INTUBATION DURING THE PANDEMIC
BIG QUESTION MARKS
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Do you want to know about INTUBATION DURING THE PANDEMIC?
What is intubation?
A tube -attached to a ventilator- is inserted through the nose or mouth straight into the lungs to assist in breathing when O2 levels in the blood become too low. Source
What are the risks of intubation?
Most important ones:
> bacterial infection
> reliance on intubation- inability to breathe again normally when the tubes are removed
During the Pandemic...
"More than 70% of the critically ill Covid-19 patients received intubation and invasive mechanical ventilation (IMV) support" Source
GO TO TWEET
They also prescribed lots of Midazolam in some counties to sedate people who were intubated which ironically has the effect of suppressing respiration.
GO TO TWEET
What is the prognosis of INTUBATION?
Not so good...
"a report revealed that of 32 Covid-19 patients who received intubation and IMV support, 31 (97%) died" Source
But wait... why was intubation recommended and less invasive methods cautioned against?
let's zoom in...
Not because it was the right thing to do for the patient but because they wanted to reduce spread in the hospital
So they recommended to intubate patients EARLY when according to previous protocols they would NOT BE ELIGIBLE for intubation (O2 levels not low enough)
patient need for procedure
potential benefit to patient
potential harm to patient
Also disregarding at least two ethical principles in healthcare
1) First do no harm
2) Treat people as ends in themselves not as means to another's end: never use one human being (exposing them to risk) for the sake of improving the health of another human being unless they consent to a selfless act such as blood donation or organ donation...
In order to reduce spread in hospitals, they could've simply opted to:
1) use negative pressure covid wards forcing the contaminated air away from the rest of the hospital (source)
2) proper ventilation of the hospitals in general
3) use temporary makeshift hospitals to treat covid patients to ensure isolation
To reduce risk for staff:
4) have younger staff look after covid patients (as they have a very low risk from covid even with no immunity)
5) or staff who already had covid and developed immunity
A list of ideas here: What about the vulnerable Source
How much did these poor practices contribute to 'Covid' deaths during the pandemic?
How many lives could've been saved if sound protocols were followed?
HOW ARE THE CULPRIT NOT GOING TO PRISON FOR THIS?
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