The most critical device in the fight against Corona virus: Why is the respirator important?
< It is stated that 900,000 respirators are needed worldwide to combat Corona virus (Covid-19). According to the news of Ntv.com.tr, Mayor of New York City, Bill de Blasio, said that they needed 15 thousand respirators. It is stated that patients with advanced age are left to die because the corona virus is not hit in countries such as Italy, Spain and Iran. 60 percent of Corona virus deaths occurred in these three countries. Major international organizations, especially the World Health Organization, called on giant companies to produce more respirators. In the USA, Ford has announced that automotive companies, especially General Motors, will produce respirators. How do respirators that are vital in defeating the Corona virus work? Do they pose a risk to health professionals? Which patients need a respirator? Experts answered these questions.
What is the respirator, how does it work?
A device used to allow patients with lung-related respiratory diseases including pneumonia to breathe more easily.
After the patient has been calmed and given a muscle relaxant, a tube is placed in the mouth and trachea. The procedure is routine, but in Covid-19 patients, extreme measures must be taken to ensure that medical personnel are not infected with the virus. Healthcare personnel wear a full-to-toe protection suit. The healthcare staff then connects the breathing tube to the device, adjusting the speed of pumping air and oxygen into the lungs, and the oxygen mixture.
When is the patient connected to the respirator?
Doctors look for signs of “respiratory failure” before deciding to connect a patient to the respirator. These symptoms include increased breathing rate, shortness of breath, increased CO2 in the blood. In a normal person, if the breathing rate is about 15 breaths per minute, and the rate increases to 28 times per minute, this is a sign that a breathing apparatus may be required. There are other attempts to increase the patient’s oxygen levels before the breathing apparatus is connected.
With Covid-19, healthcare professionals are trying to avoid methods that require intervention. Because the patients still cough and spread the droplets around, the risk of transferring the virus to healthcare personnel increases.
How much is the patient connected to the breathing apparatus?
If a patient needs a breathing apparatus, the doctor can make a decision very quickly. If the patient does not apply manual breathing methods such as an oxygenated bag or mask system and is urgent, the respirator is usually connected within 30 minutes. In severe Covid-19 patients, a life-threatening condition called Acute Respiratory Distress Syndrome (ARDS) may develop. This means that. The patient needs to be given frequent but small volumes of oxygen and air. The patient who experiences Acute Respiratory Distress Syndrome can stay connected to the respiratory device for weeks. To prevent complications from the throat from the respiratory tract, doctors can open a tracheostomy (hole) so that the tube can enter directly into the trachea from the neck.
The hole opened in the throat then heals spontaneously. A complication in the throat prevents the patient from connecting to the respirator and this may cause him to die without a respiratory device.
Why the respirator matters? What should be done about this?
One of the most obvious ways to prevent respiratory distress is to reduce the number of people who get the disease first. In order not to catch the corona virus, it is necessary to follow all health recommendations, including social distance and hygiene rules. Some countries are investigating whether the respirators used on animals can be converted in veterinary clinics. Sleep apnea machines and anesthetic machines are also among the options. Healthcare professionals responsible for managing serious life-threatening cases such as Covid-19 are extremely concerned about their ability to use appropriate support for many patients who are expected to suffer from respiratory failure. Currently 900,000 respirators are needed worldwide for corona virus (Covid-19).
Health professionals are needed to use them correctly. In order to avoid the question of which patient should wear a respirator, by keeping the ethical dilemma as in Italy and Spain, the whole society should be responsible for all measures. Social distance and isolation are of great importance here. .