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I have been following a group of friends who are first responders & in frontline of management of C19 patients in EU & US
The understanding we are gaining everyday in fighting this disease will change the way we manage critically ill patients in Respiratory ICU forever.
I have been following a group of friends who are first responders & in frontline of management of C19 patients in EU & US
The understanding we are gaining everyday in fighting this disease will change the way we manage critically ill patients in Respiratory ICU forever.
1) We need not intubate patients going by conventional wisdom. Doctors who delayed intubation have saved more lives than those who were sticklers to conventional wisdom
2) Dehydration methods probably help like in High altitude pulmonary edema. It was tried with some success
2) Dehydration methods probably help like in High altitude pulmonary edema. It was tried with some success
3) Taking sick ARDS patients prone is a widely accepted strategy. We already had some data that taking patients prone without intubation in acute respiratory illness will help improve sats.
Post C19 I am certain, we will have a deluge of papers suggesting non intubated prone
Post C19 I am certain, we will have a deluge of papers suggesting non intubated prone
4) Going by above info; ventilation might maybe rarely necessary, if we go by anecdotal data collected from first responders. Intensivists managing C19 say around 80% patients put on ventilator die.
We are back to basics of management of resp failure to pre ventilator days
We are back to basics of management of resp failure to pre ventilator days
5) Very sick patients with C19 are increasingly encouraged by Intensivists to go prone without putting them on ventilator & it is helping them. "There is all-round relief in ICU when we see the sats improving from 60 to 95 when the patient goes prone by himself" said my friend.
6) Obesity & Diabetes are huge risk factors. Obesity with Diabetes is very huge risk.
My simple suggestion to people go for Bastrika & Kapalabati. It will at least give you some satisfaction that you are improving your Functional Residual Capacity of your lungs.
My simple suggestion to people go for Bastrika & Kapalabati. It will at least give you some satisfaction that you are improving your Functional Residual Capacity of your lungs.
If @narendramodi govt is serious about saving maximum patients, they should convert aeroplanes to "hyperbaric oxygen chambers" & put C19 patients in them 2/3 times/day for couple of hours
HCQS + Azi + RVT to reduce viral load along with Blood Tx whenever needed is the right way
HCQS + Azi + RVT to reduce viral load along with Blood Tx whenever needed is the right way
Anyone in govt interested in doing it the right way can contact me directly.
Guys one thing is true: we got it all wrong until now. In retrospect we should have targeted blood management as it is not lungs but O2 carrying capacity of blood that is affected severely in C19
Guys one thing is true: we got it all wrong until now. In retrospect we should have targeted blood management as it is not lungs but O2 carrying capacity of blood that is affected severely in C19
