i am not a ICU nurse, so excuse my questions about this. i am a rehab nurse.
my dad is scheduled to have CABGx4 this thursday. his surgeon says he will remain intubated for 24-48 hours after surgery, and remain in ICU for 2-3 days.
i am simply curious as to why they keep him on a vent that long? i simply don't know what to expect regarding his aftercare from surgery, i was wondering if any of the CICU nurses could enlighten me? i would very much appreciate any insight you can give me!
hoping for a quick recovery for my dear dad
Mar 3, '05
Good to hear that they got your dad in and out of the OR in a relatively short period of time! That's great! The shorter amount of time on bypass the better.
Our patient's anesthesia is not reversed before they come to us either. Some people wake up within an hour, in which case we continue them on propofol for a little while until their temp, bp, etc stabalizes, and some take literally a day to finally start coming around even without sedation. This is very individual. I wouldn't be surprised if your dad might take a bit longer with his kidneys working to clear the drugs.
Sometimes when people first wake up they are very confused. They can be awake but not quite with it and require restraints for thier own protection. It's not because they are doing anything wrong...they just aren't aware of all of the "stuff" that they're "hooked up to" and unknowingly put themselves at risk by reaching for and pulling at things. I read on these message boards that some people itch really bad and all they are really trying to do is scratch an itch but they get tangled up in lines and tubes in the process. I try to be mindful of that and ask my patients if they have an itch I can scratch for them :chuckle .
Seven days in the hospital sounds about right. Keep us updated. All sounds great so far. I wish you and your family only the best!
p.s. I absolutely LOVE my job. Believe me, it's our pleasure as cticu nurses to look after someone like your dad. He's the exact reason that we choose to practice nursing in that type of unit!
Last edit by begalli on Mar 3, '05