Quick Tip for Families in Intensive Care: Should My Dad in ICU Ventilated & Tracheostomy, Necrotizing Pneumonia and Pneumothorax Go to LTAC (Long-Term Acute Care)?
Update: 2025-08-01
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Quick Tip for Families in Intensive Care: Should My Dad in ICU Ventilated & Tracheostomy, Necrotizing Pneumonia and Pneumothorax Go to LTAC (Long-Term Acute Care)?
“Should my dad with chronic hypoxemic respiratory failure, tracheostomy, and history of necrotizing pneumonia with ongoing concerns for right-sided pneumothorax go to LTAC instead of staying in ICU?” That’s the question I’m going to answer today, and let’s look at it in much detail.
My name is Patrik Hutzel from intensivecarehotline.com, and I have another quick tip for families in intensive care.
So currently, we’re working with a client and member who has their father in ICU, and has been having their father in ICU for quite some time now, with chronic hypoxemic respiratory failure, has a tracheostomy, is ventilated, and has a history of necrotizing pneumonia with ongoing right-sided pneumothorax.
Clearly, nobody should be going to LTAC (Long-Term Acute Care) on a ventilator with a tracheostomy. The reasons for that is that, when clients go from ICU or critical care into LTAC, and for those of you that don’t know what LTACs mean, LTAC stands for Long-Term Acute Care Hospitals. This is basically only happening in the U.S.
Many patients in intensive care on a ventilator with the tracheostomy and the PEG (Percutaneous Endoscopic Gastrostomy) tube are being pushed out from ICU to LTAC. It’s a massive system failure, and the reason I’m saying that is, we have literally clients coming and families coming to us and asking us to help them get them out of LTAC . They’re literally begging us because the system is so bad. The LTACs are so bad.
Because LTACs, quite frankly, are a scam. As a matter of fact, I’ve made a video about it a while ago, “10 Reasons Why LTACs in the U.S. are a Scam,” and I encourage you to look at the online reviews of LTACs, any LTAC around the U.S., and they’re not good. People are dying in LTACs, it’s a complete system failure.
When it comes to necrotizing pneumonia, that needs specialized care, which patients in LTAC simply don’t get. With necrotizing pneumonia and also ongoing pneumothoraces, that needs specialized medical and nursing care, which simply is not available in LTACs.
Another thing that is happening with this particular member is that the hospital is trying to impose a DNR (do not resuscitate) order for this particular patient. We obviously have advised the family that they shouldn’t sign for a DNR or that it’s completely inappropriate. It’s actually up to the family and not to the hospital when the patient should be made DNR and there’s no wish from the family or the patient to have a DNR,
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