Boris Johnson, Coronavirus Outbreak, Science

Boris Johnson, Coronavirus Outbreak

PM's move to ICU shows he's likely to have severe Covid-19

PM's move to ICU shows he's likely to have severe Covid-19

4/7/2020 12:18:00 AM

PM's move to ICU shows he's likely to have severe Covid-19

Boris Johnson likely to receive mechanical ventilation as he’s admitted to intensive care

Most people in intensive care, according to the World Health Organization, require ventilation. Around 15% of people with Covid-19 become seriously ill and need oxygen therapy in hospital. A further 5% are moved into intensive care, so that their breathing can be taken over by mechanical ventilation. Some will also need support for other organs.

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Anyone who is put on a ventilator will need to be sedated, although they are not unconscious. A tube must be inserted into the patient’s windpipe, so that air and oxygen from the machine can be blown into the lungs. That takes the strain off the lungs while they recover.

Johnson, 55, is said to have been admitted to intensive care in case he should need ventilation, but 63% of those admitted to ICUs in England, Wales and Northern Ireland are ventilated within the first 24 hours. Guidelines from the National Institute for Health and Care Excellence (NICE) say that critical care treatment for Covid-19 should be started “with a clear plan of how the treatment will address the diagnosis and lead to agreed treatment goals (outcomes)”.

Ventilation is vital in most severe Covid-19 cases, which is why there has been a huge effort to obtain more machines and even encourage engineering businesses to switch production lines to make them.In the severest cases, patients are put on an ECMO machine (extracorporeal membrane oxygenation), which can support both the heart and lungs where somebody is in a life-threatening condition.

Johnson’s admission to intensive care comes shortly after the 10th day of the illness, which has been identified as a real danger point. During the first week, most people’s immune systems rally and manage to fight off the virus. Those who do not recover and continue to struggle for breath and have a fever often need help around the middle of the second week.

In that second week, the immune system can sometimes go into overdrive. In its attempt to fight the virus, it creates what is called a cytokine storm, in which the immune system attacks the body’s own organs. The heart, the liver and kidneys are most likely to be affected and all of them can need to be supported by machines that can take over their function.

The latest report into patients admitted into critical care so far from the intensive care national audit and research centre (IANARC), showed 2,621 admissions up to 3 April, most of whom are still there. The mean age was 60 and 73% of them were men. More than 35% of them were overweight, with a body mass index (BMI) between 25 and 30, and 37% were obese.

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Derek Hill, professor of medical imaging at University College London said: “It seems clear that the prime minister went to hospital because he had difficulty breathing. It seems he was initially put on oxygen, and was conscious. But as often happens with Covid-19, his condition has now deteriorated so he has been admitted to intensive care where he is very likely to have been put on a mechanical ventilator to breathe for him.

“The ventilator could be non-invasive, in the form of a specialised mask, but in Covid-19 cases, invasive ventilation tends to be recommended,” he said.“It isn’t yet clear whether Boris Johnson is breathing on his own – with help from the ventilator. Or whether he has been heavily sedated and paralysed and the machine is doing all the breathing for him.”

Read more: The Guardian »

paaaaaaaaab I hope he’s been given hydroxychloroquin. Come on Boris. You are strong and you have everything to live for. A baby on the way and leader of the best country in the world. They don’t transfer you to the ICU when you’re doing well... Now do Trump! Do Trump! C'mon SARS-CoV-2, you can do it! Fight Boris, fight. God bless you.

I hate the Tories but hope Boris gets through this ok ✌️ people should know only severe C19 patients are admitted to hospitals at all. Very sick people at home too. Odd headline. Are you suggesting there’s more than one kind of Covid-19? Or do you mean severe symptoms of it? If the latter, isn’t that self-evident?

