Brain Injury

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curiousgeorge
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Brain Injury

Postby curiousgeorge » Mon Dec 07, 2015 1:49 am

My dad suffered brain injury due to a fall 4 months ago, had surgery, and was recovering well, but unfortunately, he developed epilepsy scarring and now is in an ICU and intubated for almost two weeks. The doctors recommend him to be extubated after placing a tracheostomy tube to protect his airway but do you think he needs it? Will NVS be ok instead?

(Asked by a family member)

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bachjr
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Re: Brain Injury

Postby bachjr » Mon Dec 07, 2015 1:51 am

NVS does not protect airways, MIE does. Have them use MIE through the tube to get the O2 sat normal without supplemental O2 and then use it a lot after extubation and he will be OK without a trach provided that MIE use can keep the O2 sat over 94% without getting supplemental O2. Patients like your father rarely actually need ventilator assistance if you keep their airways clear and O2 sat normal.

JB
John R. Bach MD
Medical Director, VentilaMed BreatheNVS
Medical Director, Center for Ventilator Management Alternatives
Professor of Physical Medicine and Rehabilitation, Professor of Neurology, Rutgers New Jersey Medical School


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