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When you rely on life supporting devices to make it through each day, careful diligence needs to be taken to prevent tragic events. As I reflect back on the many blessings in my life, I am forever thankful for a fast thinking nurse who saved my life. Without this man’s help, I would have died four and a half years ago. #lifewithavent #tracheostomy #cantbreathe
In May of 2017, I was very sick. My respiratory muscles were not strong enough to sustain my breathing needs; high carbon dioxide levels were threatening to end my life. I underwent an urgent tracheostomy procedure in which a tracheostomy tube was placed into my airway and I was started on invasive ventilation.
When I had the procedure done, I knew very little about ventilators or tracheostomy tubes. I had complete faith that my doctors and the medical staff at the hospital had extensive knowledge about these items. What I soon learned is that they knew very little.
While I was recovering from the tracheostomy procedure, my respiratory care was less than ideal. A respiratory therapist would come to my bedside and suction my lungs once or twice a day. My breathing was noisy. It was evident there was a lot of mucus in my tracheostomy tube. However, when the respiratory therapist came, my tracheostomy tube would be suctioned only one time. The respiratory therapist would then leave. #TracheostomySuctioning
A few days after surgery, I was struggling to breathe. No one came to my room to do airway management all day. The intensive care unit was short staffed, which meant my tracheostomy and ventilator were neglected.
For a normal person, the nose and mouth moisten the inspired air before it enters the lungs. For a person with a tracheostomy tube, the upper airways are bypassed. Room air is dry, which means the dry air enters the lungs and causes the airways to dehydrate. It is absolutely essential to keep the airways moist to prevent mucus plugging the tracheostomy tube. If a tracheostomy tube becomes completely clogged with mucus, a person will not be able to breathe and will die.
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For this reason, there is a heated humidifier attached to ventilators. This machine warms and moistens the inhaled air. In order for the machine to work, there must be water in the humidification chamber. Without water in the humidifier, the inhaled air remains dry.
My humidifier ran out of water early in the day. The respiratory therapist never visited me. So, the air I was breathing was very dry. As the hours passed, the mucus in my airways became extremely thick.
Finally at 11:30 p.m. my lungs were suctioned, but by this time, suctioning was ineffective. The mucus in my tracheotomy tube was too thick to be collected through the suction catheter. The respiratory therapist left, leaving my water chamber empty. In a vain effort to get my lungs rehydrated, I found the sterile water and filled my humidification chamber. I hoped and prayed the mucus in my lungs would loosen up overnight. #Ican'tBreathe
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