Doctor insights on:
Pulmozyme Patient Tracheostomy
Maybe: Side effects with Pulmozyme are various and can include irritation of the throat, nose and voice changes. It can also cause hoarseness. I use a fair amount in my patients and have not seen it increase respiratory rate. I guess if it was irritating the airway you could breath faster due to pain/discomfort. I don't think that increased resp rate is very common on this drug. ...Read moreSee 1 more doctor answer
Dysphagia: Frequently a tracheostomy is performed to protect the air way in patients that do not recover full consciousness following a stroke or other severe neurological insult to the brain and in that case the process of swallowing is also impaired. The tracheostomy will serve to prevent aspiration of saliva and other secretions into the lungs but will not normalize swallowing in this instace. ...Read more
Trach solves: Stridor is essentially noisy breathing. Usually a tracheotomy bypasses the problem. If the person still has stridor with a trach, as the questioner asks, then there is blockage in the trach. Mucus plug, trach is too small, collapse, granuloma, etc are all common causes of tracheal obstruction. This is not usually called stridor however. The questioner may really be asking why trachs work? ...Read moreSee 1 more doctor answer
Why would a patients values drop after a tracheostomy instead of getting better the patient has COPD and is trying to wean off the ventilator?
Need more info: Which "values"?Get a more detailed answer ›
My father is a gbs patient with tracheostomy could someone please tell me any excercises to improve his ability to cough and close the tracheostomy?
Usually for patient with epiglottitis, the doctor will do endotrachel intubation first or tracheostomy first?
When is it required to switch from endotrach tube to tracheostomy for an IPF patient who is on long term mechanical ventilation?
Trach and Vent mgt: It depends on the ICU and medical history and settings of the ventilator. One to two weeks on the ventilator is the usual time period before discussing tracheostomy. The tracheostomy has its own benefits and complications. Optimally, trying to wean off the vent and using BiPAP or CPAP may be considered. ...Read moreSee 1 more doctor answer
Gbs patient with tracheostomy no known previous heart condition. Complaining about chest tightness. What could this be? Please answer ASAP.
Chest wall?: Guillain-Barré syndrome causes muscle weakness and if then muscle cramping or muscle pain. If a tracheostomy is needed to support breathing the chest wall muscles are involved. If labs and X-ray's rule out heart disease and pneumonia the symptoms are likely muscle related. ...Read moreSee 1 more doctor answer
In icu unit with blocked arteries inheart about 50% patient is 75 should I allow them to install tracheostomy inhis throatinstead of him have in mouth?
Yes: You mean tracheostomy instead of endotracheal tube.Is your 75yr.old loved one(you are 17)now on ventillator? Tracheostomy is to wean him off ventillator or to make removal of respiratory secretions easier or minimize risk of aspiration pneumonia if there is poor or absent cough reflex. The ICU doctors are very qualified to make that decision or they would not be allowed to treat ICU patients. ...Read moreSee 1 more doctor answer
My father is a gbs patient with a tracheostomy n has had no heart condition. But from the past two days he says his chest is tight. What could thatbe?
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