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Mother is on ventilator.
My mother is on ventilator due to right sided ischemic stroke post her mitral valve replacement surgery in Narayana hospital Bangalore. She has been on ventilator since 27/05/2026. She can move her right leg and right hand fairly well. But her left leg has little movements and left hand is immobile. She opens her eyes on calling, takes her tongue out on commanding. She responds to commands. Her ct mri earlier showed brain swelling but now it has reduced due to medicines. But still she can't pas her extubation trial. And now doctors planned for tracheostomy. I m confused and scared how long it will take for her to come out of ventilator support. What are the recovery and survival chances?
Hi,
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Dr Abhinav Tewari
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MBBS (A.I.I.M.S., New Delhi)
MD (Psychiatry) (A.I.I.M.S., New Delhi)
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She needs tracheostomy and good nursing care. After brain edema subsides she will start responding better and with good proper nursing care she will get better. You can add Neuro-promotive drugs later for faster and better recovery.
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Tracheostomy will be required if the extubation will take time.
Patient on tracheostomy have increased chances of extubation.
If the patient is responding to commands then she is aware of the surroundings and if the lungs are good, then there is a good chance of extubation
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So with such patients its important to secure the airway so that oral secretions don’t cause pneumonia and also feeding can be done easily either through ryle’s tube or oral
And with tracheostomy to wean off from ventilator becomes easier since airway is secured
So ideally you should go ahead with it
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