'The Other Option Is Death': New York Starts Sharing of Ventilators

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NEW YORK -- A New York hospital system has begun treating two patients instead of one on some ventilators, a desperate measure that could help alleviate a shortage of the critical breathing machines and help hospitals around the country respond to the surge of coronavirus patients expected in the coming

NEW YORK — A New York hospital system has begun treating two patients instead of one on some ventilators, a desperate measure that could help alleviate a shortage of the critical breathing machines and help hospitals around the country respond to the surge of coronavirus patients expected in the coming weeks.

Gov. Andrew Cuomo of New York said on Thursday that the state had approved the method, which is also being studied by federal officials. And this week, the Food and Drug Administration granted emergency use approval to a device called VESper, developed by South Carolina-based Prisma Health, that adapts one ventilator for use with four patients.

“Here’s my disclaimer: This is off-label use for a ventilator,” she says in the video. “If it was me, and I had four patients, and they all need intubation, and I only had one ventilator, I would simply have a shared discussion meeting with all four families and say, ‘I can pick one to live, or we can try to have all four live.’”

With about 175,000 ventilators in hospitals and the federal stockpile, other states are also braced for shortages. Coronavirus patients often need to stay on ventilators for days or weeks. “When we ventilate a patient, there’s two things we’re trying to control: pressure and volume,” Han said. “And for this to work, every single patient would have to be OK with the same setting.” While she wasn’t speaking specifically about the NewYork-Presbyterian method, she noted that patients tend to have unique, dynamic needs.

 

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