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Intensive Care

Why are some patients admitted to Intensive Care with COVID-19?

COVID-19 can cause respiratory or breathing difficulties. Some patients will need specialist support with their breathing e.g. using a tight-fitting face mask (called CPAP) or a ventilator (breathing machine or life support machine). The virus affects many other organs, however, and some patients will need support with their blood pressure (with drugs or specialist equipment) or their kidneys (with a kidney machine). Some patients will be admitted to Intensive Care as a precaution, as we know that some patients can deteriorate quite quickly. The Intensive Care Unit is the safest place to look after these patients, as it has high numbers of highly skilled and staff who are very experienced in the use of specialist support. 

Visits from family members may not be allowed at this time

This is to protect family members from picking up COVID-19. We know that this will be very upsetting to patients and families.The staff will work very hard to make sure that families are kept up to date by phone. Many Intensive Care Units are using online or "virtual" visiting, which means that family members can see their loved ones, using mobile phones or tablets, and speak to them if they are awake. In this section, we’ve provided some general information on common equipment and treatments, including how and why they’re used. We’ve also provided some information on routine care, the staff who work in Intensive Care and the sorts of things they will have done to help you or your family member.

 

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Web Link: Tests & treatments: find out more

This link will take you to the webpage of NHS Inform.Here, you'll find easily understandable information on common tests (eg blood tests, various types of scans, etc ), medical treatments and surgical procedures (everything from a knee replacement to heart surgery).

Web Link: Tests explained

This link will take you to Lab Tests Online, a UK-based group. You can find information on various conditions and tests. It's written in slightly technical language (even though it's designed for patients), but we hope you find it helpful.

Article: Things you can do to help

You might feel quite helpless while you can't visit your loved one in Intensive Care, but there's are some things you can do to help him or her. Many Intensive Care Units are keeping patients and families connected by phone or "virtual visiting", using a a phone or tablet, so that you can see and/or speak to your loved one. Research tells us that patients find family and friends are a real lifeline when trying to make sense of a very strange environment. Speak to him or...

Article: Ventilator or breathing machine

What is a ventilator? The ventilator is also sometimes called a breathing machine or life support machine. Many patients with COVID-19 will need this sort of help with their breathing. How does a ventilator work? The ventilator or breathing machine is connected to the patient via a tubing system and a tube that is inserted into the patient's mouth and windpipe (a breathing tube, endotracheal or ET tube) .Sometimes the patient is connected to the ventilator via a tube that is...

Web Link: Ventilator or breathing machine: a short animated video

This link will take you to a short, animated video on what ventilators, breathing machines or life support machines do, and how they work.The video also describes some of the complications of spending time on a ventilator, breathing or life support machine. It's around 5 minutes long. We hope you find it helpful.

Web Link: Virtual or online visiting (Life Lines project)

This link will take you to the Life Lines project, a project that enables virtual, video or online visiting in Intensive Care, whilst families are not allowed to visit in person. Life Lines enables families to connect with their loved one and with the staff looking after them, using a tablet or mobile phone and an app (called aTouchAway™) on a secure online platform. Not all ICUs are using this or platform, however, and there are a number of different platforms in use. Ask the staff...

Article: Weaning from the ventilator

What is weaning? Weaning is the process through which we gradually reduce the amount of support patients receive from the ventilator or breathing machine.Our aim is to reduce the amount of support the patient receives and take the breathing tube out as soon as it is safe to do so.Research has shown that the sooner we do this, the less chance the patient has of developing a chest infection (called a ventilator associated pneumonia) and the less time they generally spend in Intensive...

Web Link: When someone dies: bereavement support (Cruse)

Sadly, not everyone survives Intensive Care. We are very sorry for your loss.This is the link to Cruse Bereavement Care, with specific advice for adults, children and young people on coping with bereavement due to coronavirus. There's also practical, regularly updated information on arranging and attending funerals.

Web Link: When someone dies: bereavement support for children

We're very sorry for your loss. This link will take you to the website of childbereavement uk. They are a UK-wide organisation who can help support families with children and young adults, when there is a death in the family. They provide a free confidential Helpline, staffed by trained professionals, face-to-face support (in some areas), and helpful leaflets that you can download or print off. Please see their website to find out more.

Article: Why can’t I remember what happened to me?

Why can't I remember what happened? There are a number of reasons why this happens; the sedative drugs we use to keep patients sleepy and comfortable whilst on the ventilator or breathing machine (sedation), how very ill you were or the type of illness you had. It can take a while to clear sedative drugs from the system, especially if you needed large amounts or if you received them for more than a few days. Patients who develop kidney problems can sometimes take longer to...