ADVERTISEMENT
Sunday, January 24, 2021
  • Contact Us
My blog
  • Home
  • Health
  • Medicine
  • Nutrition
  • Fitness
  • Diet
  • Weight Loss
  • More
    • Mental Health
    • Healthcare
No Result
View All Result
  • Home
  • Health
  • Medicine
  • Nutrition
  • Fitness
  • Diet
  • Weight Loss
  • More
    • Mental Health
    • Healthcare
No Result
View All Result
My blog
No Result
View All Result
Home Medicine

UChicago Medicine doctors see ‘remarkable’ success using ventilator alternatives to treat COVID-19

Healthy by Healthy
April 23, 2020
in Medicine
0
UChicago Medicine doctors see ‘remarkable’ success using ventilator alternatives to treat COVID-19
585
SHARES
3.3k
VIEWS
Share on FacebookShare on TwitterPin It

Newswise — Doctors at the University of Chicago Medicine are seeing “truly remarkable” results using high-flow nasal cannulas rather than ventilators and intubation to treat some COVID-19 patients.

High-flow nasal cannulas, or HFNCs, are non-invasive nasal prongs that sit below the nostrils and blow large volumes of warm, humidified oxygen into the nose and lungs.

A team from UChicago Medicine’s emergency room took 24 COVID-19 patients who were in respiratory distress and gave them HFNCs instead of putting them on ventilators. The patients all fared extremely well, and only one of them required intubation after 10 days.

“The success we’ve had has been truly remarkable,” said Michael O’Connor, MD, Director of Critical Care Medicine.

The HFNCs are often combined with prone positioning, a technique where patients lay on their stomachs to aid breathing. Together, they’ve helped UChicago Medicine doctors avoid dozens of intubations and have decreased the chances of bad outcomes for COVID-19 patients, said Thomas Spiegel, MD, Medical Director of UChicago Medicine’s Emergency Department.

“The proning and the high-flow nasal cannulas combined have brought patient oxygen levels from around 40% to 80% and 90%, so it’s been fascinating and wonderful to see,” Spiegel said.

Mechanical ventilation – the most common treatment for these patients thus far – involves inserting a breathing tube into the windpipe so a ventilator can pump air into the lungs. Using a ventilator or intubation as a last resort – an approach UChicago Medicine teams call “prevent the vent” – helps get COVID-19 patients out of the hospital intensive care unit and prevents harmful side effects caused by ventilators, such as lung injuries.

“Avoiding intubation is key,” Spiegel said. “Most of our colleagues around the city are not doing this, but I sure wish other ERs would take a look at this technique closely.”

This approach is not without risk, however. HFNCs blow air out, and convert the COVID-19 virus into a fine spray in the air. To protect themselves from the virus, staff must have proper personal protective equipment (PPE), negative pressure patient rooms, and anterooms, which are rooms in front of the patient rooms where staff can change in and out of their safety gear to avoid contaminating others.

UChicago Medicine’s Emergency Department recently doubled its number of anterooms, thereby doubling its capacity to give high-flow nasal cannula to patients. The main hospital also added negative pressure rooms on two floors, making it safer and easier to take care of COVID-19 patients.

Since the first COVID-positive patient was admitted March 13, UChicago Medicine has successfully treated and discharged 297 patients with the virus. Even as the number of hospitalized COVID-19 patients has grown, doctors have managed ventilator usage. As of Wednesday, UChicago Medicine had 137 COVID-19 patients, but only 27 of them were on ventilators. The medical staff has avoided mechanical ventilation on 40% of patients, and extubated 50% of those who needed ventilators, O’Connor said.

“It’s a phenomenal number, because in Italy, the number of extubations was much lower,” O’Connor said, who also gave credit to the cross-team collaboration.

UChicago Medicine care teams got an early preview of how COVID-19 treatments were working in China and Italy from the university’s hospital affiliates in those countries. When the time came for the Hyde Park-based health system to start caring for COVID-19 patients, they’d already concluded that steroids were an ineffective treatment. The UChicago Medicine teams opted to use less invasive approaches, such as HFNCs or helmet ventilators. For patients who did require mechanical ventilation, the goal was to get those people off the ventilator as soon as possible.

O’Connor and Spiegel agree that the steps the city took to flatten the curve worked. At first, UChicago Medicine was doubling its cases every 2-3 days, leaving doctors terrified of running out of space, staff and equipment. Now that the doubling time of COVID-19 patients has slowed to approximately 12 days, it helps the hospital staff generate good outcomes.

“The curve having been flattened has provided us a world of relief,” Spiegel said.



