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This is Dr. David
yes, a tracheostomy is a simple procedure and can be safely done on a patient who has TB.
but after a tracheostomy is performed, a patient can often cough through the tracheostomy as they get use to breathing through the trach.
so it is this coughing afterwards and the expulsion of air mucous particles through the air after the trach is inserted which can be dangerous for everyone around them.
and everyone will need to be wearing a mask who is around him because he could very easily be coughing up mucous with TB in it out of his trach.
does this make sense?
let me know if you have other questions.
our son is in hospital and is sedated
if his TB is being treated this helps reduce the risk for him to spread TB as well.
afetr heart attack
he is breathing thru ventilator
if he is sedated his nurses and staff will also still have to suction out the trach from time to time to clear out mucous.
the nurses can take precautions like masks and gloves to do this.
he should be treated for TB as well
and if he is treated, this also reduces the risk for spread .
a tracheostomy was due to go ahead
which I believe beneficial
but the hospital has declined
because of the TB
because of the risk of spreading infection
but I think this can be done safely
yes, it can be done safely.
but it can be more work for nurse and staff to care for the trach after it is done.
would yo agree with the doctors treating him
he is in isolation at present
yes, he needs to be treated with TB medications.
and long term intubation patients need a trach.
he is on tb meds at present
but being kept sedated
and during his conscious moments complains about the ventilator
which appears to be causing distress
yes, a trach would help with that.
once he gets use to breathing through the trach.
the trach can get some getting use to.
the cost and difficulty of post op is not a consideration
do you think of the two possibilities
the trach would be the best one?
I assume that you do not agree with the doctors stance
long term intubated and ventilated patients need a trach.
i am concerned that keeping him sedated for a long period is harmful
so far up to 10 days
he has been awoken but has difficulty breathing
whereas i feel the trach would allow this
a trach would not help him with this breathing.
his breathing is from his lung issues or TB infection.
but a trach can be more comfortable for long term ventilated patients.
because they don't have to have a tube down their throat.
we are trying to ascertain the best option
good luck to you and him.
how long can he be sedated for
as long as it takes to get his lungs better so he can breath on his own.
surely not for many months that tb meds would require
usually 6-12 months of treatment.
but his lungs should get better before then.
can he be sedated for that period of time
no, he doesn't need to be sedated for the full 6-12 months.
that seems excessive (to me)
just until his lungs are better to breath on his own.
ok thank you
that is the length of TB treatment.
you are welcome
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