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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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On A Vent For 2 Months, Tried Weaning To No Success, Has Cirrhosis. What Happens If He Is Off The Vent ?

My brother has been on a vent for 2 months. They have tried weaning to no success. He has cirrhosis . He is awake and alert. He is no shape to be able to receive compressions for CPR . What happens if he is off the vent (trach collar and his heart is still beating but his breathing stops. Do they just put him back on the vent? and hwo does with work with a CPR DNR advance directive?
Tue, 26 Mar 2013
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General Surgeon,  's  Response
Hi and welcome to HCM.
DNR directive must be approved by patient or his closest familly if patient is unconscious or unaware of his condition. This is evaluated by neurologist and psychiatrist.
When they put him off vent they try to see is he able to breathe independently. If not, he is put back on the vent immidiately. Every time this is risky maniulation and patient can pass away;he must be put on vent in 20-30 seconds. If he is awake then his condition might improve and there is no reason to force extubation. CPR can always be done, with more or less success. I dont get why compressions depends on his shape.
Regards.
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On A Vent For 2 Months, Tried Weaning To No Success, Has Cirrhosis. What Happens If He Is Off The Vent ?

Hi and welcome to HCM. DNR directive must be approved by patient or his closest familly if patient is unconscious or unaware of his condition. This is evaluated by neurologist and psychiatrist. When they put him off vent they try to see is he able to breathe independently. If not, he is put back on the vent immidiately. Every time this is risky maniulation and patient can pass away;he must be put on vent in 20-30 seconds. If he is awake then his condition might improve and there is no reason to force extubation. CPR can always be done, with more or less success. I dont get why compressions depends on his shape. Regards.