Should we move away from single rooms to putting all the critically ill in one large room like recovery rooms where we can ventilate multiple patients at once with one vent, gown and mask up for a shit with one mask and gown, & pack in resources. Why or why not?
i worry about the staffing ratios of all of these intubated +sedated patients... will we have the healthy bodies + meds to monitor them all safely in ICU? CPAP you can give them a mask and leave them alone for a bit...
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This is where your logic falls apart. An intubated patient is a much more stable situation with a secured airway. CPAP/BIPAP is an impending airway. I’d much rather manage intubated patients from afar than someone on NIV.
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Sorry I have limited experience with this personally but interview w Italian intensivist said half his patients do well on CPAP if they don’t immediately fail within the first 2 hours, those that respond well do so quickly.https://clinicalproblemsolving.com/2020/03/18/episode-71-on-covid-19-a-conversation-with-colleagues-from-italy-part-1/ …
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