Mum on ventilator and feeling extremely breathless

Hi everyone. My mum is a stage 4 lung cancer patient. She has been on a great immunitherapy trial and up until now everything has been going well. Unfortunately we recently encountered some complications. She had to have a chest catheter put in to drain fluid from her chest which none of the doctors seemed able to control. This eventually led to an infection which led to severe sepsis. She ended up fighting for her life in intensive care for a week in a coma and on a ventilator.

Anyway, Mum beat the sepsis against all the odds and she has been slowly bought round back to reality. She is actaully doing really well and making progress every day. She's had a traciostomy and they are trying to gradually wean her from the ventilator. She's on track. However, there is just one big problem...

Mum is feeling constantly and torturously breathless. All the machines show her stats are great. Her lungs are filling up with air. Her O2 levels are better than mine. The ventilator doesn't show she's fighting for breath, But no matter what we do we can not shake this awful sensation. Doctors seem unable to suggest anything other than more pain meds and diazapam which make her sleepy. We have tried all the usual things such as controled breathing, changing positions, relaxation techniques. Nothing seems to work and Mum is exhausted and beyond frustrated. The breathlesness sometimes causes terrible panic which of course just makes it worse.

I can't stand watching her struggling like this and I'm desperate to find a way of helping her. It is so difficult. As one doctor put it, when you can't breath nothing else matters. So Mum just spends her days in ICU trying to breath. She can't read, watch TV,  or even send a text message. She's in an awful state and I'm out of ideas. Can anyone help?

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    Hi Margolised,

    Welcome to Cancer Chat, although I’m sure that you would rather be anywhere else but here.

    I am so sorry to hear about your Mum’s diagnosis and hope that you can help her to get her breathing sorted. Do the doctors think that there may be an obstruction in the airways to cause this or might it be as the result of her infection or the extent of her cancer?

    I lost my own mother to secondaries from breast cancer 12 years after she was diagnosed. She eventually had metastases in her liver, lungs, brain and bones and it was heart-breaking to watch her deteriorate so quickly at the end. We had similar problems with Mum’s Ascites, They took her into hospital to drain this, but couldn’t attach the catheter well enough to stop it leaking all over the bed. There was a high possibility that we could have lost her to pneumonia as a result of that. Fortunately, a trainee nurse came in one morning with the solution and she gradually picked up again after that.

    This doesn’t sound like the best time to try and wean her off the ventilator. If she is having these problems when she is still on it, I would expect that the breathlessness can only get worse when she doesn’t have the ventilator. Her oxygen levels should be up if she has been on a ventilator, but the question is, will they stay up if they take her off it?

    I certainly sympathise with you, but I have no other suggestions. You Mum sounds like a real trouper to have come through so much. It is no fun gasping for every breath. Why not make a list of questions to ask her care team next time you see them? There must be some reason why she is having so much bother.

    I am thinking of you both and praying for a solution.

    Please keep in touch and let us know if you can find anything to help. Remember, we are always here for you, whenever you want to talk.

    Kind regards,

     Jolamine xx