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

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]The videos from Italian hospitals showed many people with clear balloon type equipment over their heads. it was some form of non intubated pressurized ventilation. I have never seen those here but maybe we have them?[/quote]

We don't, they are not FDA approved here, although we do have other forms of NIV that can be used for patients who are not the most severe.  But it he most severe situations, there needs to be more precise control of pressures and of the airway than either a helmet or a mask can provide, so they need to intubate.  [/quote]

Interesting, thanks. They seemed to be using them for cases that needed more than oxygen or a mask but less than a ventilator. Do we have noninvasive mechanical options similar to the helmet?[/quote]

In the US NIV (non invasive ventilation) is generally delivered with a mask.  But it's different from someone who is just getting oxygen through a mask.  It works basically the same way as the helmet, by increasing the pressure from the outside.  It works for some patients and not for others.  It is being widely used with COVID patients, but the sickest patients still need to be intubated.

One issue with NIV is that many of the masks that are in use are vented, which exposes everyone in the room to aerosolized lung contents.   If you read the recent article about hospitals repurposing scuba masks, they are using them for NIV, when they have run out of masks that aren't vented. [/quote]

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