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'Pandemic ventilator' could offer solution in potential 'worst case' scenario

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Re: 'Pandemic ventilator' could offer solution in potential 'worst case' scenario

#12
post #9

This seems pretty important: > While the standard for a conventional ventilator uses a mask or nose tubes and follows current guidelines, the pandemic ventilator is at a standard from the 1970s and requires a patient be intubated, the medical word used to describe putting a tube through someone's mouth and into their airway. Do intubated patients need more attention from nurses/doctors? It certainly sounds harder the…

Yes. Without proper cleaning, it is a highway for infection. You also need to maintain a balance of blood oxygen and carbon dioxide. Many of these people require supplemental oxygen. So, you have to control respiration rate and oxygen mix. This would be a very bad to try yourself.

Re: 'Pandemic ventilator' could offer solution in potential 'worst case' scenario

#13
post #9

This seems pretty important: > While the standard for a conventional ventilator uses a mask or nose tubes and follows current guidelines, the pandemic ventilator is at a standard from the 1970s and requires a patient be intubated, the medical word used to describe putting a tube through someone's mouth and into their airway. Do intubated patients need more attention from nurses/doctors? It certainly sounds harder the…

Do intubated patients have to be sedated/anesthetized?

Re: 'Pandemic ventilator' could offer solution in potential 'worst case' scenario

#14
post #9

This seems pretty important: > While the standard for a conventional ventilator uses a mask or nose tubes and follows current guidelines, the pandemic ventilator is at a standard from the 1970s and requires a patient be intubated, the medical word used to describe putting a tube through someone's mouth and into their airway. Do intubated patients need more attention from nurses/doctors? It certainly sounds harder the…

All COVID-19 patients are intubated to control aerosol creation.

Re: 'Pandemic ventilator' could offer solution in potential 'worst case' scenario

#15
post #14
post #9

This seems pretty important: > While the standard for a conventional ventilator uses a mask or nose tubes and follows current guidelines, the pandemic ventilator is at a standard from the 1970s and requires a patient be intubated, the medical word used to describe putting a tube through someone's mouth and into their airway. Do intubated patients need more attention from nurses/doctors? It certainly sounds harder the…

All COVID-19 patients are intubated to control aerosol creation.

That sounds extreme. Do you have a citation?

Re: 'Pandemic ventilator' could offer solution in potential 'worst case' scenario

#16
post #14
post #9

This seems pretty important: > While the standard for a conventional ventilator uses a mask or nose tubes and follows current guidelines, the pandemic ventilator is at a standard from the 1970s and requires a patient be intubated, the medical word used to describe putting a tube through someone's mouth and into their airway. Do intubated patients need more attention from nurses/doctors? It certainly sounds harder the…

All COVID-19 patients are intubated to control aerosol creation.

That is not true. Some are intubated if the mask respirators fail to provide proper oxygenation, but it is by no means the default.

Source: my sister is a nurse at a hospital treating dozens of COVID-19 patients.

Re: 'Pandemic ventilator' could offer solution in potential 'worst case' scenario

#17
post #15
post #14

Earlier quoted context omitted.

All COVID-19 patients are intubated to control aerosol creation.

That sounds extreme. Do you have a citation?

Not the op and I don't have a source available but I read the same earlier this week (can't find out were though :/)

Re: 'Pandemic ventilator' could offer solution in potential 'worst case' scenario

#18
post #12
post #9

This seems pretty important: > While the standard for a conventional ventilator uses a mask or nose tubes and follows current guidelines, the pandemic ventilator is at a standard from the 1970s and requires a patient be intubated, the medical word used to describe putting a tube through someone's mouth and into their airway. Do intubated patients need more attention from nurses/doctors? It certainly sounds harder the…

Yes. Without proper cleaning, it is a highway for infection. You also need to maintain a balance of blood oxygen and carbon dioxide. Many of these people require supplemental oxygen. So, you have to control respiration rate and oxygen mix. This would be a very bad to try yourself.

Intubation also reduces risk of of the patient infecting others.

Re: 'Pandemic ventilator' could offer solution in potential 'worst case' scenario

#19
post #9

This seems pretty important: > While the standard for a conventional ventilator uses a mask or nose tubes and follows current guidelines, the pandemic ventilator is at a standard from the 1970s and requires a patient be intubated, the medical word used to describe putting a tube through someone's mouth and into their airway. Do intubated patients need more attention from nurses/doctors? It certainly sounds harder the…

Yes. You need usually an ED physician or CCU physician. We get taught how to do it in medical school, but that doesn't mean we're proficient. You need an ICU nurse level of skill to monitor the vent and it's an intense process. There are some drugs you can give to attenuate oral and esophageal secretions. Usually there's a significant amount of suctioning involved.

How it compares to managing a mask day to day? I honestly don't know, that's something an ICU nurse/respiratory therapist would know.

Re: 'Pandemic ventilator' could offer solution in potential 'worst case' scenario

#20
post #9

This seems pretty important: > While the standard for a conventional ventilator uses a mask or nose tubes and follows current guidelines, the pandemic ventilator is at a standard from the 1970s and requires a patient be intubated, the medical word used to describe putting a tube through someone's mouth and into their airway. Do intubated patients need more attention from nurses/doctors? It certainly sounds harder the…

Do intubated patients have to be sedated/anesthetized?

Very important question, surprised it hasn’t been asked. Yes they do, the gag reflex is very strong. Source, wife is a nurse.
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