To you ICU nurses
- 0Apr 19, '10 by NightNurseRNIn your experience, how often to pts diagnosed with ARDS recover? For example lets say this particular pt. was a smoker, had chronic bronchitis and slight pneumonia, suffered a heart attack and had a CAB X5. The ones youve seen not make it, about how long does it take to overcome them? I know this is a very broad question and Im know it can go either way at anytime, just wondering what others' experiences were with this...?
- 0Apr 19, '10 by JulieCVICURNHonestly, I can't think of any off the top of my head who have "made it" long term. I'm sure there are some that I just haven't heard from, but it seems like these types of patients end up moving from ICU to Tele and back again several times over the course of a couple/few months before they end up either passing away or in LTC. I can't recall a success, but that's probably because the ones who make it through don't come back to me, so I don't remember them.
- 0Apr 20, '10 by catshowladyI can't think of one who has made it long-term off of the top of my head either. IME, they make it to an LTAC, and end up passing there.
ETA: I forgot - there was one lady. Last one I would have ever thought would make it. She hadsome chronic issues: she had hepatitis (not a new dx, can't remember if it was B or C). Was on pressors, too. She walked back in to see us about 6 weeks later.
- 1Apr 20, '10 by ukstudentDepends on your definition of making it. About 50/50 die in the ICU. Of the ones that don't, most end up with a trach and peg. Then after going to step-down (if they can get off the vent) and bouncing back a forth a few times, if the are still alive they go to a LTAC facility.
If your definition of making it, is getting back to baseline (independent living) they I have to say it is very very rare.
- 4Apr 20, '10 by IndyIf talking to your family member will make you feel better, nightnurse, could you do that? Maybe he/she is sedated and doesn't look like they can hear you, but maybe it will help. Just apologize for thinking you would be able to know what would happen. And try, really try, to let it go. You are not in charge of this one, and major surgery always equals major trauma to the body. There are people who simply can't overcome the trauma- think of it this way, if you were hit by a bus what would you expect?
I'm sorry you're having this burden, but it's only a burden to you personally if you accept it as such. (And feel free to tell me to shut my preaching mouth, since I'm not in your shoes.) Find someone to give you a big hug- I would hug you if I were there. Pray and hope, but know that you didn't cause the outcome.
- 0Apr 20, '10 by JulieCVICURNQuote from NightNurseRNFirst of all, I had actually edited my post to apologize for not being more tactful in case it was a family member you were talking about but it apparently didn't take, so I'm sorry about that. Second, do not feel guilty. Would your family member have decided any differently had they known the outcome was iffy? If the bypass was needed, it was needed. Otherwise, there was probably NO chance of recovery. With an MI, your options might have been limited anyway - I'm guessing with a CABGx5 the person probably was not a candidate for stenting, so surgery wasn't necessarily the wrong choice.Thank you for the replies... The pt. im refering to is a family member of mine
I cant stop feeling guilty because I told him he would be fine before his surgery
I recover exactly these sorts of patients from CABG all the time and ukstudent pretty much hit the nail on the head. Still, I think that it's important to remain realistic, but that doesn't mean you have to give up hope.