5 ms·
I'm an intensivist based in Sweden. From my perspective there is absolutely nothing new in this article. We have been using HFC for years if not decades.
by bobowzki 6y ago
I'm an intensivist based in Sweden. From my perspective there is absolutely nothing new in this article. We have been using HFC for years if not decades.
- wl 6y agoAs I understand it, what's new is that it's being used under these circumstances. The ARDS algorithm would have these patients be intubated. Instead, they're putting these patients on HFC and letting them get hypoxic, reasoning that the mixture of damage caused by the infection and the vent is what's fatal. Edit: Also, people have been avoiding HFC for COVID-19 because of aerosolization risks.
- hprotagonist 6y agothis is my understanding as well. when i was an EMT if someone had O2 sats in the 50s and was conscious i would’ve told you that the pulse ox was broken. And it it wasn’t broken, i’d be yelling for a paramedic to tube my patient asap.
- klmadfejno 6y agoMy non-medical understanding is that the long term damage threat of the disease is primarily due to to organs dealing with low oxygen for long periods of time. Would you say it's fair to say that an approach which saved more lives by not addressing would probably leave a greater proportion with organ damage?
- hprotagonist 6y agohonest answer? we have absolutely no idea, and whether or not we like it (mostly we don't like it), we're in the process of finding out.
- ceejayoz 6y agoNot for COVID-19, presumably.
- joshgel 6y agoOur* guidance has been HFNC only in negative pressure rooms because of the aersolization risk. We've converted a huge number of beds to negative pressure in order to maximize use of HFNC. Anecdotally, I feel like it works, but would be great to see a trial. *major nyc health system
- amluto 6y agoIs management of an HFNC patient simple enough that it could be done outside a hospital? I’m imagining a converted stadium or similar area in which patients use HFNC and everyone who isn’t a patient puts on serious PPE before entering and takes it off only when they’re quite far away.
- ceejayoz 6y agoOr staff it with recovered healthcare workers.
- eternalny1 6y ago'No evidence' that recovering from Covid-19 gives people immunity, WHO says https://www.france24.com/en/20200425-no-evidence-that-recovering-from-covid-19-gives-people-immunity-who-says https://www.france24.com/en/20200425-no-evidence-that-recove...
- roywiggins 6y agoThere's no evidence, but should we expect evidence? Has anyone looked? The Bayesian prior that they should have some level of immunity is pretty high, seems to me. Exactly how long and how strong such immunity is a good question, but it would be really unlikely if there was no immunity.
- ceejayoz 6y agoThere was no evidence of human-to-human transmission early on, too. “No evidence” is not “evidence against immunity”. It means we don’t know yet.