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possiblycrazy7947 karma

My son has been in ICU for 2 months for a million post op complications & has ultimately ended up needing a tracheostomy indefinitely. In the past few weeks, he has been spiking fevers with +secretions & all cultures are coming back with nothing. He has been on contact precautions the entire time for MRSA, but after awhile, most ppl only wore gloves for ppe, unless there was a sterile procedure going on. ID has gotten involved, & does not think that he needs to be tested for covid. Do you think this is a wise decision? (We are in AZ).

possiblycrazy7931 karma

My son was in the ICU for 2 months, more than half that time on a vent. Please be aware that all ICU docs are NOT created equal. The team changed every 7-10 days so I got a load of many different ICU docs. While most were very knowledgeable about vent settings & peep & pressures, etc., most did not know how to actually use the vents. (Keep in mind that all vents are also different. In the ICU my son used a critical care vent, which is different than the home vent that he is using now that he is on the floor.) When they wanted changes, they would have the RT do it. The nurses were also somewhat knowledgeable in the sense that they typically understood how to read the vent, & were able to bump up the oxygen when needed. But as far as changing the settings, 99.9% of the time it is an RT doing it, in my experience. That being said, the RTs who work in the ICU are much better than those who work on other floors, in my experience.

possiblycrazy790 karma

Lol, yes, a pulmonologist will manage the vent for an outpatient. Possibly, they would be capable of managing a critical care vent in the ICU, if they absolutely had to. But good luck getting a pulmonologist to spend more than 3 minutes in any patient's room each day.