COVID 19, CPAP, Ventilator MEGA THREAD...everything go here please

[davecpap]

Details of what Mt. Siani is doing to use Tesla donation as ventilators: https://lnkd.in/ed9HqpK

Article I found link in: https://cleantechnica.com/2020/04/03/mo ... rom-tesla/

Says it requires Resmed VPAP ST (or alternative bi-level machine). Interestingly, it talks about how doctors can adjust settings remotely - saving PPE and having to go in room to adjust. The modem is good for something!

[Miss Emerita]

I posted earlier about this; more information here:

https://www.bizjournals.com/sanfrancisc ... apnea.html

These are researchers from UCSF (a medical school) and the mechanical engineering department at UC Berkeley. They are seeking unused PAP machines, which they are outfitting to serve as ventilators.

[Jeannh]

https://www.ventilatorsos.com/our-solution.html
UC Berkeley and UCSF are asking for donations. Apparently, they think they are convertible.

[jnk...]

I posted earlier about this; more information here:

https://www.bizjournals.com/sanfrancisc ... apnea.html

These are researchers from UCSF (a medical school) and the mechanical engineering department at UC Berkeley. They are seeking unused PAP machines, which they are outfitting to serve as ventilators.

Key phrases in article:

All they need now to get going, . . . a possible solution, but to become a feasible option

In other words, they are not yet going, the "solution" is only a possibility, and it is not yet considered a feasible option.

[raisedfist]

https://www.linkedin.com/feed/update/ur ... 875861505/

Repurposing bi-level to INVASIVE use, by Mt Sinai hospital in NYC.

Note: does not apply to home users, as you're not going to intubate yourself at home.

[Miss Emerita]

Here's the whole article, and here's another link:

https://engineering.berkeley.edu/news/2 ... ntilators/

In order to increase the limited supply of ventilators, a group of Bay Area engineers and doctors has developed a technique to repurpose sleep apnea machines to provide oxygen to patients suffering severe respiratory illness brought on by COVID-19. All they need now to get going, according to the group, is government support and sleep apnea machines.

Normally repurposing medical devices to address health conditions they weren’t intended to treat is restricted by regulation, but due to the dire circumstances, the FDA has allowed for the rejiggering of sleep machines into life-saving ventilators.

The group, known as the COVID-19 Ventilator Rapid Response Team, is made up of engineers from UC Berkeley and doctors from UCSF and Mills Peninsula Hospital.

As COVID-19 threatens the lives of thousands, ventilators are needed to keep critical patients alive as the deadly virus can make it impossible to breathe without one. But a nationwide shortage of ventilators prevents hospitals from being able to meet the demand, leaving doctors to triage patients, like what has happened in Italy, Spain and now New York.

Gov. Gavin Newsom has said that California alone needs 10,000 ventilators to meet the demand, but only has a supply of about half that. Other efforts are being made to increase the numbers. Ford, General Electric, Dyson, Tesla and others have turned their production efforts to making ventilators and designing new ones.

The COVID-19 Ventilator Rapid Response Team is asking the government to pick up the project and work with manufacturers to get the repurposed devices to health care workers who need them. They are also seeking donation of sleep apnea machines, known as CPAP and BIPAP, for the community.

“We are hoping for expedited government support because hospitals are quickly getting besieged with COVID-19 patients,” said Dr. Ajay Dharia, pulmonary doctor at Mills Peninsula Hospital, in a statement. “The use of home-based CPAP and BIPAP machines offer such a possible solution, but to become a feasible option this project needs backing from the FDA, manufacturers and the government.”

[palerider]

https://www.linkedin.com/feed/update/ur ... 875861505/

Repurposing bi-level to INVASIVE use, by Mt Sinai hospital in NYC.

Note: does not apply to home users, as you're not going to intubate yourself at home.

Or monitor yourself while you're unconscious. .... but as far as the intubating, who knows, there might be some fetishists out there.

[raisedfist]

https://www.linkedin.com/feed/update/ur ... 875861505/

Repurposing bi-level to INVASIVE use, by Mt Sinai hospital in NYC.

Note: does not apply to home users, as you're not going to intubate yourself at home.

Or monitor yourself while you're unconscious. .... but as far as the intubating, who knows, there might be some fetishists out there.

Just don't overdose on the sedation and paralytic agents, and you too can have a remote chance of survival!

[palerider]

https://www.linkedin.com/feed/update/ur ... 875861505/

Repurposing bi-level to INVASIVE use, by Mt Sinai hospital in NYC.

Note: does not apply to home users, as you're not going to intubate yourself at home.

Or monitor yourself while you're unconscious. .... but as far as the intubating, who knows, there might be some fetishists out there.

Just don't overdose on the sedation and paralytic agents, and you too can have a remote chance of survival!

If only we were like dolphins and could leave half of our brains awake to adjust the respirator

[raisedfist]

https://www.linkedin.com/feed/update/ur ... 875861505/

Repurposing bi-level to INVASIVE use, by Mt Sinai hospital in NYC.

Note: does not apply to home users, as you're not going to intubate yourself at home.

Or monitor yourself while you're unconscious. .... but as far as the intubating, who knows, there might be some fetishists out there.

Just don't overdose on the sedation and paralytic agents, and you too can have a remote chance of survival!

If only we were like dolphins and could leave half of our brains awake to adjust the respirator

It's amazing to watch animals outside right now, we have deer and turkeys just coming up and roaming around from the woods without a care in the world. Meanwhile us humans are under attack!

[Morbius]

Oh boy! No third party image banks any more!

covid.jpg (118.44 KiB) Viewed 2563 times

[Morbius]

This disease needs LOTS of supplemental oxygen.

There is sliding scale of sick, so basic machines may have some value in the early phases of the disease.

That said, the rationale will often be "anything is better than nothing".

Anybody who says "well ethics, legal, etc. prevents the use of this for that" forget it, there's no rule book any more. In a hospital, if your IRB says you can do something, off you go.

When people are talking about BiPAPs they're generally referring to V60s.

[Pugsy]

there's no rule book any more.

I understand. Desperate times call for desperate measures.

Good to see that you are alive and kicking still. I know where you work...how are things going in your area?

[Morbius]

...how are things going in your area?

ICU 260% of "capacity".

Hospital census 50% CV-19.

[raisedfist]

Hospitals all have written criteria in worst case scenarios on the books, as to how to make triage decisions as to who gets access to a ventilator or not. It is NOT pretty when you look at the categories of people who are often excluded in these scenarios. Think about age and/or chronic conditions. This is awful to hear but unfortunately it's a necessary and rational way of doing the best with what you have. It may become a reality in NYC in the next week or two.

Most of the country is actually quite fortunate, as watching places such as NYC get hit real hard first, many of the other states have already put social distancing and stay at home orders in place. It's also given hospitals time to prepare for their own wave. The states that are not using the time bought to prepare, I would get the hell out of there fast.