up gasping for air. Can this kill me?...


 How can ppl say 2nd hand smoke is more dangerous?
This has been obvious to me for a long time but I just wanna see what you guys think.

So people keep saying that a single cigarette causes more second hand smoke damage to people around ...


 Cannot Breathe, Inhalers out...?
Two days ago, I suddenly could not breathe. It's been getting worse since today and my inhalers empty. My mother told me not to 'abuse' the inhaler, but that's to late... I don�...


 what medicines help sleep apnea?
medicine for sleep ...


 Smoking monopoly money Harmful or not?
My friends and i smoked a roll of paper money we didnt breathe it in we just kept it in our mouths and blew back out like smoking smarties can! cAN THIS BE HARMFUL AT ALL IN ANY WAY...


 Asthma nurse changing my medication? Is she allowed?
I live in the U.K. and have had chronic asthma for as long as I can remember (I am now 38). I have ALWAYS had salbutamol inhalers (usually ventolin). Anyway my docs surgery rings me every few months ...


 can ringing in ear caused by ear infection/fluid in ear be cured?
just curious because i think this is why i have the ringing but i just want to know if it will go away
Additional Details
i used to have it but it was really faint, but i think this is ...


 Does this sound like Pneumonia?
I've had a really productive cough (lots of phlegm), for about two and a half weeks, I don't think i've had much of a fever, but i'm not sure because I don't have a ...


 Our grand baby was diagnosed Fri with pneumonia. The daughter in Law took her to daycare today. I don't think?
she is well enough to be there! If she catches the flu on top of this she can get alot worse. What can I do? I don't want to make her mad at me,yet I want to do whats right for the baby! We live ...


 what is the strongest or best cough suppressant?
...


 i have a really bad sore throat what shall i do ?
Iv tried strepsils and steam. i need to well tomorrow for school what shall i do ??

please help me ...


 How can I help my dad stop smoking?
My dad has been smoking for years now. I love my dad and I want him to live a long life. It seems that he doesn't really care about his health. He's quit like 3 times and he's smoking ...


 HOW the hell does someone go into C and W hospital for a Hip Replace and winds up 2 days later with pneumonia?
worried ...


 i am having a cigarette and i am going to get started... but where should i begin?
...


 My 3 year old son has been in hospital with asthma...?
he came home tonight, after 24 hours in hospital, and is hopefully on the mend soon.
He is still wheezing and coughing (which the hospital said was to be expected), and i was wondering if there ...


 If you saw a 13 year old smoking a cigarette while walking down the street, what would you do?
I'm always scared to smoke in public because I'm afraid of someone seeing me and reporting me to the ...


 why am i always cold?
I'm always cold i wear 2 T-shirts and a jumper and a night gown to keep warm and i've also got the heater on. For bed i have a hot bath and wear 4 T shirts and 1 jumper and a night gown and ...


 What could this be?
Early this morning I woke up with severe heartburn. Which is a normal every night thing for me. Except this morning I had nausea along with it. Once I got to the bathroom I vomitted. I was vommiting ...


 Flu Vaccination?
Has any body had it, any immediate side effects, does it work, how long will it last?...


 "My mom is very ill from both lungs, she can't breathe right and has a lot of mucus when she cough.What can sh
"My mom is very ill from both lungs, she can't breathe right and has a lot of mucus when she cough.What can she do to clean her lungs?One is better than the other one but she does not have ...



Hey there
How long can a person be on a ventilator in an ICU?
I'm looking for the medical community to answer this one. I have a debate going with a doctor, so if you could site where I could find the info, that would be helpful as well.

If a person is on a vent, and does not have a trach, how long do hospitals (namely ICU's) allow this? He says 10 days is the standard, according to JACHO, however, I think it can go on much longer, depending upon the patient. Any ideas?
                      









Cherbalicious
Alot, depends on the Hospital. It also depends on the insurance. I know someone who has been on the vent over a year. He, however was moved from ICU to a long term care facility.


siameseknees
atleast 12 weeks hun. no worries.


N
Rating
I think the 10 days that the doc is referring to is how long the patient can be on a vent without a trach. The longer a person is ventilated without a trach there is a greater likelihood of developing pneumonia which in an already sick patient is bad. So most docs/surgeons will recommend a trach for patients who require prolonged ventilatory support.
Patients can last for years potentially on ventilation (think of patients in comas for many years, brain damage etc.)


<Raised on Promises>
Rating
With an endotracheal tube on the ventilator, at our facility we will wait about 10-14 days to trach a patient who is still requiring mechanical ventilation.

Once trached, a patient can be on mechanical ventilation until they don't require it anymore. Basically there are some people who never get off of a ventilator.


holey moley
Once the tracheostomy is done (after 7 to 10 days) and weaning has not been successful, a patient can remain on a ventilator for the rest of his/her natural life. Death is declared by a lack of brain activity on EEG (hence the term, "brain dead"). It thus makes no difference how long the patient is hooked up to the vent..


Remo
Rating
In my practice, the average days of mechanical ventilation for an intubated patient is between 7 and 9 days(Report from the local audit). However, the report also revealed that the maximum days of ventilation(intubated patients) was 13 days. This means, it entirely depends on the patient`s condition and co-morbidity.
As everyone is aware that prolonged mechanical ventilation causes various complications such as ventilatory associated pneumonia and complications related to sedation such as DVT, gastricparasis, stress ulcers and so on.
Many patients can successfully be extubated even in the very next day when the primary problem is not concerned with the lungs.Eg: drug overdose. However, patients with chronic lung problems, and poor heart function might often end up in Tracheostomy hence, to wean the ventilatory support gently while they are in intensive care. Again weaning strategies are purely vary on the individual patients. Despite a strict weaning protocol, some patients might not do well with the weaning strategies during which time the decision will be made on the best interest of the patient that whether to continue the life support or not.
I am quite surprised to hear that patients in coma are ventilated over years. If the patient is not going to have a quality of life or show signs of recovery even after undergoing every treatment possible including a mechanical ventilation, what is the point of continuing the ventilatory support in those situation? I don not think that would be the best interest of the patient.(I am sorry..I have drifted from the actual question).
So, patients might be ventilated upto 10 to 12 days until they get the trachy done or meantime they might be extubated.
Hope, this helps


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