I asked her about vents, since it seems like that’s the big story here. The news almost makes it sound like if you go on a vent, you’re as good as dead right now. I’d like to see a breakdown on everyone who went on a vent.
This is wildly incorrect. There have been many patients on 1+ week of mechanical ventilation that have been safely discharged home
Yea exactly. Get these severe patients on vents early and the survival rate is good.
Basically just ride out the virus and get them off the vent when you are pretty positive the patient can breath at 6L nasal cannula....right?
I think I’ve asked this before. At what point is it crucial to get a patient onto a vent? What needs to be happening to the patient for this?
Well there is no red line really. But it would be based on oxygen saturation. Like for example, you come into the hospital and you need oxygen because you lungs are only say, saturating at 90 percent. Say despite being on oxygen you don’t go up to 98 or 99 like you are supposed to be, that would be a significant indication that you will need to be on a vent. Along with mental status changes, obvious deep breathing, increased heart rate, etc. It’s all part of the picture
Usually the progression is a nasal cannula to BIPAP to ventilator, but BIPAP can shoot the virus everywhere so most doctors are skipping that step now