ICU/Critical Care/removal of trache

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Question
My brother had a trache put in four weeks ago during a procedure to look into his lung. His airway closed and he agreed to let them put the trache in to see into his lung. The lung doctor told him afterwards that it could be taken out before he left the hospital as ling as the surgeon that did it agreed. He left the hospital with it still in. He wants it out and has taken it completely out numerous times. He has no problem breathing on his own and the nurses that come once a week has been told by him he wants it out. They have told him there could be serious complications from him taking it out and then putting it back himself and he just tells them I want it out! The surgeon who placed it is refusing to take it out. We don't know what to do. He is 59 and is in his right mind. We are concerned about infections or complications with him doing this but we want to support his decisions about his own body. What can we do?

Answer
Dear Tamela,

There is a reason that the surgeon is refusing to take it out. Ask for a family meeting to include your brother, yourself, and the surgeon. Find out what the concerns are, and then discuss the options with the surgeon. Keeping the trach in is not benefiting the surgeon in any way.  

ICU/Critical Care

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

Expertise

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.

Experience

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.

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

Education/Credentials
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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