Intubated ventilator in Coronavirus patients. Soultion or problem. Why not to use unintubated?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Are you guys really looking to Italy for their medical technology and techniques? Their death rate is currently about 10x ours

But bubblehelmets look so futuristic. That must mean something, right?

Hm.. apparently only those in the bubblehelmets make it.

That would be because if they could be maintained on noninvasive ventilation, they weren't as sick as those moved to ventilators.

Selection bias: "Participants in research may differ systematically from the population of interest. For example, participants included in an influenza vaccine trial may be healthy young adults, whereas those who are most likely to receive the intervention in practice may be elderly and have many comorbidities, and are therefore not representative. Similarly, in observational studies, conclusions from the research population may not apply to real-world people, as the observed effect may be exaggerated or it is not possible to assume an effect in those not included in the study."
https://catalogofbias.org/biases/selection-bias/

[Anonymous]

My brother's a pulmonologist in CA treating COVID patients. He said in their general exprience, folks who need ventilators due to pneumonia caused by typical influenza or other common causes recover about 80% of the time. But with COVID, it's flipped, at they have seen 80% who need a ventilator end up dying.

[Anonymous]

Anonymous wrote:Non-medical people should never be discussing how to do medicine, ever. My god.

Because if we do... our heads will explode? Imagine, so much thinking. Who can think without 6 years of the
proper medical education. Even simple concepts are fooooooooosh.. flying above our heads.

Dude, DCUM average education rate is MS if not Ph.D.… so shhhhhhhhhhush..

[Anonymous]

Anonymous wrote:My brother's a pulmonologist in CA treating COVID patients. He said in their general exprience, folks who need ventilators due to pneumonia caused by typical influenza or other common causes recover about 80% of the time. But with COVID, it's flipped, at they have seen 80% who need a ventilator end up dying.

I would think that the problem is that with COVID VERY important thing is to cough. The people who have it complain
on chest tightness, their chest X rays show a hot mess in their lungs, so if you intubate them and hey can not cough
this alone can contribute to the high death rate if you ask me, but instead asks someone who knows better.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Are you guys really looking to Italy for their medical technology and techniques? Their death rate is currently about 10x ours

But bubblehelmets look so futuristic. That must mean something, right?

Hm.. apparently only those in the bubblehelmets make it.

That would be because if they could be maintained on noninvasive ventilation, they weren't as sick as those moved to ventilators.

Selection bias: "Participants in research may differ systematically from the population of interest. For example, participants included in an influenza vaccine trial may be healthy young adults, whereas those who are most likely to receive the intervention in practice may be elderly and have many comorbidities, and are therefore not representative. Similarly, in observational studies, conclusions from the research population may not apply to real-world people, as the observed effect may be exaggerated or it is not possible to assume an effect in those not included in the study."
https://catalogofbias.org/biases/selection-bias/

However if you read upstairs few posts up, someone who's brother works with the CV said that the survival rate on ventilators is flipped comparing to that of flue. Therefore perhaps the people who end up on ventilators with flue do not have such a bad lungs as those in CV hat is know to ravage their lungs.

[Anonymous]

Anonymous wrote:

Anonymous wrote:My brother's a pulmonologist in CA treating COVID patients. He said in their general exprience, folks who need ventilators due to pneumonia caused by typical influenza or other common causes recover about 80% of the time. But with COVID, it's flipped, at they have seen 80% who need a ventilator end up dying.

I would think that the problem is that with COVID VERY important thing is to cough. The people who have it complain
on chest tightness, their chest X rays show a hot mess in their lungs, so if you intubate them and hey can not cough
this alone can contribute to the high death rate if you ask me, but instead asks someone who knows better.

You are an idiot. Coughing is not going to help oxygenate the body.

[Anonymous]

Anonymous wrote:

Anonymous wrote:My brother's a pulmonologist in CA treating COVID patients. He said in their general exprience, folks who need ventilators due to pneumonia caused by typical influenza or other common causes recover about 80% of the time. But with COVID, it's flipped, at they have seen 80% who need a ventilator end up dying.

I would think that the problem is that with COVID VERY important thing is to cough. The people who have it complain
on chest tightness, their chest X rays show a hot mess in their lungs, so if you intubate them and hey can not cough
this alone can contribute to the high death rate if you ask me, but instead asks someone who knows better.

When someone is on a ventilator, there are procedures, like chest PT, and cough assist, that can provide the same benefits as coughing, if that's what is right for that person.

[Anonymous]

People with the flu and pneumonia who end up on intubated ventilation could not be maintained on less invasive measures. Same for COVID-19.

People who can be maintained on non0invasive ventilatory support of any kind are not as sick as those who fail that measure, and so will always have a better overall survivor rate than sicker people.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Who does operate this, a patient? A first responder? A nurse? ..

National guard.

Ok crazy question I know but could these be used at home?

Theoretically, yes, but I wouldn’t pin my hopes on that.

No my hopes are pinned on a plush private ICU room at GW with well rested attendings, up-to-date med students and experienced nurses.

But seeing how other places are faring, I doubt that's in the cards, so as a family of asthmatics with a compromised infant, we may soon be reaching for the proverbial straws...

Not all bad..
Cheer up.. even if you got there it could have been a very short trip..
Officials at George Washington University Hospital in the District say they ... of imposing a do-not-resuscitate order on every coronavirus patient.
https://www.washingtonpost.com/health/2020/03/25/coronavirus-patients-do-not-resucitate/

It says they are going to be doing a modified procedure. It does seem like once you are flat lining from CV, reviving is unlikely to work... But I would still not want to by lying around with a DNR on my chest until iz was clear i was on the way out.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Non-medical people should never be discussing how to do medicine, ever. My god.

