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Topics About 'Ventilators'.

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Found 8 results

  1. riquelle

    LVN scope with ventilators?

    Hi guys! So I work at a small group home, kind of like a SNF but it’s just 6 patients and they all have muscular dystrophy. So everyone is on a vent. We just got some mail from the BVNPT and Respiratory Care Board clarifying the LVN scope as opposed to an RT scope. They basically say we can’t do anything with the vent, not even administer a nebulizer through it or change a cannula, or transfer with the client if they need to go somewhere. Does anyone know more about this? Trying to find the exact scope of practice on the BVNPT website is difficult, but this just seems incorrect so I wonder if I’m reading it incorrectly or missing something? Thanks! This is in California btw.
  2. Randomkindness

    Does Having More Ventilators Even Help?

    This is a genuine question because I might not be seeing the full picture. I keep seeing reports of buying additional ventilators for different areas. But if there is a limited number of ICU nurses and respiratory therapists will that even help? Thanks.
  3. walktheline

    Ventilator vs Respirator?

    Please forgive my ignorance, but... What is the difference between a respirator and a ventilator?
  4. On April 8, General Motors received a contract to build 30,000 ventilators. On 4/28/2020, US senator Chris Van Hollen requested GM to reopen one of its other (closed) plants for the purpose of making ventilators. My question is, should these big factories continue to manufacture ventilators, even after the crisis is over?
  5. These Youtube doctors and nurses claim it is the ventilators killing the patients,but I am personally not convinced. I read before that most vented Covid 19 patients will die,and not from respiratory issues, but from sepsis or multi organ failure,which has nothing to do with a ventilator. I notice they do not even seem to offer an alternative,only that vents do not work. So what are we supposed to do,watch an ARDS patient progress into cardiac arrest? https://www.dailymail.co.uk/video/news/video-2160344/Video-Nurse-claims-COVID-19-patients-murdered-NY-hospitals.html
  6. Alright, I'm gonna be the soulless monster who brings it up...... Have those of us in critical care/inpatient started to think of the possibility that rationing care will occur? IF this spread gets bad, and large numbers of people need vents, we will have to start triaging and rationing There is a woeful lack of vents overall and there will be even fewer numbers of nurses available to manage those ventilated patients Which means, rationing, and choosing who gets that care If we follow the utilitarian model, of who will benefit the most from that care, the elderly, especially those with comorbidities are poor candidates to get those spaces, particularly when we look at numbers of that demographic who survive being intubated and return to a somewhat normal life (it's shockingly few, FYI) Links here to support my last statement- would love to hear some thoughts from others https://www.sciencedaily.com/releases/2010/03/100302162247.htm?fbclid=IwAR1c_TR50jkAbEM2n0v4BPnRAaLAge2u69i6QZnZhJV0HL2uSMxUZUe2P0o https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1127042/
  7. Bill Levinson

    Iron Lung vs. Ventilator

    I am an engineer and not a health care professional, so I'd appreciate some feedback from people on the medical side. There is widespread concern about the shortage of ventilators, and also an observation that the ventilators themselves can cause damage (e.g. barotrauma, intubation-related infections). Are there reasons the much older, but proven (at least in the case of polio) iron lung technology cannot be used? It does not require intubation and is apparently less stressful on the lungs. https://newatlas.com/medical/british-engineers-modern-iron-lung-covid-19-ventilator-alternative/ "Unlike ventilators, the exovent doesn't require intubation and is much simpler in design and operation. According to the consortium responsible for its design, patients can remain awake, take medications, eat and drink, and talk to their loved ones on the phone. In addition, the machine improves heart efficiency by 25 percent over conventional ventilators, which can adversely affect cardiac functions." Also https://www.ncbi.nlm.nih.gov/pubmed/15065832 "This study suggests that iron lung ventilation is as effective as invasive mechanical ventilation in improving gas exchange in chronic obstructive pulmonary disease patients with acute respiratory failure, and is associated with a tendency towards a lower rate of major complications."
  8. Read in its entirety: Splitting ventilators to provide titrated support to a large group of patients