A bit of a random question, but do NICU kiddos fall under the same rule regarding the ET tube to trach as adults? I'm a newbie working in an ICU and for our guys and gals its about 2 weeks with a ET tube and then you're trached (unless a trach was otherwise indicated). I'm just trying to imagine this going down considering some of the babies you work with are so teeny tiny and babies in general barely have necks. Just curious!
You’ll find that our neonates rarely fall under guidelines for other places. ;)
Our kiddos will get trachs if they have a structural issue or chronic lung disease. There are different gestational age and weight requirements for each. I’m sorry that I don’t have more detailed info on it.
Generally speaking though, it’s not unheard of for our patients to spend months traditional intubated on a ventilator. Although some docs are looking into “prophylactically” traching our kiddos to avoid the barotrauma associated with long term intubation.
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