One ventilator, two patients: New York hospitals shift to crisis mode

Health, Coronavırus, Ventılators, Infectious Diseases, Health / Medicine, Healthcare (Trbc), New York, New York City

One ventilator, two patients: New York hospitals shift to crisis mode

Health, Coronavırus

27.3.2020

One ventilator, two patients: New York hospitals shift to crisis mode

At least one New York hospital has begun putting two patients on a single ventilator machine, an experimental crisis-mode protocol some doctors worry is too risky but others deemed necessary as the coronavirus outbreak strains medical resources.

FILE PHOTO: A ventilator is seen at the New York City Emergency Management Warehouse, where 400 ventilators arrived and before being shipped out for distribution, due to concerns over the rapid spread of coronavirus disease (COVID-19) in the Brooklyn borough of New York City, U.S., March 24, 2020. REUTERS/Caitlin Ochs/File Photo The coronavirus causes a respiratory illness called COVID-19 that in severe cases can ravage the lungs. It has killed at least 281 people over a few weeks in New York City, which is struggling with one of the largest caseloads in the world at nearly 22,000 confirmed cases. A tool of last resort that involves threading a tube down a patient’s windpipe, a mechanical ventilator can sustain a person who can no longer breathe unaided. The city only has a few thousand and is trying to find tens of thousands more. Dr. Craig Smith, surgeon-in-chief at New York-Presbyterian/Columbia University Medical Center in Manhattan, wrote in a newsletter to staff that anesthesiology and intensive care teams had worked “day and night” to get the split-ventilation experiment going. By Wednesday, he wrote, there were “two patients being carefully managed on one ventilator.” New York Governor Andrew Cuomo, who says his staff is struggling to find enough machines on the market, has touted the adaptation as a potential life-saver. “It’s not ideal,” he told reporters, “but we believe it’s workable.” The U.S. Food & Drug Administration, which regulates medical device manufacturers, gave emergency authorization on Tuesday allowing ventilators to be modified using a splitter tube to serve multiple COVID-19 patients, though manufacturers still must share safety information with regulators. Some medical associations oppose the unproven method. On Thursday, the Society of Critical Care Medicine, the American Association for Respiratory Care and four other practitioner groups issued a joint statement saying the practice “should not be attempted because it cannot be done safely with current equipment.” It is difficult enough to fine-tune a ventilator to keep alive even one patient with acute respiratory distress syndrome (ARDS), the statement said; sharing it across multiple patients would worsen outcomes for all. They proposed doctors instead choose the one patient per ventilator deemed most likely to survive. At Columbia, Smith noted that they could not split a ventilator across just any two COVID-19 patients, but were only pairing patients with sufficiently similar respiratory needs. Across Manhattan, Mount Sinai Hospital told staff in an email that officials were “working to figure out” whether they could split ventilators. The hospital has ordered the necessary adapters, a nurse there said in an interview on condition of anonymity because she was not authorized to speak to reporters. Experts at Columbia pointed to a 2006 study where researchers, using lung simulators, concluded that a single ventilator could sustain four adults in an emergency scenario. One author of that study, Dr. Greg Neyman, cautioned against the application in COVID-19 cases in part because the lungs themselves are infected. If one patient’s lungs were deteriorating faster, he said, it could cause imbalances in the closed system. One patient could starve for oxygen while the other patient’s lungs would get increased pressure. “Unless they were very very closely monitored, such a set up may end up doing more harm than good,” Neyman wrote in an email to Reuters. Reporting by Jonathan Allen and Nick Brown; Editing by David Gregorio Our Standards: Read more: Reuters Top News

Lie lie lie...hey it aint werkn, TRUMP is a great leader...keepa yappin Hey, I want to know ; what happens to the old equipment from the hospitals and the militaries ? Do they end up in a surplus store and warehouse, right ! Or, am I just losing my mind ! They are oldie but goodies right Likely FakeNews

A humble suggestion , make more hospitals n medical instruments and make less ammunations, What are they doing with the ventilators in storage....hmmm. SMELLS Where are all the medical supplies that potus and Dr Birx have insisted had been shipped to New York? today’s presser I don’t think Gov Cuomo would lie about not getting suppliesdo you tiny potus

That's why it is crisis and can only be dealt with slowing the spread rate. MSM = fear and panic It's been like this for days now... At least I'm some parts of NY/NJ. If your country doesn't go all out, it will soon become one for 10 people. This is what's going on in Italy

New Amsterdam Episode About Pandemic Wreaking Havoc on New York Shelved by NBCIn an essay published Wednesday, creator David Schulner explained the decision to pull the episode saying, “The world needs a lot less fiction right now, and a lot more fact'

Fake news. The Liberal media is atrocious and sickening. This is nonsense.CoronaHoax

New York sees some signs of progress against coronavirus as New Orleans hit hardGovernor Andrew Cuomo said New York City will close some public streets to vehicles, opening them up to pedestrian traffic to facilitate 'social distancing' to avoid coronavirus infections Wow... It’s a great idea. Wait... closing to vehicles, which are safer, and opening to crowds? I don't understand why he would do that. This. But permanently. Ty.

New York sees glimmer of progress against coronavirus, New Orleans worsensNew Orleans has the world's highest growth rate in coronavirus cases, raising fears it may be a powerful catalyst in spreading the virus across the south of the United States This is all Trump’s fault! BlaiAndreu 😢 pdacosta But all wrapped up by Easter Sunday, right?

Bill and Hillary Clinton Send Pizza to Hospital Staffs in New YorkBill and Hillary Clinton send free pizzas to hospital staffs in New York . TMZ, who proof read your write-ups? Staff and not staffs Delivered by an intern for just a tip CanadianFlags They need supplies and pizza break out the cash

New York hospitals are using vitamin C to treat some coronavirus patients'Taking large doses of vitamin C tablets would be very unlikely to protect you from COVID-19—unless you were actually vitamin C deficient,' Prof. Peter McCaffery told Newsweek. No wonder I can't find anymore vitamin C. I buy them normally and now everywhere seems to be out! 😕 Goodbye oranges 🍊 👋 I hope I see you again one day Actually it's a good idea. Simple but it does help your immune system.

New York says hospitals overwhelmed under almost any coronavirus scenarioIn the United States, more than 82,000 people have tested positive for Covid-19, edging out Italy, which has reported the most deaths, and China, where the virus was first detected in December in the metropolis of Wuhan.



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