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By Dr. Neeraj Gupta in Pulmonology , Critical Care
Jun 12 , 2024 | 1 min read
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A ventilator is a life-saving machine designed to support or replace the natural breathing process. It provides a patient with an adequate amount of oxygen-rich air when their body cannot do so independently and assists in expelling harmful gasses like carbon dioxide, which is a by-product of metabolism. This function mirrors the essential role of the lungs: to intake oxygen from the atmosphere and expel carbon dioxide from the body.
The duration a patient may require ventilator support varies greatly, depending on the underlying condition. It can range from a few hours to several months. Patients undergoing surgery, experiencing trauma, or suffering from conditions such as sepsis, pneumonia, chronic obstructive pulmonary disease (COPD), neuromuscular diseases, and other illnesses that impair oxygen and ventilation may need a ventilator until their condition improves.
While ventilators are not inherently painful, they can be quite uncomfortable. Patients on ventilators often cannot speak or eat and may experience throat pain. To alleviate discomfort, it is common practice to sedate or sometimes even paralyze patients, depending on their specific needs. However, some patients remain fully awake while on a ventilator, requiring only mild sedation to stay calm and comfortable. When sedation is reduced or stopped, these patients can listen and communicate through writing.
It's important to note that being on a ventilator is not an indication of a terminal stage. The necessity for a ventilator is determined by the severity of the condition or disease. Recovery time can vary significantly; some patients recover quickly and are weaned off the ventilator, while others may require longer periods. In prolonged cases, a tracheostomy (a surgical opening in the windpipe) might be performed to facilitate easier and faster weaning from the ventilator. Ventilators play a crucial role in modern healthcare, providing critical support to patients when their own respiratory systems are compromised, thus buying time for recovery and healing.

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