Update on my cousin‘s father-in-law. It’s not going very well. They got his ventilator down to 60% but he wasn’t doing well and so for the last three days it’s been up to 90%. He’s been on the ventilator now for 12 days. On the 14th day they are going to discuss with his wife the option of a tracheotomy? I guess that is meant to help him wake up and not have to rely on the ventilator. His organs are doing well so for all intents and purposes he’s not actually getting worse besides all the bad stuff going on with him. So he’s not getting worse but he’s also not getting better.
The tracheotomy is more because your larynx was not designed to have a gigantic inflated balloon of an endotracheal tube and will begin to breakdown if not removed soon. A “trach” with its smaller size tube and balloon is better tolerated. But because a trach is more comfortable you can sometimes decrease sedation. I’m sorry things are not going well for him, I hope he gets well soon.