Tracheostomy as an Effort to Help Weaning Ventilated Obese Patient: A Case Report
DOI:
https://doi.org/10.37275/bsm.v7i8.850Keywords:
Intensive care unit, Tracheostomy, Weaning ventilatorAbstract
Background: The prevalence of tracheostomy in the ICU was performed in 10%-15% of patients. Tracheostomy is performed in patients with prolonged intubation. The most compelling indications for tracheostomy are acute respiratory failure with prolonged or expected prolonged duration of mechanical ventilation and failure to wean from a mechanical ventilator.
Case presentation: A 60-year-old female patient came to the emergency room of Dr. M. Djamil General Hospital with decreased consciousness 2 days before admission. Vital signs showed Sopor consciousness, RR: 30 x/min, and BMI: 39 kg/m2. Thorax examination of bronchovesicular breath sounds, rhonchi +/+, wheezing +/+. The patient was intubated and put on a ventilator, and admitted to the ICU. A tracheostomy on day 5 was performed on the patient. The patient was able to be weaned from the ventilator and then admitted to the neurology ward on day 18.
Conclusion: Tracheostomy can help weaning patients from mechanical ventilation. In this case, a severely obese patient can be weaned from the ventilator with a tracheostomy.
Authors
- Liliriawati Ananta Kahar1*
- Diflayzer2
- Wiwi Monika Sari3
- 1Department of Anesthesiology and Intensive Care, Faculty of Medicine, Universitas Andalas, Padang, Indonesia
- 2Department of Ear, Nose, Throat Head and Neck Surgery, Faculty of Medicine, Universitas Andalas, Padang, Indonesia
- 3Department of Intensive Care, Dr. M. Djamil General Hospital, Padang, Indonesia
Corresponding author Liliriawati Ananta Kahar — lili_ananta@ymail.com
Article history
- Submitted
- Accepted
- Published
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