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发表于 2021-6-13 12:57
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本帖最后由 zhousht 于 2021-6-13 12:58 编辑
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英国的病人开始害怕和拒绝呼吸器 _0 h" ]6 |4 W) g4 {
https://www.washingtonpost.com/w ... acd51e75_story.html
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ICU doctors say invasive ventilation continues to play an important role in covid care — though a diminished one. They concede that hospitals may have overused ventilators in the early months of the pandemic.
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7 b6 [ ?, e. E, [0 d: ^2 CSpecialists in Britain say the focus on mechanical ventilators in the early days was driven by reports of breathless patients overwhelming hospitals in Wuhan, China, and Lombardy, Italy.
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' W% z5 E$ `8 O. m* B0 h% YAlison Pittard, a senior ICU specialist in Leeds and dean of the Faculty of Intensive Care Medicine, a professional organization, said that in the first wave, doctors in Britain would put patients with low oxygen levels straight onto mechanical ventilation. Within hours of admission, patients would be rolled into intensive care, sedated and intubated." F0 A) z0 A Y8 K! i2 {
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But Pittard said doctors slowly started to realize they could manage many patients without invasive ventilation. Most covid patients are now first given noninvasive respiratory support instead, such as high-flow nasal oxygen or continuous positive airway pressure, known as CPAP. Neither requires deep sedation or a tube down the throat. Only the sickest go on to invasive ventilators. |
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