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Message
re: Treatment shifting away from intubation and towards CPAP?
Posted on 4/3/20 at 11:28 am to Ace Midnight
Posted on 4/3/20 at 11:28 am to Ace Midnight
quote:
Now it's going to be "Muh CPAP machines."
"Mr. President, can you guarantee that every person who needs a CPAP machine can get one?"
frick you, aight?
and the follow up
"why didnt you have stock piles of CPAP machines starting in december for every person in america? people will die because you are failing to do your job"
0
Posted on 4/3/20 at 11:29 am to MichiganTiger
quote:
Treatment shifting away from intubation and towards CPAP
Cue Cuomo demands for 400,000 cpap machines by tomorrow or declare which people should die.
Posted on 4/3/20 at 12:07 pm to Texas Weazel
quote:
frick these lying arse traitors.
They are traitors to the USA, but, you very well know that they dislike the USA, as founded, and desire to transform it into something along the lines of Hillary Clinton, Obama and James Clyburn's vision.
So, observing so many of our fellow countrymen in politics and mass media straining every sinew to continue to disrupt Trump and deflect for China is disturbing for me but totally expected. We should know by now how depraved our "friends" in the Democratic Party really are.
Posted on 4/3/20 at 12:11 pm to the808bass
quote:
It’s becoming painfully clear that once a patient is vented, it’s very difficult to wean them.
They love peep....
Once we get the peep down to 8cm, we were able to extubate some. Fortunately, some do well, unfortunately, some get re-intubated..
Also, something odd going on with their blood. I've noticed when doing gasses, Covid pt's blood separates really fast, something going on with their coags..
Pt's results are really strange as well, their Spo2s will run in the higher percentages and their actual Po2s will come back low, like with co poisoning...
This post was edited on 4/3/20 at 12:43 pm
Posted on 4/3/20 at 12:18 pm to MichiganTiger
Have CPAP.
#winning
#winning
Posted on 4/3/20 at 12:23 pm to MichiganTiger
quote:
Mostly for docs and nurses.
You left out the most important ... Respiratory Therapist...
Nurses will look at you like you had two heads.. Most of this terminology will make their heads spin..
I get all of it...
We haven't been using the APRV modality because their lungs aren't getting as stiff with typical ARDS...
This post was edited on 4/3/20 at 12:25 pm
Posted on 4/3/20 at 12:29 pm to Hangover Haven
We CPAPers have never been so cool.
#frickyeah
#frickyeah
Posted on 4/3/20 at 12:56 pm to Chromdome35
quote:
China needs to face up to their lies and deceit on this
To be clear, the Chinese Communist Party needs to pay dearly for this. The average Chinese, not to mention the many dead Chinese, are as much a victim as any of us.
Posted on 4/3/20 at 2:04 pm to GeauxFightingTigers1
quote:
More vents isn't going to help, keeping people out of the hospital will i.e. self-isolate the elderly with pre-existing conditions.
If a person is at the point that they need a ventilator then self-isolating isn't going to do a damn bit of good for that person.
quote:
The limited data that was available from China showed that putting people on vents really didn't serve any purpose. I would Italy basically confirmed this and stopped putting anyone over 60+ on vents.
Prolonged ventilation is never a good thing because of ventilator associated lung injury and giving bacteria a highway (aka the ventilator tube) to the lungs. I'm not a pulmonologist but if these results almost suggest that putting COVID-19 patients on a ventilator is futile.
Posted on 4/3/20 at 2:26 pm to Hangover Haven
quote:
Nurses will look at you like you had two heads.. Most of this terminology will make their heads spin
Not ICU nurses
But med-surg and even a lot of intermediate nurses would have no clue.
This post was edited on 4/3/20 at 2:45 pm
Posted on 4/3/20 at 3:26 pm to Tiger4Ever
quote:
We CPAPers have never been so cool.
It sure fricks up your love life though!