Source link

You might also like

Comprehensive Report on Nuclear Medicine/ Radiopharmaceuticals Market 2021 | Size, Growth, Demand, Opportunities & Forecast To 2027

Comprehensive Report on Electroceuticals/Bioelectric Medicine Market 2021 | Size, Growth, Demand, Opportunities & Forecast To 2027

COVID-19 outbreak declared at Sarnia Hospital General Medicine unit: LPH

Previous Post

Here’s how to pick health insurance if you’ve lost job benefits

Next Post

Global Health Doctor: Hire 1000s of Contact Tracers to Stop COVID-19, Save Lives and the Economy

Healthy

Healthy

Related Posts

Comprehensive Report on Nuclear Medicine/ Radiopharmaceuticals Market 2021 | Size, Growth, Demand, Opportunities & Forecast To 2027
Medicine

Comprehensive Report on Nuclear Medicine/ Radiopharmaceuticals Market 2021 | Size, Growth, Demand, Opportunities & Forecast To 2027

by Healthy
January 24, 2021
Comprehensive Report on Electroceuticals/Bioelectric Medicine Market 2021 | Size, Growth, Demand, Opportunities & Forecast To 2027
Medicine

Comprehensive Report on Electroceuticals/Bioelectric Medicine Market 2021 | Size, Growth, Demand, Opportunities & Forecast To 2027

by Healthy
January 24, 2021
COVID-19 outbreak declared at Sarnia Hospital General Medicine unit: LPH
Medicine

COVID-19 outbreak declared at Sarnia Hospital General Medicine unit: LPH

by Healthy
January 24, 2021
5 Advanced Medicine Ball Exercises for Total-Body Strength – LIVESTRONG.COM
Medicine

5 Advanced Medicine Ball Exercises for Total-Body Strength – LIVESTRONG.COM

by Healthy
January 23, 2021
COVID 19 French Ambassador expresses gratitude to India for shipping medicine during pandemic-ANI
Medicine

COVID 19 French Ambassador expresses gratitude to India for shipping medicine during pandemic-ANI

by Healthy
January 23, 2021
Next Post
Global Health Doctor: Hire 1000s of Contact Tracers to Stop COVID-19, Save Lives and the Economy

Global Health Doctor: Hire 1000s of Contact Tracers to Stop COVID-19, Save Lives and the Economy

Leave a Reply Cancel reply

Your email address will not be published. Required fields are marked *

Recommended

Pandemic takes toll on mental health of young adults

Pandemic takes toll on mental health of young adults

September 12, 2020

Sports Nutrition Foods and Drinks Market 2020 Global Share, Trend And Opportunities Forecast To 2025 – Press Release

April 14, 2020

Categories

  • Diet
  • Fitness
  • Health
  • Healthcare
  • Medicine
  • Mental Health
  • Nutrition
  • Weight Loss

Don't miss it

Are public health ads worth the price? Not if they’re all about fear
Health

Are public health ads worth the price? Not if they’re all about fear

January 24, 2021
Comprehensive Report on Nuclear Medicine/ Radiopharmaceuticals Market 2021 | Size, Growth, Demand, Opportunities & Forecast To 2027
Medicine

Comprehensive Report on Nuclear Medicine/ Radiopharmaceuticals Market 2021 | Size, Growth, Demand, Opportunities & Forecast To 2027

January 24, 2021
Pandemic changing status quo in health care, schools
Healthcare

Pandemic changing status quo in health care, schools

January 24, 2021
“Am I Okay?”; An investigation into COVID-19 and mental illness
Mental Health

“Am I Okay?”; An investigation into COVID-19 and mental illness

January 24, 2021
The Long & Winding Road: On the road for mental health | Columnists
Fitness

Summit Health and Fitness emphasizes benefits to staying active |

January 24, 2021
Trapped for 2 weeks, 11 workers rescued from China gold mine | World
Diet

Trapped for 2 weeks, 11 workers rescued from China gold mine | World

January 24, 2021
My blog

All the latest breaking news on Healthy Eating. Browse The Independent's complete collection of articles and commentary on Healthy Eating

Categories

  • Diet
  • Fitness
  • Health
  • Healthcare
  • Medicine
  • Mental Health
  • Nutrition
  • Weight Loss

Trending

El Paso doctor provides expert advice on how to lose weight, stay active

Cedar Point board to consider permit for Carteret Health Care building | News

Global Oncology Nutrition Market to Expand with Advancements in Cancer Treatment Lines, Says TMR

Don’t let nutrition confusion derail your fitness journey – column and video

Recent News

Are public health ads worth the price? Not if they’re all about fear

Are public health ads worth the price? Not if they’re all about fear

January 24, 2021
Comprehensive Report on Nuclear Medicine/ Radiopharmaceuticals Market 2021 | Size, Growth, Demand, Opportunities & Forecast To 2027

Comprehensive Report on Nuclear Medicine/ Radiopharmaceuticals Market 2021 | Size, Growth, Demand, Opportunities & Forecast To 2027

January 24, 2021

© 2020 eathealthyandlivehealthy.com

No Result
View All Result
  • Home
  • Health
  • Medicine
  • Nutrition
  • Fitness
  • Diet
  • Weight Loss
  • More
    • Mental Health
    • Healthcare

© 2020 eathealthyandlivehealthy.com

//stawhoph.com/afu.php?zoneid=3399210