BIPAP actually sounds better, I wonder if they aren’t using it because the aerosolizing puts healthcare workers at more risk and maybe a lack of negative pressure rooms.
I also fear that with relatives locked out, healthcare directives are being ignored and people are being intubated who specified they didn’t want it. And at that point they have you sedated until you either can be extubated or you die. What I say about people who didn’t want intubation or resuscitation may be unrealistic if they also can’t provide palliative care and the person is gasping for breath. From: AF <af-boun...@af.afmug.com> On Behalf Of Robert Sent: Friday, April 10, 2020 11:51 AM To: af@af.afmug.com Subject: Re: [AFMUG] OT One month to go The CPAP/BIPAP with viral filtering is what changed a lot of outcomes in Italy... Without viral filtering contaminated a lot of wards before they understood that they were aerisolizing(sp?) the virus On 4/10/20 8:51 AM, Steve Jones wrote: yep, intubation is last resort. and of those 40% many will still die from post intubation pnemonia and infection unrelated to the COVID. Even experienced respiratory techs do a ton of laryngeal/tracheal damage upon insertion under good conditions. Rapid Sequence Intubation is high pressure many times under less than ideal conditions (ie coding). Skimmed an article that theyre beginning to thing that RSI is doing more harm than good and looking toward postitive pressure treatments akin to CPAP/BIPAP On Fri, Apr 10, 2020 at 10:27 AM Carl Peterson <cpeter...@portnetworks.com <mailto:cpeter...@portnetworks.com> > wrote: 40% is a pretty average survival rate for intubated patients. Great for Covid 19 from what I've read. On Thu, Apr 9, 2020 at 7:16 PM Ken Hohhof <af...@kwisp.com <mailto:af...@kwisp.com> > wrote: On today’s Pence/Birx/Fauci show I heard someone say how wonderful it was that New Orleans was reporting 40% of intubation patients coming off the ventilators rather than croaking. That’s pretty scary when a 40% survival rate is great news. -- AF mailing list AF@af.afmug.com <mailto:AF@af.afmug.com> http://af.afmug.com/mailman/listinfo/af_af.afmug.com
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