Oxygen deprivation because of ARDS has long been a concern. However, using ECMO is a high tech solution that is not available in enough numbers in a major epidemic to be practical. However, there might be a way around this problem.
“Oxygen therapeutics blood substitutes” are types of artificial blood that are being researched as blood replacements in emergency situations. However, they have one important difference with blood in that some kinds can carry *more* oxygen than can hemoglobin.
If someone’s lungs are damaged, so they cannot get enough oxygen to their internal organs, they will likely still be getting oxygen, just not enough.
So instead of using a lot of oxygen therapeutics blood substitute to *replace* their blood, why not use it to *augment* their blood? That is, so that their blood carries *more* oxygen through their bloodstream to their internal organs.
Instead of getting a pint of oxygen therapeutics in an IV, just a shot in the arm would have the same effect as increasing the amount of oxygen they are breathing in the air.
If they can still breathe on their own, they could be issued a common oxygen generator and given a shot of oxygen therapeutics in the arm, so even with some lung problems, there would still be a lot of oxygen getting to their internal organs.
Thanks , your insight is appreciated , and since ECMO
are in short supply .
Oxygen therapeutics blood substitutes would be very helpful .
Thanks :)
an interesting discussion about ECMO on Allnurses.com
http://allnurses.com/pandemic-flu-forum/ecmo-will-we-410682-page6.html
I was wondering about L-Glutamine.