With the global outbreak of the new crown epidemic, ventilators have become a hot and prominent product. The lungs are the main target organs attacked by the new coronavirus. When ordinary oxygen therapy fails to achieve the therapeutic effect, the ventilator is tantamount to delivering charcoal in the snow to provide respiratory support for critically ill patients.
“Judging from the clinical manifestations of this new coronary pneumonia case, some patients had very mild symptoms at the beginning of the onset, even the body temperature was not too high, and there were no special manifestations, but after 5-7 days, it would sharply worsen.” Lu Hongzhou, a member of the National New Coronary Pneumonia Medical Treatment Expert Group and a professor at the Shanghai Public Health Clinical Center, said.
How can we screen the severe ones from the mild ones in the first time? Apart from the temporary treatment point, what about the matching relationship between the monitors and ventilators in the ICU ward in transit and in the ICU? How many monitors should a ventilator be equipped with? Let’s listen to the voice of Shenzhen experts.
temporary rescue point
Although only severe and critical new crown patients need ventilators. However, if patients with mild symptoms are not treated in time, they may develop into severe diseases, and the proportion of patients with mild symptoms is very large.
“The ventilator is the support system of the lungs, and the monitor is the eye for the development and change of the disease. It plays an important early warning role in judging when the patient is on the ventilator, weaning off the ventilator, and screening the severe from the mild.” Lu Hong The director made it clear. For the elderly and obese people with underlying diseases, Director Liu Xueyan believes that the monitor should be used to capture the changes of the disease in time in the early stage.
Transit
The condition of patients with new coronary pneumonia is developing rapidly, and transportation has become the key to saving the lives of patients. Between wards and wards, between hospitals, designated hospitals, and even some first aid facilities, Director Lu Hong pointed out that these transport processes have put forward higher requirements for oxygenation monitoring.
In addition, high infectivity is one of the main characteristics of the new crown. It is reported that nearly 20,000 medical staff in Spain are currently infected with the new crown virus, more than 8,000 medical staff in Italy, and more than 300 medical staff in Belarus. “The monitoring system can replace part of the work of medical staff, and can understand the patient’s vital signs without contacting the patient.” Director Liu Xueyan believes that the monitor plays a protective role for both infected patients and medical staff.
ICU
Most of the critically ill patients with new coronary pneumonia will develop acute respiratory failure, sepsis, shock, and multiple organ failure, and need to be admitted to the ICU for key observation and treatment. Director Liu Xueyan said that the treatment of critically ill patients with new coronary pneumonia not only tests the level of clinical medical care, but also depends on whether the patient’s vital signs, hemodynamics, blood oxygen saturation and other parameters can be obtained accurately, in real time and in a timely manner. played an important role in it.
How to configure the ratio of monitor to ventilator
“Monitors are essential emergency equipment in ICU. According to the requirements of ICU construction standards, monitors and ventilators must be configured in a ratio of 1:1, whether during the new crown period or in normal times.” Director Liu Xueyan said.
At present, the number of patients with severe new crowns abroad has doubled, and there is a serious shortage of ventilators. Some hospitals limit the use of ventilators to those with medical value. In view of this situation, experts agree that the importance of monitors is more prominent. The hospital should ensure that each hospital bed is equipped with a monitor. For mild, transported and severe patients, the changes in their conditions can be captured at the first time, so as to ensure that each bed is equipped with a monitor. Minimize and minimize the risks posed by COVID-19.
Post time: Apr-07-2022