I am a respiratory therapist with 34 years of direct patient care experience with ventilators. Lung protective ventilation (6ccs/kg body weight) has been a colossal, tragic medical mistake. 1) Outcomes for patients have not improved in the past 20 years standing at about 30%-40% 1 year mortality for patients on a ventilator for longer than 48 hours. 2) 6ccs/kg. body weight (the recommended lung protective tidal volume) has never been shown to be better than 8ccs/kg. My experience is that 8ccs/kg is much better than 6ccs/kg. and I would be happy to prove it if challenged. 3) The Covid-19 epidemic has revealed that the emperor has no clothes. Ventilator outcomes for Covid patients has been reported as much higher than 30%-40% mortality which is not surprising to me. Flawed theories do not produce better results under stress. Flawed theories get exposed under stress.
great session, love this :)
I am a respiratory therapist with 34 years of direct patient care experience with ventilators. Lung protective ventilation (6ccs/kg body weight) has been a colossal, tragic medical mistake. 1) Outcomes for patients have not improved in the past 20 years standing at about 30%-40% 1 year mortality for patients on a ventilator for longer than 48 hours. 2) 6ccs/kg. body weight (the recommended lung protective tidal volume) has never been shown to be better than 8ccs/kg. My experience is that 8ccs/kg is much better than 6ccs/kg. and I would be happy to prove it if challenged. 3) The Covid-19 epidemic has revealed that the emperor has no clothes. Ventilator outcomes for Covid patients has been reported as much higher than 30%-40% mortality which is not surprising to me. Flawed theories do not produce better results under stress. Flawed theories get exposed under stress.
Thx
ART Trial. thoughts? Also EPVENT2 showed esophageal balloon no better than empiric high PEEP