Because if we do... our heads will explode? Imagine, so much thinking. Who can think without 6 years of the
proper medical education. Even simple concepts are fooooooooosh.. flying above our heads.

Dude, DCUM average education rate is MS if not Ph.D.… so shhhhhhhhhhush..

Don’t take the ventilator for yourself or your loved one. There are not enough ventilators. Save them for someone who wants and needs one.

[Anonymous]

If someone ends up in bad shape with COVID, it's not a problem coughing will solve. It's not like you just clear your lungs by coughing up mucus. The respiratory problems are caused by a really, really wicked and intense inflammatory process at the cellular level that we're not understanding now and can't find a way to treat.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Who does operate this, a patient? A first responder? A nurse? ..

National guard.

Ok crazy question I know but could these be used at home?

Theoretically, yes, but I wouldn’t pin my hopes on that.

No my hopes are pinned on a plush private ICU room at GW with well rested attendings, up-to-date med students and experienced nurses.

But seeing how other places are faring, I doubt that's in the cards, so as a family of asthmatics with a compromised infant, we may soon be reaching for the proverbial straws...

Not all bad..
Cheer up.. even if you got there it could have been a very short trip..
Officials at George Washington University Hospital in the District say they ... of imposing a do-not-resuscitate order on every coronavirus patient.
https://www.washingtonpost.com/health/2020/03/25/coronavirus-patients-do-not-resucitate/

It says they are going to be doing a modified procedure. It does seem like once you are flat lining from CV, reviving is unlikely to work... But I would still not want to by lying around with a DNR on my chest until iz was clear i was on the way out.

The CV is tricky. It put GIGANTIC strain on lungs, hearts, kidneys.. and it is not that hard to have a heart problems in it at any age. Therefore if your heart would struggle and they call it quits you are cooked. Even if you could have easily live more just by restarting it. If they go umbrella DNR.. that would be a death sentence at any age in any situation.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Who does operate this, a patient? A first responder? A nurse? ..

National guard.

Ok crazy question I know but could these be used at home?

Theoretically, yes, but I wouldn’t pin my hopes on that.

No my hopes are pinned on a plush private ICU room at GW with well rested attendings, up-to-date med students and experienced nurses.

But seeing how other places are faring, I doubt that's in the cards, so as a family of asthmatics with a compromised infant, we may soon be reaching for the proverbial straws...

Not all bad..
Cheer up.. even if you got there it could have been a very short trip..
Officials at George Washington University Hospital in the District say they ... of imposing a do-not-resuscitate order on every coronavirus patient.
https://www.washingtonpost.com/health/2020/03/25/coronavirus-patients-do-not-resucitate/

It says they are going to be doing a modified procedure. It does seem like once you are flat lining from CV, reviving is unlikely to work... But I would still not want to by lying around with a DNR on my chest until iz was clear i was on the way out.

The CV is tricky. It put GIGANTIC strain on lungs, hearts, kidneys.. and it is not that hard to have a heart problems in it at any age. Therefore if your heart would struggle and they call it quits you are cooked. Even if you could have easily live more just by restarting it. If they go umbrella DNR.. that would be a death sentence at any age in any situation.

The COVID-19 at that level is the death sentence.

There is 0% rate of CPR helping, worldwide, if you are a COVID-19 patient on a ventilator. And you can't shock someone without a rhythm -- you have to do CPR. And it never has worked, PP.

The death sentence isn't from not doing CPR.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:My brother's a pulmonologist in CA treating COVID patients. He said in their general exprience, folks who need ventilators due to pneumonia caused by typical influenza or other common causes recover about 80% of the time. But with COVID, it's flipped, at they have seen 80% who need a ventilator end up dying.

I would think that the problem is that with COVID VERY important thing is to cough. The people who have it complain
on chest tightness, their chest X rays show a hot mess in their lungs, so if you intubate them and hey can not cough
this alone can contribute to the high death rate if you ask me, but instead asks someone who knows better.

You are an idiot. Coughing is not going to help oxygenate the body.

Aren't we all? I might be an idiot but at least I am not rude like you.
You are young and inexperienced so I forgive you. But go and learn some kindness..

Coughing is NOT to oxygenate the body, it is to HELP to remove bacteria products and all that so it does not sit in the airbubbles and kills you!

Clearing mucus from the lungs is an important part of managing lung disease
https://www.verywellhealth.com/five-techniques-to-clear-mucus-from-the-lungs-914841

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:My brother's a pulmonologist in CA treating COVID patients. He said in their general exprience, folks who need ventilators due to pneumonia caused by typical influenza or other common causes recover about 80% of the time. But with COVID, it's flipped, at they have seen 80% who need a ventilator end up dying.

I would think that the problem is that with COVID VERY important thing is to cough. The people who have it complain
on chest tightness, their chest X rays show a hot mess in their lungs, so if you intubate them and hey can not cough
this alone can contribute to the high death rate if you ask me, but instead asks someone who knows better.

You are an idiot. Coughing is not going to help oxygenate the body.

Aren't we all? I might be an idiot but at least I am not rude like you.
You are young and inexperienced so I forgive you. But go and learn some kindness..

Coughing is NOT to oxygenate the body, it is to HELP to remove bacteria products and all that so it does not sit in the airbubbles and kills you!

Clearing mucus from the lungs is an important part of managing lung disease
https://www.verywellhealth.com/five-techniques-to-clear-mucus-from-the-lungs-914841

If someone with COVID is a candidate for a respirator, coughing up sputum is not going to help. Do some basic reading on ARDS. This is serious lung damage that prevents oxygenation.