Invasive mechanical ventilation should NOT be used as an outcome in clinical trials.
Malpractice in hospitals is at such a high level that hospitals became dystopian places.
Tag: Martin J. Tobin
“Rethinking the early intubation paradigm.” Analysis: It was never a “paradigm” but hardcore malpractice.
One of the actionable items of a COVID-19 response is to make sure that ICU doctors and pulmonologists practice their art intelligently.
Physiological Literacy on mechanical ventilation in COVID-19: “Only a small proportion of patients—largely those in a cardiac arrest situation—“require” mechanical ventilation.”
Pulmonologist Michael J. Tobin: “Once a patient is placed on a ventilator, the key challenge is to avoid complications.
Mechanical ventilation (in and of itself) does not produce lung healing—it merely keeps patients alive until their own biological mechanisms are able to outwit the coronavirus.
The best way to minimize ventilator-associated complications is to avoid intubation unless it is absolutely necessary.
The surest way to increase Covid-19 mortality is liberal use of intubation and mechanical ventilation.