He brings up an interesting point about maybe too much positive pressure for some individuals, but outward symptoms and thoracic CT scans should give them pretty good enough info whether intubation and ventilator is needed. Making treatment calls based on blue face symptoms when you take someone’s O2 away is not diagnostic enough (not sure why he brought that up). He says vents are still needed but the protocols they are running may have too much positive pressure so it sounds to me more like a nuanced patient-specific idea of how much positive pressure should be used is what he is looking for depending on how the patient is doing.
Not sure, there isn’t a lot of info in videos other than he seems concerned about the amount of positive pressure some ventilator patients are receiving. I’m sure sometimes that is the case. It is also probably true sometimes not enough pressure is used and atelectasis may get to a point of death potentially.
It is tough to have this stuff dialed in without experience I would assume so hopefully his concerns bring in good debate within the medical community. Of course there are other treatments beyond ventilators but CTs and O2 levels should give decent indication whether a ventilator is needed or not (along with other patient-specific symptoms/evidence of disease process).
All IMO only.
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