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ICU/Critical Care/ventilator after bladder surgery


My dad is 75 years old with stage 3 bladder cancer. They removed his bladder, prostate and lymph nodes on Monday. The ventilator is at 45 and every time they try to lower it to 40, his heart rate goes up so they put him back into heavy sedation (basically a medically induced coma I think). My question is, will being in coma most of the time, except when the try to reduce his number on ventilator, hurt him in the long run? How long do they keep on ventilator for someone his age before trying trach?

Dear Lisa,

Right now the most important thing for your father is oxygenate his body, so the medically induced coma is nothing to be concerned with. Every hospital has their own guidelines, generally after 3 to 4 weeks the tracheostomy will be performed. These are reversible once he is able to breath on his own.  

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Dr. Pamela M. Cipriano, DNP, ACNP-BC


My name is Dr. Cipriano. I am able to answer questions regarding critical care issues including the cardiac system, pulmonary system, gastrointestinal system, gallbladder, small bowel obstructions, crohn's disease, diverticulitis, general abdominal surgery, ventilator management, ARDS, dehydration, heart failure, kidney failure, shock. pneumona, surgical complications, disease process.


I am a Hospitalist at a local hospital and in the emergency department. I am on the Medical Staff. I round, admit, discharge, consult and assist with surgeries in the OR. I manage patients in the ICU and Med/Surg floors.

Society of Hospital Medicine American College of Nurse Practitioners Connecticut Advance Practice Nurse Society

Maryville University 2014-2016 Doctor of Nursing Practice University of Connecticut 2007-2011 MSN, Acute Care Track Nurse Practitioner. Board Certified September 2011 Central Connecticut State University 2002-2006 BA Psychology St. Mary's Hospital School of Nursing 1991-1993 Diploma Nursing Registered Nurse

Awards and Honors
Golden Key Honor Society; Merit Award Recipient; Scholarship Recipient

Past/Present Clients
Trained at Hartford Hospital, Hartford, CT - Open Heart Cardiac Intensive Care Post Anesthesia Care Unit & Radiology Internship Interned at MD Anderson Cancer Center in Texas Trained at St. Mary's Hospital, Waterbury, CT - emergency Department & Hospitalist Program

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