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In Reply to: Are the ventilators doing more harm than good? posted by Mr. Dick Hertz on April 8, 2020 at 08:07:58:
I read this article from one of my daily email notifications before seeing this thread.
From the STAT (About STAT [from theie website]: STAT delivers fast, deep, and tough-minded journalism about health, medicine, life sciences and the fast-moving business of making medicines...) article
"With ventilators running out, doctors say the machines are overused for Covid-19" (link below):
"The question is whether ICU physicians are moving patients to mechanical ventilators too quickly. "Almost the entire decision tree is driven by oxygen saturation levels," said the emergency medicine physician, who asked not to be named so as not to appear to be criticizing colleagues.
That's not unreasonable. In patients who are on ventilators due to non-Covid-19 pneumonia or acute respiratory distress, a blood oxygen level in the 80s can mean impending death, with no room to give noninvasive breathing support more time to work. Physicians are using their experience with ventilators in those situations to guide their care for Covid-19 patients. The problem, critical care physician Cameron Kyle-Sidell told Medscape this week, is that because U.S. physicians had never seen Covid-19 before February, they are basing clinical decisions on conditions that may not be good guides.
"It's hard to switch tracks when the train is going a million miles an hour," said Kyle-Sidell, who works at a New York City hospital. "This may be an entirely new disease," making ventilator protocols developed for other conditions less than ideal."
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Follow Ups
- RE: Are the ventilators doing more harm than good? - Krav Maga 04/8/2016:21:41 04/8/20 (2)
- RE: Are the ventilators doing more harm than good? - Inmate51 16:35:42 04/8/20 (1)
- Anonymous doctors remind me of ... - emailtim 20:12:24 04/8/20 (0)