>>8690859 (lb)
Internet search for “COVID-19 pneumonia chest X-ray”. The lungs are not healthy. Diaphragm and chest wall muscles work fine. The lung tissue itself is very sick.
Problem faced in ventilation in all-cause ARDS is high pressure necessary to meet minute-ventilation needs is damaging. Secondly, you cannot run FiO2 above 65-70% for very long due to free radicals generated in the lung tissue is very damaging.
Alternative to ETT & mechanical ventilation:
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ECMO
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Death.
Define pneumonia.
Correct.
ECMO is done when the ventilator is no longer able to ‘safely’ oxygenate the patient. Few hospitals have ECMO.
Safely is in quote because, like anything, there are associated risks.
Long term ventilation facilities are referred to by acronym ‘LTAC’. Vent weaning for very prolonged respiratory failure patients unable to wean from the machine is done at LTAC facility. Those patients require tracheotomy because the endotracheal tube causes scarring that narrows the trachea if left in much longer than 2-3 weeks.
The goal is to get ETT out and patient breathing on their own as promptly as possible.
Kek.
o7
This is a better video for explaining what is wrong with American health care.
(Your video sucks by comparison)
Pneumonia is called “the dying man’s friend” for a reason. Modern medicine often gets in the way of God’s plan.