3 ms·
I saw Sidell before this on his YT channel and on Medscape/WebMD. There's two things to consider: 1. It is likely that 100% of patients withheld ventilation w
by paypalcust83 6y ago
I saw Sidell before this on his YT channel and on Medscape/WebMD.
There's two things to consider:
1. It is likely that 100% of patients withheld ventilation would die when they were crashing, hence why they were started on them; so to suggest that ventilators are "killing patients" is an ignorant stretch when 10-30% are saved, which is better than 0%.
2. Given that he mentioned patients were exuding pink, frothy sputum, it's worth looking into, as he mentioned, that the COVID critical syndrome isn't ARDS but something uniquely novel. It maybe similar to high-altitude pulmonary edema, secondary haemophagocytic lymphohistiocytosis, anemia and/or hemorrhagic shock + pulmonary edema.
It could also be that alveoli are so entirely damaged by the virus due to surface expression of ACE2 and grossly, temporarily repaired that they become incompatible with life. In this avenue, it's worth looking at prophylaxis against major organ damage such as down-regulators of ACE2 and TMPRSS2 pathways such as protease inhibitors like camostat mesylate and E-64d.