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Old 01-13-2008, 10:23 PM   #1
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christianlady HB User
Help: How to Extubate Respirator

My 85 year old Father was taken to hospital walking with a mild heart attack.
Now, he is dieing. They punctured artery during angiogram, lost much blood leading to shock, kidney and liver shut down,

Doctors gave him blood and placed him on Respirator wherein he developed pneumonia and circulatory infection.

After 14 days, doctor claims he cannot successfully extubate my Dad and has ordered a tracheotomy and peg for stomach feedings. Now on kidney dialisis.

Seems like the doctors are going from bad to worse.

Help! Any advise?

 
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Old 01-14-2008, 09:58 AM   #2
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Re: Help: How to Extubate Respirator

HI , I am very sorry about your father.
I work in a cath lab ( where they do angiograms).
They have to puncture the artery to introduce the catheters that travel to the heart and subsequently the coronary arteries, inject contrast ( dye) to visualized the arteries to ascertain if they need to be stented (angioplasty ) or bypass surgery. They do this as your father had a heart attack.

There are risks with any procedure, and with your father's age, the risk is higher. We quote 1/500-1000 for any adverse event ( ie MI, stroke, death).
Bleeding post procedure is common, because a major artery is punctured being the femerol in your dad's case , I am assuming. Some bleeds do require transfusions

The doctors are doing everything they can for your father. What you need to do now is have a heart to heart with you family, his doctors and look at prognosis at this time. What does your dad want ? Would he want to be kept alive on a ventilator ? Who has power of attorney for his care? Does he have a Do Not Rescuscitate order?

The family can make decisions on behalf of a loved one who cannot make their own decisions. I know this is hard.
Again , I am very sorry about your dad

 
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