UChicago doctors see ‘remarkable’ success using ventilator alternatives

Post by ceejayoz » Sat, Apr 25, 2020, 3:16 PM UTC

amluto wrote: post #18

joshgel wrote: post #11

Earlier quoted context omitted.

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

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.

Post by Ensorceled » Sat, Apr 25, 2020, 3:19 PM UTC

mrfusion wrote: post #23

IlyaMoroshkin wrote: post #17

With treatment so simple, we have effectively removed the healthcare system as a bottleneck on the rest of society. I think we can safely reopen fully now and treat any serious cases using our existing healthcare systems in combination with this kind of new knowledge. The longer we 'suppress the curve', when we are already far below hospital system capacity, the more economic and social damage we cause unnecessarily.

Not sure why you’re being downvoted. Here’s an article that puts sources and numbers on your thought: https://thehill.com/opinion/healthcare/494034-the-data-are-i... I’d be curious to hear counterpoints. I could be wrong. It does anyone think this will go away with a long enough lockdown? Or is there any solution other than herd immunity?

Post by nerdponx » Sat, Apr 25, 2020, 3:26 PM UTC

not_a_moth wrote: post #24

theobeers wrote: post #5

One of the most active figures in this debate has been a New York doctor named Cameron Kyle-Sidell. He frequently posts interesting sources on Twitter: https://twitter.com/cameronks

Yes, rather absurdly, I learned about him like a month ago on ZeroHedge when they started following him; he was brushed off for weeks, his message being, "Look at patient behavior, this is not actually ARDS, our ventilator strategy is probably wrong." Crazy to think that so many doctors around the world, experts, and policy makers didn't really question the fundamental nature of the disease, and perhaps telling that…

Post by mistermann » Sat, Apr 25, 2020, 3:42 PM UTC

christkv wrote: post #29

DanielBMarkham wrote: post #7

One of the most interesting parts of this press release, following it on other boards, is the immediate "We already do that. Nothing new here." That kind of reply would immediately lead me to think it was just a useless release, but then I see people posting comments along the lines of "No, we don't do that. In fact, we have a policy against doing that because of the danger of aerosolization" For my hacker/systems wo…

This also probably explains the high death rates on ventilators now as only the near death patients are being put on the ventilator now.

Post by atombender » Sat, Apr 25, 2020, 3:52 PM UTC

IlyaMoroshkin wrote: post #17

With treatment so simple, we have effectively removed the healthcare system as a bottleneck on the rest of society. I think we can safely reopen fully now and treat any serious cases using our existing healthcare systems in combination with this kind of new knowledge. The longer we 'suppress the curve', when we are already far below hospital system capacity, the more economic and social damage we cause unnecessarily.