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 ...
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.
I read that might help. What is the theory behind it. The patent has run out and the drug is cheap.
What hardware is running at 60 GHz?
we've been had....
American public is so stupid....you think they hear anything beyond the 6 pm headline and the cnn scroll?...they don’t....
Not a change of tune. Link is to his earlier video from which the article probably drew, perhaps with a twist?
Replace disease with the word weapon in your statement.
https://www.youtube.com/watch?v=XMJ0EmMfb3U
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.
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!
Not a fan of the rapid installation of 5G but I don’t buy that the disease is emanating from 5G frequencies.
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.
Ventiators?
Yeah that’s it. Thanks 8>)
If that article is true, what could you do in an ER situation to increase iron in the blood?
“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.
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.
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
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
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