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Harsh_Truth2 6 points ago +6 / -0

Fuck man. Mine too. Claims he had a sister in law die of it. I start asking questions only to found out she died on a fucking ventilator. Can't talk about how they were blowing up peoples lungs with those things though or 'you're a crazy crackpot conspiracy theorist.' Never-mind you can send them links to articles where even Communist News Network claims the 'vaccine' is only now just hitting phase 3 trials, as in YOU ARE THE FUCKING TRIAL, and they ignore it.

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TonsOfSalt 2 points ago +3 / -1

Ventilators don't necessarily kill people. Positive pressure ventilation in general can certainly cause lung damage. Bad settings on a ventilator that don't match what the patient needs will certainly kill them. The problem in the beginning is that people didn't understand the pathophysiology of the virus, and treating everyone like a traditional ARDS patient was not the way to go.

I'd be happy to elaborate further if you're interested.

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lawlady1776 2 points ago +2 / -0

Yep barotrauma is real bad if your lungs are filled with fluid. Those alveoli just burst and this coupled with inflammation from irritation and ALSO lack of oxygen/carbon dioxide exchange which leads to organ damage with typically the most pissy of your organs --the kidneys-- being the first to peace out. And, alot of these patients die from metabolic alkalosis that was compensating for respiratory acidosis. Most of these patients would be better served initially I think with a biPap or CpaP and weaned off the oxygen supply. A person can mimic ARDS with oxygen toxicity. Hell, EVEN PeeP settings on a ventilator is not without risks.

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TonsOfSalt 1 point ago +1 / -0

The exact mechanism of ventilator induced lung injury is not fully understood, though we generally know which things are associated with worse outcomes. In addition to baro-trauma, you might want to look into the current hypothesis of "SILI" - self induced lung injury. It might have you thinking twice about BIPAP.

The micro-clots of COVID lead to poor V/Q ratios, so the body compensates with faster and more vigorous breathing. Baro-trauma contributes to the extent that it influences your transpulmonary pressures - the pressures your lungs actually experience. Transpulmonary pressure is the difference between airway pressure and pleural pressure. With high inspiratory demand, the patient produces a significant negative pleural pressure while the BiPAP adds to airway pressure. The net difference translates into a massive transpulmonary pressure that gets exerted on the lungs, suggesting we may actually want to be sedating the patients on ventilators and using more gentle airway pressure settings.

Maximize V/Q the best you can with a safe PEEP level, keep the driving pressures low, and do the least amount of ventilator induced lung damage while you give the body a chance to fight off the underlying infection.

Edit: This is not medical advice. I'm only a janitor.

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lawlady1776 2 points ago +2 / -0

Yep:) Good explanation too:)

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Barbs 1 point ago +1 / -0

I remember reports from early in the pandemic where they said they had ventilators turned up to max pressure and people were still turning blue.