Why ventilators are used




















Being placed on a ventilator can raise your risk for other problems, such as:. After most surgeries, your healthcare team will disconnect the ventilator once the anesthesia wears off and you begin breathing on your own.

They will remove the tube from your throat. This usually happens before you completely wake up from surgery. When you wake up, you may not even know that you were connected to a ventilator. The only sign may be a slight sore throat for a short time. The sore throat is caused by the tube placed in your airway that connects to the ventilator. Most people who have anesthesia during surgery need a ventilator for only a short time.

However, you could stay on a ventilator for a few hours to several days after certain types of surgeries. Most people are able to breathe on their own the first time weaning is tried. Once you show that you can successfully breathe on your own, you will be disconnected from the ventilator. Usually, people can be weaned when their healthcare team determines that they have recovered enough from the problem that caused them to need the ventilator and that they would likely be able to breathe on their own.

You may cough while the breathing tube is being removed and have a sore throat and a hoarse voice for a short time afterward. If you can't breathe on your own during a controlled test, weaning will be tried at a later time. If you continue to be critically ill and a ventilator does not help improve your condition, you may need extracorporeal membrane oxygenation ECMO. ECMO passes your blood through a machine that adds oxygen, removes carbon dioxide, and pumps the blood back into your body.

ECMO can be used for several days or weeks to rest your lungs and give them a chance to recover. You will still be on a ventilator but at lower pressures so the ventilator does not damage your lungs any further. If you need to be on a ventilator for the long term and your condition is stable, you may be able to use a ventilator at home.

This can help avoid some of the complications of long hospital stays and improve your quality of life. You will likely use the ventilator with a trach tube or face mask. Some people need ventilator support for life. Other people may be able to stop using the ventilator when their condition improves. For example, your baby or child may be able to go home on a ventilator while recovering from a chronic long-term lung or heart problem.

Your healthcare team will decide if you or your child is ready to stop using a ventilator. Before you go home on a ventilator, your healthcare team will teach you and your caregivers how to:. After the training, your healthcare team will watch as you and your caregivers do all the tasks necessary to take care of you at home. Sometimes, they will ask your loved ones to take care of you overnight at the hospital to make sure that you are all comfortable with using the ventilator.

You may be able to hire a trained healthcare professional to come to your house while you are on a ventilator. The type of ventilator that you may need may depend on your condition. Some ventilators are portable and can be used for short trips outside of the house. In addition, you may need:. No one should change the settings on your ventilator unless directed by your doctor.

If your child is on a ventilator, a trained caregiver should be nearby and awake at all times. This may mean trading off caregiving or hiring a healthcare professional for nights.

You or caregivers will need to check all equipment regularly to make sure that everything is working well. If you think that the ventilator is not working properly, call a professional to fix it.

You will also need to keep good records of any signs or symptoms that you may have while using the ventilator. The following steps will help keep you or your child healthy while using a ventilator at home:. Using a ventilator at home can be stressful for you and your loved ones. It is important that you ask for help and support whenever you need it. After leaving the hospital, your healthcare team will follow up regularly to make sure that your treatment is working well at home. This may include home visits by a respiratory therapist or a nurse who specializes in ventilator care.

You may be able to take short trips to medical appointments if you use a portable ventilator. Tell your electric and phone companies that someone in your household is on a ventilator. If your area loses service, these utility companies will try to restore service to your house as soon as possible.

Your healthcare team can provide you with letters to send to your utility companies. It is also helpful to keep a list of your health conditions, treatments, and medicines to give to first responders in case of an emergency. We lead or sponsor many studies relevant to ventilators.

See if you or someone you know is eligible to participate in our clinical trials and observational studies. Learn more about participating in a clinical trial. View all trials from ClinicalTrials.

Visit Children and Clinical Studies to hear experts, parents, and children talk about their experiences with clinical research. Also known as Mechanical Ventilator , Breathing Machine. The illustration shows a standard setup for a mechanical ventilator in a hospital room. When those milestones are achieved, the doctors may decide to try taking the patient off the ventilator for a trial. For patients with acute respiratory or cardiopulmonary failure, another therapy called ECMO extracorporeal membrane oxygenation , may be necessary.

ECMO is a highly specialized form of life support that can take over the work of the heart and lungs, allowing them to rest and heal. There are risks associated with ventilator use. Ferrante notes. Infection is one potential risk associated with being on a ventilator; the breathing tube in the airway can allow bacteria to enter the lungs, which can lead to pneumonia.

A ventilator can also damage the lungs, either from too much pressure or excessive oxygen levels, which can be toxic to the lungs. Delirium is another concern, and fits in with what is called post-ICU syndrome PICS , a collection of problems that can present—and linger—after a critical illness. Ferrante says, adding that the lack of movement during hospitalization can present other challenges after a patient is discharged. Ferrante says that older patients, in particular, are likeliest to experience a decline in their physical and cognitive function.

And if they experienced delirium or needed sedatives in the ICU, that may lead to cognitive problems after an ICU stay. Many conditions, such as pneumonia, COPD, brain injuries, and strokes require the use of a ventilator. If you have a loved one with a disease or condition that impairs their lung function, a ventilator will be employed.

The use of a ventilator is also common when someone is under anesthesia during general surgery. A patient may not even know they were connected to a ventilator after the completion of the surgery or medical procedure.

Patients on ventilators run a higher risk of developing pneumonia because of bacteria that enters through the breathing tube. It can also make it difficult for them to cough and clear airways of irritants that can cause infections. The breathing tube will prevent the patient from eating normally, so a different tube that provides nutrients, may be inserted into their vein. Artificial nutrition can be given through a small tube in your nose tube-feeding.

While on a ventilator, you cannot talk. If you think that would choose not to have a ventilator, understand that your healthcare team would continue to care for you using noninvasive methods of delivering oxygen.

They would use treatments for any distressing symptoms, and ensure you are as comfortable as possible. The information provided herein is intended for your general knowledge only and is not a substitute for professional medical advice or treatment for specific medical conditions.

You should not use this information to diagnose or treat a health problem or disease without consulting with a qualified healthcare provider.

Please consult your healthcare provider with any questions or concerns you may have regarding your condition. Older adults will outnumber children by and yet the U. Skip to content Coronavirus information for Landmark patients. Learn More.



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