ukbasu
09-28-2009, 06:32 AM
Hello Everybody,
I stay in Houston, USA but my parents stay in India. Here is a short background for better understanding of the case - My father was admitted to the ICU of hospital in Delhi, India with low sodium and urine infection (on 25th August 2009). He also has early stage of demensia. He was kept in the ICU for a couple of days and was moved to the ward for further observation. He caught cold and chest infection while staying in the ward for 5 days. On 1st September he has pneumonia like condition and therefore the doctors adviced to carry out tracheoostomy procedure on 2nd September. The size of the tracheostomy tube is 8.5 mm. On 15th Spetember as his conditions improved, the doctors tried to remove the tube at one go, but he experience breather problem and stryder. He was therefore kept under BIPAP for 4 hours. The doctors told us that he has small throat enigma (after the bronchioscopy).
Now he has improved a lot and the doctors are planning to removed the tracheostomy tube. He is also able to cough.
Appreciate if anybody can advice the following:
a) Is it the right time for the tracheostomy removal? Generally how many days should elaspe before the tube may be removed?
b) Noting the tube size, what is the best method to remove the tracheostomy - whether it should be downsized progressively and that removed or can be removed at one shot?
c) What are the precautions that should be taken before the removal - should my father be administered any antibiotic to reduce the throat enigma?
Please help me with urgent advice. Thanks in advance.
Regards Ujjal Basu
I stay in Houston, USA but my parents stay in India. Here is a short background for better understanding of the case - My father was admitted to the ICU of hospital in Delhi, India with low sodium and urine infection (on 25th August 2009). He also has early stage of demensia. He was kept in the ICU for a couple of days and was moved to the ward for further observation. He caught cold and chest infection while staying in the ward for 5 days. On 1st September he has pneumonia like condition and therefore the doctors adviced to carry out tracheoostomy procedure on 2nd September. The size of the tracheostomy tube is 8.5 mm. On 15th Spetember as his conditions improved, the doctors tried to remove the tube at one go, but he experience breather problem and stryder. He was therefore kept under BIPAP for 4 hours. The doctors told us that he has small throat enigma (after the bronchioscopy).
Now he has improved a lot and the doctors are planning to removed the tracheostomy tube. He is also able to cough.
Appreciate if anybody can advice the following:
a) Is it the right time for the tracheostomy removal? Generally how many days should elaspe before the tube may be removed?
b) Noting the tube size, what is the best method to remove the tracheostomy - whether it should be downsized progressively and that removed or can be removed at one shot?
c) What are the precautions that should be taken before the removal - should my father be administered any antibiotic to reduce the throat enigma?
Please help me with urgent advice. Thanks in advance.
Regards Ujjal Basu