"A team from UChicago Medicine’s emergency room took dozens of COVID-19 patients who were in respiratory distress and gave them HFNCs instead of putting them on ventilators. ...only one of them required intubation after 10 days."https://www.uchicagomedicine.org/forefront/coronavirus-disease-covid-19/uchicago-medicine-doctors-see-truly-remarkable-success-using-ventilator-alternatives-to-treat-covid19 …
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Replying to @paulg
This isn’t a deviation from what’s been done in WA and other hospitals since the beginning. Vast majority of patients recover after 5-6 days of nasal cannula 5L-6L O2. Proning is a relatively recent shift, but try telling old people they need to be face down for days.
5 replies 2 retweets 23 likes -
However, while O2 concentrators, CPAP, and BIPAP devices are all probably most appropriate for treating the SpO2/hypoxia urgencies, they create a higher risk of aerosol transmission. With staff lacking adequate PPE, that might’ve steered care toward vents.
4 replies 1 retweet 11 likes
aerosols and shit PPE stores is exactly what steered towards early intubation. Pre-COVID CPAP/BiPAP and particularly HFNC was standard of care for acute respiratory failure. We are only now getting more comfortable with HFNC with facemask in neg pressure rooms
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