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re: Someone Asked Why Aren’t CPAP Machines Being Used As Ventilators

Posted on 3/26/20 at 8:41 pm to
Posted by greygoose
Member since Aug 2013
11461 posts
Posted on 3/26/20 at 8:41 pm to
quote:

read a pretty good article on this topic yesterday. Cpap's usually operate with a discharge pressure up to 19 inches of water,


Stopped reading right there! Somebody is trying inflate a semi-truck tire?
Posted by DMAN1968
Member since Apr 2019
10149 posts
Posted on 3/26/20 at 8:42 pm to
quote:

When they talk about retro fitting machines, they are basically adding the controls required to perform those functions.

It's going to take more than a firmware update. By the time they figure it out we will have it under control.
Posted by Mfdtiger
Deatsville, Alabama
Member since Oct 2010
730 posts
Posted on 3/26/20 at 8:45 pm to
A CPAP is not a vent, completely different systems. However, below is all you need, plus some high flow O2. May need a schedule for breaks. Just squeeze 8-10 per min.







Posted by auggie
Opelika, Alabama
Member since Aug 2013
28016 posts
Posted on 3/26/20 at 8:48 pm to
quote:

Can you repair that?

Yes, if I have the parts available.
All of these controls are pretty much the same as every robot or CNC machine at every factory in America. They all are controlled by computers and PLC, Program Logic Control.
Posted by DMAN1968
Member since Apr 2019
10149 posts
Posted on 3/26/20 at 8:49 pm to
quote:

A CPAP is not a vent, completely different systems. However, below is all you need, plus some high flow O2. May need a schedule for breaks. Just squeeze 8-10 per min.

About the longest I've had to do that on a patient was around an hour. This particular patient had my hands cramping up in about 45 minutes...arms were sore for a few days.
Posted by greygoose
Member since Aug 2013
11461 posts
Posted on 3/26/20 at 8:50 pm to
quote:

Mfdtiger


Thanks for the PTSD! Wore thru gloves, and ended up with blisters on my fingers!
Posted by DMAN1968
Member since Apr 2019
10149 posts
Posted on 3/26/20 at 8:51 pm to
quote:

Yes, if I have the parts available.
All of these controls are pretty much the same as every robot or CNC machine at every factory in America. They all are controlled by computers and PLC, Program Logic Control.

You can't just plug in the ODBII scanner to point out the problem on these machines. Also, you don't just zip down to AutoZone for some new parts. It's not the same.
Posted by Mfdtiger
Deatsville, Alabama
Member since Oct 2010
730 posts
Posted on 3/26/20 at 8:52 pm to
Done it plenty of times, but if it’s my family member and no vent. We will set up a rotation.
Posted by greygoose
Member since Aug 2013
11461 posts
Posted on 3/26/20 at 8:52 pm to
quote:

Yes, if I have the parts available.
All of these controls are pretty much the same as every robot or CNC machine at every factory in America. They all are controlled by computers and PLC, Program Logic Control.


Dang Tesla, I think you've found a new business venture! Converting CPAPs into ventilators!
Posted by Flats
Member since Jul 2019
21802 posts
Posted on 3/26/20 at 8:54 pm to
quote:

Stopped reading right there! Somebody is trying inflate a semi-truck tire?


Yeah, I almost jumped into this discussion but it would just annoy me.
Posted by greygoose
Member since Aug 2013
11461 posts
Posted on 3/26/20 at 8:56 pm to
quote:

About the longest I've had to do that on a patient was around an hour. This particular patient had my hands cramping up in about 45 minutes...arms were sore for a few days.



Rotated with a male nurse in the ER one night on a nursing home patient brought in by ambulance. Had a DNR, but the young grandson said "Do all you can". Broke about 3-4 ribs doing CPR, bagging was the "break". Still wore thru gloves and had blisters on my fingers.
Posted by auggie
Opelika, Alabama
Member since Aug 2013
28016 posts
Posted on 3/26/20 at 8:59 pm to
quote:

Dang Tesla, I think you've found a new business venture! Converting CPAPs into ventilators!


No thanks, there are plenty of other people who can do that. It's not even hard. Any maintenance man who knows PLC and air controls for feeding, clamping, switching, on an automated assembly line can do that.
Posted by DMAN1968
Member since Apr 2019
10149 posts
Posted on 3/26/20 at 9:01 pm to
quote:

Had a DNR, but the young grandson said "Do all you can".

Need to make these kind of people come in the room and do the first compression...so they can feel and hear the ribs break. I hate those people.
Posted by greygoose
Member since Aug 2013
11461 posts
Posted on 3/26/20 at 9:05 pm to
quote:

Need to make these kind of people come in the room and do the first compression...so they can feel and hear the ribs break. I hate those people.


Nothing quite like doing CPR on a 90 y/o, 89 lb woman.
Posted by auggie
Opelika, Alabama
Member since Aug 2013
28016 posts
Posted on 3/26/20 at 9:06 pm to
quote:

You can't just plug in the ODBII scanner to point out the problem on these machines. Also, you don't just zip down to AutoZone for some new parts. It's not the same.


I guess, you aren't familiar with Grainger?
I would think the medical facility would keep parts on hand? If not, then they are idiots.
Posted by greygoose
Member since Aug 2013
11461 posts
Posted on 3/26/20 at 9:09 pm to
quote:

No thanks, there are plenty of other people who can do that. It's not even hard. Any maintenance man who knows PLC and air controls for feeding, clamping, switching, on an automated assembly line can do that.


Make sense. I guess that's why all those HVAC repairmen should supplant all those MDs with Bio-Med engineering degrees. Maybe healthcare costs will go down?
Posted by greygoose
Member since Aug 2013
11461 posts
Posted on 3/26/20 at 9:12 pm to
quote:

I guess, you aren't familiar with Grainger?
I would think the medical facility would keep parts on hand? If not, then they are idiots.



Damn! I feed the troll! You got me. Good one!
Posted by auggie
Opelika, Alabama
Member since Aug 2013
28016 posts
Posted on 3/26/20 at 9:17 pm to
quote:

Make sense. I guess that's why all those HVAC repairmen should supplant all those MDs with Bio-Med engineering degrees. Maybe healthcare costs will go down?


One thing is for sure, if those bio-med types can convince you, that they are the only people who can figure how to perform a simple function, it's going to cost you dearly. They are going to make sure of it. Why do you think ventilators cost so much? Do you really believe, they are some type of genius machine?
Posted by Mrtommorrow1987
Twilight Zone
Member since Feb 2008
13130 posts
Posted on 3/26/20 at 9:27 pm to
It’s super dangerous for the staff caring for people that have COVID to be on Bipap or C-PAP. The secretions are aerosolized and blown throughout the room with the masks. Not a good idea unless you want a bunch of sick care givers. I’m ashamed of our countries PPE supply. I’ve never had so many difficult conversations with my staff about why they need to put themselves at risk to go care for people bc we as a country were shite planners
This post was edited on 3/26/20 at 9:29 pm
Posted by greygoose
Member since Aug 2013
11461 posts
Posted on 3/26/20 at 9:31 pm to
quote:

It’s super dangerous for the staff caring for people that have COVID to be on Bipap or C-PAP. The secretions are aerosolized and blown throughout the room with the masks. Not a good idea unless you want a bunch of sick care givers. I’m ashamed of our countries PPE supply. I’ve never had so many difficult conversations with my staff about why they need to put themselves at risk to go care for people bc we as a country were shite planners



So riddle me this, you have a 50 y/o patient with sleep apnea. History of heart disease and high blood pressure. You deny the use of CPAP while he sleeps?
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