Intubated. On a ventilator. Walking. This is modern critical care. Does your ICU do this?

There is no reason to mobilise an intubated patient. If they are well enough to mobilise take the tube out. If the tube needs to be in so long it effects rehab then put in a trache. This is just expensive social media bait.

The TEAM trial showed this practice did not improve functional outcomes from ICU or reduce ICU stay or survival and was associated with a significant increase in the risk of hadmodynamic and respiratory adverse events and increased the risk of CVC and ETT dislodgment

As a ICU RN this is lame. If they can walk they obviously have good Tv, not in any distress, pull the fucking tube. Waste of time and resources.

No. Because my critical care doctors aren’t morons.

NEJM 2022- increases adverse outcomes

Me apuesto un testiculo a que esa mujer está lista para retirar la ventilación mecánica y su médico lo único que busca es reconocimiento y likes en redes sociales.

Where I practice, a patient in ICU won’t stay longer than two weeks on ETT. We ENT are always invited to have Trachy done for them if the patient will still have to be on ventilator after two weeks. I doubt if this lady still has ETT in-situ. Cos she’s even talking, which is very unlikely with ETT in there. Yes I can see a nasogastric tubing. But EndoTracheal tube(ETT) in her trachea with her fully conscious? I do not think so.

Yes, to stop blood clots. Heparin can only do so much!

That's outdated, and it's also wrong. It's a practice that hasn't been shown to have any beneficial outcomes and is associated with potentially serious complications.

In my country if doctors do this next day this will be on social media .. Patient alive concious and walking still kept in ICU on ventilator to make money from relatives

How is she awake & intubated? Won’t she buck the endotrachel tube?

Walking on a daily basis will help increase your odds that you don’t end up here.

It looks like she might be on cpap, but hell no, get that tube out. Do they want further complications? Trach her if you have to.

We did when I worked ICU providing the patient didn't require heavy sedation to be compliant with the vent and was hemodynamically stable. Even standing, marching in place, and pivoting to the chair is helpful though.

Wow, intubated a walking patient! The patient has ETT in-situ? Tell you're milking the patient without telling me...

Who intubated a walking patient . Your head would be chopped off if you do here .

Extubate.

The saying goes "move it or lose it" and it refers to mobility.

Excellent team work amazing. If the patient is awake and good tidal volumes and good motor ability to mobilise why is the patient not extubated. She be better mobilised that way.

No. Why is she still intubated? @CoffeeBlackMD

If she is able to walk, she should be able to breathe without a tube, I just think.

I don’t why this patient is needing Resp support but in general if you are strong enough to even move around in your bed then should be enough to extubate.

Forge the ventilator, “Can we afford such HYGIENE!” that we may allow then to walk on the floor with socks!

I bet it costs $50.000 per second.

Extubate

No. And thank god

This is incredible So many ICU patients would functionally benefit & have a faster recovery from such early assisted ambulation

Fit enough to mobilise fit enough for a trial of extubation. If it’s about airway protection probably need a trache

Wow. No, I have never had an intubated, ventilated patient who was ambulatory with assist. In our ICUs we discharged anyone capable of being ambulatory.

This is medicine !

Which idiot comes up with this kind of ideas and trash??

Wow....

Something similar happened to me

No need to rehash what everyone else has said about why a patient capable of walking is intubated, I'd love to know what all of those drips are. DHT swinging in the wind is also lol