New blogpost: silent hypoxemia in #COVID19 and avoiding intubation. It's not just podcasts and Twitter threads any more: we have published papers calling for early & abundant O2, awake proning, and CPAP in silent-hypoxemic COVID-19 patients.https://srconstantin.github.io/2020/05/04/silent-hypoxemia.html …
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Italian ICU that uses helmet CPAP as first-line for severe COVID-19 has half the death rate of US ICU (in Seattle) that uses invasive mechanical ventilation for all severe cases. 24% vs 50%. Similar disease severity at admission.
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Simple suggestion by NYC emergency physician Richard Levitan: get a pulse oximeter at the drug store. Check yourself BEFORE you have trouble breathing. If people with asymptomatic hypoxemia get prompt oxygen therapy, they might never progress to severe disease.
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Replying to @s_r_constantin @robbensinger
Should healthy people do this too? Or only if you actually come down with a flu-like illness?
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Replying to @RokoMijicUK @robbensinger
he didn't specify but it might be good for healthy people too. It's $26 -- not a huge deal, and i haven't heard anything about a shortage such that you'd be taking them away from people who need them.
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obviously higher priority for people at risk for COVID-19 -- if you're working outside the home, or have underlying conditions, or are old, etc.
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