Based on my experiences this week, this rings true. I think a paradigm shift is coming in the management of COVID patients.https://twitter.com/emcrit/status/1244670737295777796 …
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Trevor Pour MD Retweeted the EMCrit Crew
Based on my experiences this week, this rings true. I think a paradigm shift is coming in the management of COVID patients.https://twitter.com/emcrit/status/1244670737295777796 …
Trevor Pour MD added,
I think trialing cpap with higher positive pressure (as @PulmCrit says up to 15-18) + proning for those who can tolerate it is worth a shot but do we have the resources to keep watching them closely for decompensation? @dhcisewski @seanhickey92 thoughts?
In terms of resources, I think it’s fine. Once on bipap they seem to be stable in the ED. I do hear from crit Care that these CPAP patients inevitably get intubated once they’re upstairs.
GrepMed Retweeted Mike Rose
Anecdotally from Italy "half" pts do well on trial of CPAP, those that don't declare themselves within a couple of hours:https://twitter.com/MikeRoseMDMPH/status/1240816142576422912 …
GrepMed added,
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