3 ms·

Our* 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 or

Our* 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 ago
Is 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 ago
  Or 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 ago
      There'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 ago
      There 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.
      - redis_mlc 6y ago
        > There was no evidence of human-to-human transmission early on, too. I have two comments about that: 1) Like somebody else said, if you don't look, you won't find evidence, even if it's there. 2) Wuhan officials were incentivized to say it wasn't contagious, ergo, no lockdown needed. However, it clearly was being transmitted to non-wet market patients in late Nov./early Dec., and Disneyworld Shanghai was closed Jan. 24, so you have to be wilfully blind to say it's not contagious.
        ceejayoz 6y ago
        Yes, the WHO is not a spy organization. They rely in large part on cooperation from member nations. Sometimes that’s an issue, but it doesn’t mean they were lying when they said they didn’t have the evidence yet.
bobowzki 6y ago
Yes important point.

amluto 6y ago

Is 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 ago
Or 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 ago
    There'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 ago
    There 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.
    - redis_mlc 6y ago
      > There was no evidence of human-to-human transmission early on, too. I have two comments about that: 1) Like somebody else said, if you don't look, you won't find evidence, even if it's there. 2) Wuhan officials were incentivized to say it wasn't contagious, ergo, no lockdown needed. However, it clearly was being transmitted to non-wet market patients in late Nov./early Dec., and Disneyworld Shanghai was closed Jan. 24, so you have to be wilfully blind to say it's not contagious.
      - ceejayoz 6y ago
        Yes, the WHO is not a spy organization. They rely in large part on cooperation from member nations. Sometimes that’s an issue, but it doesn’t mean they were lying when they said they didn’t have the evidence yet.

bobowzki 6y ago

Yes important point.