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With ventilators running out, doctors say the machines are overused for Covid-19
statnews.com ^ | 4/8/20 | SHARON BEGLEY

Posted on 04/08/2020 6:08:52 PM PDT by CaptainK

Even as hospitals and governors raise the alarm about a shortage of ventilators, some critical care physicians are questioning the widespread use of the breathing machines for Covid-19 patients, saying that large numbers of patients could instead be treated with less intensive respiratory support.

If the iconoclasts are right, putting coronavirus patients on ventilators could be of little benefit to many and even harmful to some.

What’s driving this reassessment is a baffling observation about Covid-19: Many patients have blood oxygen levels so low they should be dead. But they’re not gasping for air, their hearts aren’t racing, and their brains show no signs of blinking off from lack of oxygen.

That is making critical care physicians suspect that blood levels of oxygen, which for decades have driven decisions about breathing support for patients with pneumonia and acute respiratory distress, might be misleading them about how to care for those with Covid-19. In particular, more and more are concerned about the use of intubation and mechanical ventilators. They argue that more patients could receive simpler, noninvasive respiratory support, such as the breathing masks used in sleep apnea, at least to start with and maybe for the duration of the illness.

“The patients in front of me are unlike any I’ve ever seen,” Kyle-Sidell told Medscape about those he cared for in a hard-hit Brooklyn hospital. “They looked a lot more like they had altitude sickness than pneumonia.”

(Excerpt) Read more at statnews.com ...


TOPICS: Government; News/Current Events
KEYWORDS: emptyhospitals; fud; herdimmunity; swag; ventilators
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To: CaptainK

Ventilators are not running out. And they won’t run out. We don’t need as many as first thought based on flawed models. There are so many in the pipeline that we will soon have more ventilators than we can possibly use, hence Trump saying we will be sending many of them abroad.

Once a patient gets on a ventilator, it is usually game over. Two- thirds or more die. The other third may suffer permanent lung damage.


21 posted on 04/08/2020 6:35:07 PM PDT by kabar
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To: SC DOC

I read that might help. What is the theory behind it. The patent has run out and the drug is cheap.


22 posted on 04/08/2020 6:36:38 PM PDT by P-Marlowe (Freep mail me if you want to be on my Fingerstyle Acoustic Guitar Ping List)
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To: MHGinTN

What hardware is running at 60 GHz?


23 posted on 04/08/2020 6:36:47 PM PDT by Paladin2
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To: dadfly
our hospital many nurses called off due to low census....many unused beds waiting for that "surge"...

we've been had....

24 posted on 04/08/2020 6:37:47 PM PDT by cherry
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To: CincyRichieRich

American public is so stupid....you think they hear anything beyond the 6 pm headline and the cnn scroll?...they don’t....


25 posted on 04/08/2020 6:40:03 PM PDT by cherry
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To: Robert DeLong

Not a change of tune. Link is to his earlier video from which the article probably drew, perhaps with a twist?


26 posted on 04/08/2020 6:41:14 PM PDT by MHGinTN (A dispensation perspective is a powerful tool for discernment)
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To: CaptainK

Replace disease with the word weapon in your statement.
https://www.youtube.com/watch?v=XMJ0EmMfb3U


27 posted on 04/08/2020 6:41:59 PM PDT by JCL3 (As Richard Feynman might have said, this is reality taking precedence over public relations.)
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To: cherry

Having looked at today’s polls, I tend to agree with you on the level of stupidity on the American public.

I am hoping that with the public health measures working and the realization we now have enough equipment, maybe they might give Trump a little bit of a reward.


28 posted on 04/08/2020 6:42:26 PM PDT by hawkaw
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To: CaptainK

Trump needs an EO that anyone not perscribing Hydroxychloquine and zinc without good reason will be tried not only for malpractice but murder. There is no way in hell I would waste time on a ventilator before I demanded Trump drugs!


29 posted on 04/08/2020 6:42:30 PM PDT by Bommer (I am a MAGA-Deplorian! It is the way! It is the only way!)
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To: MHGinTN

Not a fan of the rapid installation of 5G but I don’t buy that the disease is emanating from 5G frequencies.


