Honestly this study makes a lot of sense and if the physicians at my hospital haven’t read it or looked into alternative treatments, I’m gonna show them this....truth is before Covid we would do bipap or High flow therapy, after Covid if a non rebreather 100% o2 mask couldn’t help their oxygenation we Dove straight to intubation because when we first were treating this, we felt once patients crossed a certain threshold and could no longer maintain a sat above 90% it was curtains from there on and we were just delaying the inevitable intubation, however now from my own personal experience, since we intubated our first Covid patients, none have been able to be weaned, like not even close, they’ve been on weeks of high levels of o2 which is toxic and high levels of PEEP (pressure) which messes with cardiac output and often times results in pneumothoraxes which to no surprise those patients we’ve managed to keep alive for 2 weeks + alllll have multiple of, in short....the current protocol of quick intubation I agree, hasn’t helped much if anything at all.....I believe there is a liability issue at hand with hospitals, no doctor wants to be held accountable for letting a patient code and die because they DIDNT intubate when they should and the idea that if a ventilator which has multiple modes of ventilation support can’t help a patient, how can we put our trust behind a noninvasive mode like Bipap...which is completely driven by patients effort and which in no way can compare to the types of pressures a ventilator can deliver at an alveolar level.....
eitherway, we at the end of a rope, patients on ventilators are not coming off, at least the vast majority aint,we just buy them time till their lungs get so full of junk and stiff that no matter what we do they can’t oxygenate and literally watch them go into full organ failure right in front of us, now is a matter of institutions and doctors taking the risk of NOT tubing these patients and Letting them fight for their lives on their own, while they are still conscious....is gonna be a hard plan to push when liability is at stake and medical liscences on the line.