- saving lives
Posted by margo
on November 22, 2020, 9:01 pm, in reply to "Re: For every eminent pathologist producing illicit videos there are thousands of medcis"
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"No new ventilators have been purchased and we are not far from having to use anaesthetic machines. The ICU mortality will go up again when we do". Horrible scenario. Early on, South Africa had a shortage of ventilators, and also high mortality rate on ventilators. Forced to make a plan, SA doctors abandoned ventilators altogether after getting better results from high-flow oxygen delivered via cheap nasal tubes:  Previous MessageSouth Africa: Covid-19 - High-Flow Nasal Cannula 'Valuable' Alternative to Ventilation 4 August 2020 / University of Cape Town AllAfrica News -- THE use of high-flow nasal cannula (HFNC) oxygen therapy has proven to be a low-resource alternative to mechanical ventilation in selected patients with severe COVID-19 pneumonia, said UCT's Associate Professor Greg Calligaro. Calligaro is a research coordinator at the Centre for Lung Infection and Immunity (CLII) at the UCT Lung Institute and a consultant pulmonologist at the Respiratory Clinic at Groote Schuur Hospital (GSH). Speaking to UCT News after a busy night shift in the COVID-19 ward at GSH, one of the Western Cape's most impacted COVID-19 hospitals, Calligaro said HFNC is a valuable and feasible alternative to mechanical ventilation that is being used more and more on critically ill COVID-19 patients at GSH. Calligaro's paper in The Lancet: https://www.thelancet.com/pdfs/journals/eclinm/PIIS2589-5370(20)30314-X.pdf also Success of High-Flow Oxygen Brings Rethink June 10 2020 “[After poor results on ventilators] the team at Tygerberg Hospital [Stellenbosch, South Africa] decided that the next seven patients that came in for critical care were placed on high-flow nasal oxygen. Six out of the seven recovered. That was a huge turnaround for the team at Tygerberg,” said head of provincial department of health, Dr Keith Cloete. He said the high-flow nasal oxygen treatment was so successful that they were moving patients from critical care and ICU to normal wards. |