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US New York will allow two patients to share a single ventilator

00:06  27 march  2020
00:06  27 march  2020 Source:   cnn.com

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New York hospitals can now attempt to treat two coronavirus patients with a single ventilator . New York will lose billion to billion: CuomoGov. Andrew Cuomo said his state will lose billions in New York -Presbyterian Hospital has developed a split- ventilation protocol that has been shared with

Health officials in New York are experimenting with the possibility of having two patients share one ventilator as the coronavirus pandemic has caused He said ventilators are difficult to produce and extremely expensive. "This is a critical and desperate need for ventilators . We are going so far as to

a person in a yellow box: A ventilator is displayed during a news conference, Tuesday, March 24, 2020 at the New York City Emergency Management Warehouse, where 400 ventilators have arrived and will be distributed. Gov. Andrew Cuomo has sounded his most dire warning about the coronavirus pandemic on Tuesday, saying the infection rate in New York is accelerating and the state could be two to three weeks away from a crisis. © Mark Lennihan/AP A ventilator is displayed during a news conference, Tuesday, March 24, 2020 at the New York City Emergency Management Warehouse, where 400 ventilators have arrived and will be distributed. Gov. Andrew Cuomo has sounded his most dire warning about the coronavirus pandemic on Tuesday, saying the infection rate in New York is accelerating and the state could be two to three weeks away from a crisis.

New York state has approved technology that allows two patients to share a single ventilator, in an effort to address a desperate need as the number of coronavirus patients in the state rocketed past 37,000.

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So far, New York has enough ventilators to meet its needs for coronavirus patients , but that could soon change. Fewer than 800 coronavirus patients in Zucker, too, cautioned that it's risky for people to share their breathing devices, since people need to be of similar lung capacity and general size in

New York is the epicenter but Cuomo warned the rest of the country will see similar numbers in He needs 30,000 ventilators to treat the wave of patients who will soon need care but FEMA has only It would allow them to go back to work and restart the economy, Cuomo said. 'Once we get that test

Gov. Andrew Cuomo on Thursday referred to the method as "splitting" and said it involves adding a second set of tubes to a ventilator.

"It's not ideal," Cuomo said, "but we believe it's workable."

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The governor has repeatedly said the state needs at least 30,000 ventilators to treat coronavirus patients, but it has only a fraction of that. Cuomo said Wednesday that New York has 4,000 ventilators in the hospital system and the federal government has sent another 4,000. The state has purchased an additional 7,000 and is looking for more.

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New York will allow healthy people under age 70 to go out for groceries and medicines, and to exercise and walk outside, as long as they stay six feet away from others. Mass transit will continue to run so that health care workers and other people with essential jobs can get to work, but people will

A New York hospital is treating multiple patients on one ventilator . Schools is in session online, but homeless students are shut out. Doctors and nurses have struggled to make do with a few dozen ventilators . Plan two weeks of meals if possible. But people should not hoard food or supplies.

He explained Thursday that the demand for ventilators is so high, in part, because some Covid-19 patients need them for an extended period of time. Patients in other situations are typically on ventilators for three to four days, Cuomo said, while Covid-19 patients are on them anywhere from 11 to 21 days.

The governor previewed the "experimental" splitting strategy on Tuesday, saying, "We have no alternative."

At least one hospital is already using the method. Dr. Emile Bacha, chief of the division of cardiac, thoracic and vascular surgery at Columbia University Irving Medical Center in New York City, said Thursday that operating rooms had been turned into intensive care units, "with one ventilator serving for two patients."

The state is exploring converting anesthesia machines to works as ventilators, the governor said. But New York officials continue to search for more ventilators to add to their supply.

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New York 's Elmhurst Hospital is a 'war zone' as 13 people die from coronavirus in 24 HOURS and queues of patients waiting for hospital beds send it to breaking point. The hospital has added 25 staffers since Tuesday and more ventilators , according to City Council Member Francisco Moya.

Cuomo says New York may split ventilators between two Covid-19 patients . New York Gov. Andrew Cuomo, whose state is suffering the worst coronavirus outbreak in the nation, asked recently whether it’s necessary to shut down the entire economy to save a single life.

"We're still shopping for ventilators all across the country," Cuomo said. "We need more."

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Sharing ventilators presents 'myriad issues,' expert says

Asked whether splitting ventilators between patients could work, Dr. Mary Dale Peterson, president of the American Society of Anesthesiologists, told CNN, "The short answer is no."

Sharing ventilators, she said, would present "myriad issues you would have to contend with."

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It's not difficult to hook more than one patient up to a ventilator, Peterson said, and if there were two patients who were in the same situation, with "exactly the same size and lung compliance and disease process, it could maybe work."

But many patients will have different requirements, and the settings on each ventilator need to be tailored to each patient's needs. Some patients will need different levels of oxygen, for example.

"So you can imagine, one patient who has one requirement, another patient has the opposite requirement," Peterson said. "So you actually may do a disservice -- you will do disservice to both patients."

Peterson favors the idea of repurposing anesthesia machines, of which there are more than 70,000 in the country, she said.

"We have ventilators on all of our anesthesia machines in every single operating room and ambulatory care center in the nation," she told CNN.

"Before resorting to something that we believe would probably harm more patients," she added, "we need to fully utilize the resources that area already there that can actually save lives."

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