4 ms·

Where can I find a source for this? This is new information to me, and searching "covid ventilator" is just bringing up the same studies about how patients who

Where can I find a source for this? This is new information to me, and searching "covid ventilator" is just bringing up the same studies about how patients who get ventilated have higher mortality, which isn't saying the same thing.

tehjoker 6y ago
Just anecdotally, since I am close with a doctor, they stopped rushing to vent and now they treat with Remdesivir and steroids. Looking at the graphs for my state, we have about half the critical care rate at similar or greater detected cases than the spring, so better treatment seems to be a 2xish improvement for hospitalized patients?
- lazyasciiart 6y ago
  They vent at the same point as before, based on breathing. But they were telling people not to come in until they were having difficulty breathing, because they didn't have any early treatment or any space. Having access to remdesivir/steroids would mean people should come in for treatment early, but it only helps if given very early. But if infection numbers were large enough then we probably wouldn't manage to treat everyone early enough, so it would cut the rate of severe cases by an unknown amount.
  - manwe150 6y ago
    Is Remdesivir still in wide use? I know it was given emergency approval in the US, but I thought wider trials were now thought to show a lack of demonstrable results.
    - lazyasciiart 6y ago
      Good point, I haven't kept up with it and was assuming it works to focus on one argument. I'm not a medical researcher and the evidence seems pretty ambiguous at this point. https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(20)30911-7/fulltext https://www.thelancet.com/journals/laninf/article/PIIS1473-3...
Izkata 6y ago
April last year: https://www.statnews.com/2020/04/08/doctors-say-ventilators-overused-for-covid-19/ https://www.statnews.com/2020/04/08/doctors-say-ventilators-... The short version: Blood oxygen levels were falling into "should be dead" levels never really seen before (even though they were otherwise alert and fine and had no other hypoxia indicators), which caused doctors to panic about pneumonia and not being able to breathe, and put people on ventilators prematurely. However, it wasn't really having an effect, so the ventilators kept getting turned up to their maximum setting, which puts too much pressure on the lungs and causes additional permanent damage. In most people this caused a turn for the worse instead of recovery.
- kibibyte 6y ago
  This is very interesting. Thank you.

tehjoker 6y ago

Just anecdotally, since I am close with a doctor, they stopped rushing to vent and now they treat with Remdesivir and steroids. Looking at the graphs for my state, we have about half the critical care rate at similar or greater detected cases than the spring, so better treatment seems to be a 2xish improvement for hospitalized patients?

lazyasciiart 6y ago
They vent at the same point as before, based on breathing. But they were telling people not to come in until they were having difficulty breathing, because they didn't have any early treatment or any space. Having access to remdesivir/steroids would mean people should come in for treatment early, but it only helps if given very early. But if infection numbers were large enough then we probably wouldn't manage to treat everyone early enough, so it would cut the rate of severe cases by an unknown amount.
- manwe150 6y ago
  Is Remdesivir still in wide use? I know it was given emergency approval in the US, but I thought wider trials were now thought to show a lack of demonstrable results.
  - lazyasciiart 6y ago
    Good point, I haven't kept up with it and was assuming it works to focus on one argument. I'm not a medical researcher and the evidence seems pretty ambiguous at this point. https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(20)30911-7/fulltext https://www.thelancet.com/journals/laninf/article/PIIS1473-3...

Izkata 6y ago

April last year: https://www.statnews.com/2020/04/08/doctors-say-ventilators-overused-for-covid-19/ https://www.statnews.com/2020/04/08/doctors-say-ventilators-... The short version: Blood oxygen levels were falling into "should be dead" levels never really seen before (even though they were otherwise alert and fine and had no other hypoxia indicators), which caused doctors to panic about pneumonia and not being able to breathe, and put people on ventilators prematurely. However, it wasn't really having an effect, so the ventilators kept getting turned up to their maximum setting, which puts too much pressure on the lungs and causes additional permanent damage. In most people this caused a turn for the worse instead of recovery.

kibibyte 6y ago
This is very interesting. Thank you.