Chronic Critical Illness

dianagosalvez Diana Gosálvez Prados last modified 27/01/2014 10:36

Early in my intern year, I admitted an 80-year-old man with pneumonia to the intensive care unit (ICU). He had hypotension and was struggling to breathe, and my senior resident and I told his family that it was touch and go. Their response: Do everything. He had repaired cars for a living, and he was a tough guy, a fighter.

Lamas D. Chronic Critical Illness. N Engl J Med. 2014; 370:175-177. Available at: http://www.nejm.org/doi/full/10.1056/NEJMms1310675?query=featured_home#t=article


Article

27/01/2014

Ten days later, his condition had stabilized, but he was delirious and unable to breathe on his own. We told his family that if we were to continue, he'd need a tracheotomy and feeding tube. They agreed without question. We had saved his life. A bed at a long-term acute care (LTAC) hospital opened up 3 weeks after he was admitted, and I rushed to get the last-minute transfer ready. I never saw him again.


Lamas D.

Norte América
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