So, I was a bit wrong in my last post; upon looking at more studies it looks like non-invasive ventilation *does* reduce the risk of needing intubation.https://srconstantin.github.io/2020/03/20/non-invasive-ventilation.html …
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if the hospitals are *not* overrun, your best bet if you can't breathe is to go to a hospital; they are better prepared to deal with the worst-case scenarios than anything you could rig up at home.
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But it looks like the US and many other countries are on track to run out of ICU space. So "plan B" measures are relevant.
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There are considerations that make home NIV for COVID19 look worse than hospital NIV for all respiratory failure. COVID19 causes worse ARDS and more patients (40%) need intubation. Also we’d expect home care & rapidly prototyped devices to be worse than hospital care & devices.
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However 50% reduction in intubation rate has a lot of wiggle room to get worse before it’s “basically no benefit” relative to *nothing*. The point of comparison is “hospitals full, no treatment, die at home.”
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End of conversation
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I’ve heard the concern that even at home, if you’re in an apartment building, aerosolizing the virus could infect your neighbors. Not sure what I think of this; facially it seems like a worry, but I don’t know how far the virus gets spread in practice.
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Thanks for another confirmation data point. Much appreciated!
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