Long time CPAPer here and i will share a personal experience that I have found quite useful. A couple of years ago I experienced a cold/flu/whatever that settled in my lungs and made breathing extremely difficult due to the flooding and congestion.
I wanted to try to loosen up that congestion so, in desperation, I found a pill bottle that I could insert between two lengths of CPAP hose. I could insert the bottom of the bottle into the downstream hose and insert the upstream hose into the open top of the bottle.
I then drilled a bunch of small holes (1/8") in the bottom of that pill bottle leaving only a narrow band of plastic between the holes to act as a sieve and re-inserted it into the downstream hose.
With this filter in place, I can take a small piece of cotton ball, dampen it with Vicks Vapo-Steam liquid, and insert it into the pill bottle inline filter.
The first time I tried it I had the cotton saturated and damned near choked myself when i first put the mask on. After squeezing out most of the medication I resumed the process and although it was quite uncomfortable for a while, I tolerated it and slept peacefully. In the morning my lungs were almost clear and before the day was out I was as good as new. That damned stuff killed the bug.
I use it now whenever I get that itchy feeling in my lungs and it works great.
Posted on 4/3/20 at 8:16 pm to deeprig9
quote:
PAP of some sort, but the PAP's aerosolize the virus and make it spread throughout the hostpital so they are tubing anyone that needs O2, which is horrible.
Yup...BiPAP. We’ve been avoiding it and CPAP...but the guys in the link feel that using CPAP in a negative pressure room is the WTG.
Posted on 4/3/20 at 8:17 pm to Chromdome35
quote:
China needs to face up to their lies and deceit on this.
That’s like asking a Democrat to proclaim they love the USA.
Posted on 4/3/20 at 8:20 pm to Obtuse1
quote:
Second, CPAP shows promise BUT most hospitals do not have filtered CPAP machines in inventory. The problem with the non-filtered ones (like most people that use them at home have) is they can aerosolize the virus and significantly increase the chances of health care workers being infected.
IKR...damned if you do...damned if you don’t! This virus is a bear.
Posted on 4/3/20 at 8:25 pm to NC_Tigah
quote:
But that is their emphasis, more so than actual "shifting away" from mechanical ventilation. Their point is, especially in younger healthier patients, there is an extended tolerance to levels of pulmonary insufficiency. Those are instances where CPAP should be atte
Sure... But there is a definite emphasis on avoiding early intubation for low oxygen saturations despite 6 L nasal cannula oxygen support. Yes, you’re right, particularly in younger patients. But there’s a large cohort that are getting tubed...that probably shouldn’t be buying a tube.
Posted on 4/3/20 at 8:57 pm to Hangover Haven
quote:
Also, something odd going on with their blood. I've noticed when doing gasses, Covid pt's blood separates really fast, something going on with their coags..
Pt's results are really strange as well, their Spo2s will run in the higher percentages and their actual Po2s will come back low, like with co poisoning...
Can you dumb it down for me?
Posted on 4/3/20 at 9:25 pm to deeprig9
quote:
A doctor on the GA board emailed me and said they are tubing people who would otherwise just need a mask or PAP of some sort, but the PAP's aerosolize the virus and make it spread throughout the hostpital so they are tubing anyone that needs O2, which is horrible. But he said that's what they are doing.
This^^ I've heard of this in Louisiana and commented on it a few days ago.
Posted on 4/4/20 at 11:39 am to DMAN1968
Pretty interesting listen.
Posted on 4/4/20 at 11:53 am to Hangover Haven
quote:Don’t you have that backwards? CO binds to the hemoglobin rendering low saturation for oxygen but the PO2 would be normal.
Pt's results are really strange as well, their Spo2s will run in the higher percentages and their actual Po2s will come back low, like with co poisoning...
Posted on 4/4/20 at 11:53 am to Hangover Haven
(no message)
This post was edited on 4/4/20 at 11:55 am
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