UMCU – afbouw beademing d.m.v. tracheostoma

Artsen overleg

De situatie van Dolf is iets verbeterd. De artsen zijn wel bang, dat Dolf te zwak is om slijm uit zijn longen te hoesten. De beademingsbuis kan er dus niet zomaar uit, dan kunnen de verpleegkundigen het slijm niet meer afzuigen en kunnen er benauwdheid en longontsteking optreden.

Afbouw beademing

Het plan is als volgt:

De buis wordt er uitgehaald. Er wordt een “tussenstap” gemaakt: er wordt een tracheostoma aangelegd.
Via een snee in de hals, tussen de adamsappel en het bovenste gedeelte van het borstbeen, wordt er een opening in de luchtpijp gemaakt. Daarna plaatst de arts het buisje, de tracheacanule, in de hals.
De beademingsmachine wordt dan vervolgens op de tracheacanule aangesloten.

De beademingsbuis (tube) kan dan verwijderd worden. De tracheostoma is een tijdelijke maatregel.

Voordelen:

– de pijnlijke beademingsbuis kan er uit.
– de beademing kan makkelijker (en veiliger) afgebouwd worden.
– er blijft een toegangsweg bestaan om het slijm, dat de patiënt zelf niet kan ophoesten, weg te zuigen.
– in geval van ademnood kan de beademing heel snel weer aangesloten worden. De buis is eruit en hoeft   niet meer met spoed ingebracht te worden.

Benadrukt wordt, dat dit een stap in de goede richting is.

Morgen of overmorgen zal de ingreep plaatsvinden. Op dit moment is deze chirurgische ingreep mogelijk, omdat Dolf genoeg bloedplaatjes heeft. Het zal in totaal een uur of 3 duren, maar mag wel op de IC-kamer, waar Dolf nu ligt. 

Nadeel:

– voorlopig kan Dolf nog niet praten, drinken en uiteraard niet eten.

Spreekklepje

Er is over enkele dagen wel een mogelijkheid een spreekklepje te krijgen.
De eerste dagen kan dat niet, want dan moet het ballonnetje (de cuff, die om het buisje heen zit) opgeblazen blijven.
Door dat spreekklepje adem je in via de trachea canule (buisje) en adem je uit langs de stembanden en dan kun je gewoon praten. Dat kan dan op de momenten, dat de beademingsapparatuur niet in werking hoeft te zijn.  

Tja, hoe vervelend de nadelen ook zijn, het moet gebeuren, geen keus. De voordelen wegen zwaarder.

410 gedachten over “UMCU – afbouw beademing d.m.v. tracheostoma

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  37. Hey Pete! I’m from Monterrey, Mexico and this is the first time I enter your website/blog and I have to say I like it very much. I also want to thank you for your book “PLAN B” which was very helpful for myself and few others close to me. As for your kids dancing for money, well…there is dancing for money out in the streets to survive and dancing for money as Mikhail Baryshnikov or any other great ballet dancers who made a lot of money by “dancing”. But I’m sure God will guide them through the good path.

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  45. Ã’ Carmo…Você ia tão bem, ate ao penúltimo parágrafo…Ia deixar lhe um reconhecimento genuíno pela descobertura laranja deste blog… Agora com aquele final…Enterrou-se ate aos joelhos. Deixo-lhe um conselho. Ligue para a Bavária, peça-lhes os vestidos e pegue neles, você e os seus amigos, para abrilhantar os comícios do PSD. Vão precisar deles para as próximas eleições. A broa de Avintes esta bem como esta, esteja descansado.Ninja das Caldas (aka Aac.)

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