30 posted on 04/08/2020 6:42:54 PM PDT by CaptainK ('No collusion, no obstruction, he's a leaker')
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To: Robert DeLong

1) Without the iron ion, hemoglobin can no longer bind to oxygen. Once all the hemoglobin is impaired, the red blood cell is essentially turned into a Freightliner truck cab with no trailer and no ability to store its cargo.. it is useless and just running around with COVID-19 virus attached to its porphyrin. All these useless trucks running around not delivering oxygen is what starts to lead to desaturation, or watching the patient’s spo2 levels drop. It is INCORRECT to assume traditional ARDS and in doing so, you’re treating the WRONG DISEASE. Think of it a lot like carbon monoxide poisoning, in which CO is bound to the hemoglobin, making it unable to carry oxygen. In those cases, ventilators aren’t treating the root cause; the patient’s lungs aren’t ‘tiring out’, they’re pumping just fine. The red blood cells just can’t carry o2, end of story. Only in this case, unlike CO poisoning in which eventually the CO can break off, the affected hemoglobin is permanently stripped of its ability to carry o2 because it has lost its iron ion. The body compensates for this lack of o2 carrying capacity and deliveries by having your kidneys release hormones like erythropoietin, which tell your bone marrow factories to ramp up production on new red blood cells with freshly made and fully functioning hemoglobin. This is the reason you find elevated hemoglobin and decreased blood oxygen saturation as one of the 3 primary indicators of whether the shite is about to hit the fan for a particular patient or not.

https://www.tigerdroppings.com/rant/politics/covid-may-primarily-be-impacting-hemoglobin-and-why-that-matters/89441362/


31 posted on 04/08/2020 6:43:48 PM PDT by TexasGator (Z1z)
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To: CaptainK; RummyChick; econjack; Osage Orange; Buckeye McFrog; Trumpnado2016; jdsteel; GailA; ...
Very interesting, this, about using CPAPs and BiPAPs in preference to ventilation in C-19 patients, because of some very strange, unique characteristics of coronavirus disease progression.
32 posted on 04/08/2020 6:46:13 PM PDT by Mrs. Don-o (For God has not given us a spirit of fear, but of power and of love and of a sound mind. 2 Tim 1:7)
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To: CaptainK

Ventiators?


33 posted on 04/08/2020 6:53:16 PM PDT by TNoldman (AN AMERICAN FOR A MUSLIM/BHO FREE AMERICA. (Owner of Stars and Bars Flags))
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To: TexasGator

Yeah that’s it. Thanks 8>)


34 posted on 04/08/2020 6:57:36 PM PDT by Robert DeLong
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To: TexasGator

If that article is true, what could you do in an ER situation to increase iron in the blood?


35 posted on 04/08/2020 6:57:46 PM PDT by CaptainK ('No collusion, no obstruction, he's a leaker')
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To: CaptainK

“If that article is true, what could you do in an ER situation to increase iron in the blood?”

They can be given Oxygen but anything else is above my paygrade.


36 posted on 04/08/2020 7:00:26 PM PDT by TexasGator (Z1z)
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To: CaptainK
The problem is not the lungs. It is that the virus affects the red blood cells ability to function and deliver oxygen. Vents won’t help that at all. .
37 posted on 04/08/2020 7:00:52 PM PDT by hinckley buzzard (Power is more often surrendered tha)
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Good idea, the pulmonary hypertension drug Revatio, the same as viagra but differently named for this use. Oops, I see you ARE the doc and know this. Was just wondering who would think you’re being flippant.


38 posted on 04/08/2020 7:01:14 PM PDT by F450-V10
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To: Mrs. Don-o
BiPaps are not the preference....at all.

Many say that's the wrong thing to do.....

So it's all confusing...

I hooked up an 80 yr old lady on BiPap last Friday...

Very bad case...and I would not have ordered it..myself. A DNR pt..that was dying.

Nonetheless the provider wanted it.

She tested NEG for the corona, the next day...which the test was unwarranted in my opinion also...Did NOT have the 3 CDC symptoms...

Interesting thing...she tested positive for Meth

39 posted on 04/08/2020 7:01:39 PM PDT by Osage Orange (FWIW)
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To: CincyRichieRich

And that makes the entire rest of the article suspect. All of the ones I have seen with low oxygen are breathing like freight trains and are tachycardic (heart racing). Yes there are a few that are not as distressed by low oxygen but we see that in other diseases like copd as well


40 posted on 04/08/2020 7:02:38 PM PDT by Mom MD
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