One can only wish Boris Johnson well and a good recovery. This has shocked the country and makes the government look fragile. Can't think of anyone strong to step up, although Raab is named. He must be terrified of the decisions to be made, although it will be a team effort. OMG 😱 Sad to know I wish him speedy recovery 🙏😇

It is now that we can all ask ourselves what kind of human being we choose to be. Although I haven’t agreed with Boris on many things, I wish him no harm. Have a word with yourselves and be better... for humanities sake. Trouble is, if Boris cops it, his replacement is likely to be a worse idealogue, driven to crush the NHS and anyone in their wake..

“And I continue to shake hands” Johnson believed the warnings about coronavirus were a joke. He is now in intensive care! Populists are dangerous to public health. You don't get into ICU with mild COVID. Who writes these headlines? Damn it Brits...why you always gotta trump us Yanks? Italy is praying for him🙏

This is horrible. I don't know what to say. The world of the people pray for him🙏🙏🙏 My goodness. I can appreciate why his cabinet were very defensive and rather evasive . It does not look good. Wish him a fast and easy recovery 👍 no shit Thank God for that But can he rent out Dow10 now? Time for Keir_Starmer to take the helm. The world King is dead, God save Bliars Brother.

Oh, Boris. Always playing the clown. I thought the Downing Street statement said he wasn’t yet being ventilated? May God Blesses Bail Brother Boris out of that sick Bay. C'mon Boris, you can win this 🙏👊 All about shaking hands and blowing it off in early March. What a painful lesson I read this in the Guardian yesterday . The rest of the media were playing silly buggers and denying it

But still can tweet, lead, play funny Boris, the friend of another clown in the US, who loves the Queen?!? Rather Covid then a Boris! COVIT! hes goin to die :/ God bless him. No it doesn't! 🙄 or is it a play? you know, trust is a fragile thing. people like him, like Trump, Putin, and others have broken trust so many times it's hard to know what is believable and what is manipulation. I wish no one harm, not even T, but trust is fragile...

He looked dreadful the other day. I feel like his condition has been underplayed.

Starmer: we’ll work with PM to fight Covid-19 in national interestNew Labour chief calls Johnson after election victory as new coronavirus cases fall but death toll rises by 708 Putting country before party. Well done Keir_Starmer. This is poppycock. What resources does Keir have to do so? What authority does he have ? It's all bollocks. Congrats UK, upgraded from the blonde who looks like he just rolled out of bed every morning to someone who can operate a hair brush. Well done. When's the next election?

Piers Morgan erupts at Boris Johnson critics as he battles in ICU: 'Shut the f*** up!'PIERS MORGAN - who hosts Good Morning Britain - has instructed those who 'have nothing positive to say about Boris Johnson ' to 'shut the f*** up' following news that the Prime Minister is in intensive care with the coronavirus. QueenElizabeth said We will succeed and that success belong to everyone of us...QueensSpeech coronavirus Here’s a prime example of someone you should all be proud of SCUM of the earth!! Whilst at the same time demanding to know specifics about Johnson's medical condition which sounds voyeuristic really.

Monday morning news briefing: PM in hospital with virusDannyBoyle87 TIGER DIAGNOSED WITH THE coronavirus VIRUSE at BronxZoo in NewYork..

The Coronavirus Newscast - PM admitted to hospital - BBC Sounds🚨 EMERGENCY NEWSCAST! 🚨 • The PM is admitted to hospital for tests • Scotland’s chief medical officer resigns • The Queen addresses the nation WOW Boris discovers that Herdimmunity sounds less cool, suddenly Anti science in full display, and its consequences Chill🙄 Calm the F down will ya..

Fears were growing over PM on isolation day 10 as aides said he ‘looks dreadful’ Boris Johnson was taken to hospital still displaying significant coronavirus symptoms with Downing Street sources admitting it has hit the PM 'like a sledgehammer' Trump WARN Americans IS GOING TO FACE A 'LOTS OF DEATHS. IN two weeks COVID19US How is everyone? Good Luck Boris. Respect John W

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