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Summarized Experiences: New Findings on Ventilation for Crown Patients
Although many infections with the new corona virus only lead to mild or no symptoms, there are also serious illnesses. Many people must receive intensive treatment and need artificial ventilation. Despite such treatments, the condition worsens in some patients. Now there are new ideas as to why this is the case.
A scientific report was recently published showing a high mortality rate among COVID-19 patients who needed mechanical ventilation. Experts have now summarized the latest findings on ventilation for coronavirus patients.
The meaning of artificial ventilation is discussed.
Research has shown that Germany is the safest country in Europe in relation to the crown pandemic. This also has to do with the fact that the treatment of patients with COVID-19 is considered particularly efficient in Germany.
Furthermore, it is repeatedly emphasized that German intensive care units are not (yet) overloaded and that there are enough fans available. This is important because people who have severe courses of COVID-19, the disease caused by the coronavirus, often need artificial respiration.
However, there are indications from other countries that many of these patients are dying, so some experts are discussing the benefits of artificial ventilation.
Summary world data
The internationally recognized expert for severe lung diseases at the University of Gottingen Medical Center (UMG), Prof. Dr. Luciano Gattinoni and Professor John J. Marini of the University of Minnesota / USA. USA They have summarized, in a “Clinical Update”, the global experience and data available so far on the effectiveness and impact of ventilation in patients with COVID-19.
As the UMG writes in a current announcement, the two scientists are among the best-known experts in intensive care, pulmonary physiology, and pathophysiology and mechanical ventilation.
The “Clinical Update” was published in the renowned journal “Journal of the American Medical Association” (JAMA).
Why the health status of some fans deteriorated
Prof. Dr. Luciano Gattinoni, who currently leads the working group “Acute Lung Failure” at the Anesthesiology Clinic of the Medical Center of the University of Göttingen, and his co-author highlight some special characteristics of the lung damage caused by COVID-19 in the publication.
Among other things, the two experts investigated why the health status of some of the COVID-19 ventilated patients worsened rather than improved.
The scientists found evidence of the underlying mechanism by which the lungs are damaged. According to recent data from Italian clinics, the lung in patients with COVID-19 is not as mechanically damaged in the initial phase as in other forms of severe acute pneumonia.
Standard therapy is not recommended.
Because significantly less fluid builds up in the lungs in the early phase of the disease than in “classic” pneumonia, the authors say it remains elastic and elastic for an unusually long time.
For this reason, experts do not recommend standard therapy with early intubation and intensive ventilation, as used for severe pneumonia.
If COVID-19 patients experience severe respiratory distress, they recommend that the lung have time to heal and recover through adequate support for gas exchange and respiration, tailored to the various stages of the disease. . (ad)
Important note:
This article contains general information only and should not be used for self-diagnosis or treatment. It cannot replace a visit to the doctor.
