Is to be intubated often? Lung doctor criticized the hasty treatment of Covid-19-patients

Breathing machines can save in pulmonary failure life – but they should not come to hasty at Covid-19-patients, warned the pulmonary specialist Thomas Voshaar in an interview with the “Frankfurter Allgemeine Zeitung” (FAZ). The spread of the Coronavirus have taken care of in some countries, such as Italy and France, for chaotic conditions in the clinics – to the detriment of the patient. “For the longer observation of patients and the discussion of therapy there is no time in the Chaos, therefore, is often intubated prematurely, so invasive, to have been ventilated,” said the doctor.

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In the case of a so-called invasive ventilation, a plastic tube is in the trachea of the patient. This air is pumped into the lungs, and removed again. In General, patients need to be during respiration in an artificial coma. “For patients with invasive ventilation is generally poor,” warned Voshaar. “He can no longer eat, drink, and breathe on their own.” Too much pressure at the ventilator and a high level of oxygen could damage the lung additionally. “So it is always better to breathe on his own, that is why we look so critically on the ventilation.”

Voshaar stressed, with a view to the coming weeks, however, that the Situation in Germany is another: “We have prepared ourselves well, we want to record the patients are sorted and then the therapy is considered, initiate.” Voshaar works as a chief physician in the pulmonary clinic in the state of North Rhine-Westphalia, Moers, and is the managing Director of the West German society of pneumology. Since the beginning of April he had treated 29 Covid-19 patients, of which 19 have already been discharged could be. Only one Patient had been intubated diseases with serious reason.

Non-invasive mechanical ventilation helped many patients

“Many Covid-19 patients we were able to help with the Oxygen through the nose and non-invasive ventilation with respiratory mask,” says Voshaar. “Of course, respiratory rate, oxygen saturation, and heart and circulatory functions must be closely monitored.” He appealed, in principle, for a uniform approach. At the Moment there are between intensive care physicians and pulmonologists is no consensus on the treatment regimen.

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In Germany there were before the start of the Corona pandemic around 28,000 intensive care beds, including 25,000 with a respirator option. According to the German hospital society, the capacities have been increased significantly. Meanwhile, around 40,000 are intensive beds available. The Robert Koch Institute (RKI) and the German Interdisciplinary Association for Intensive and emergency medicine (DIVI) have set up also a tab that gives beds an Overview of the stock of free intensive with ventilators.

Source: Frankfurter Allgemeine Zeitung

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