Go Back   Professional Soldiers ® > At Ease > General Discussions

Reply
 
Thread Tools Display Modes
Old Today, 11:50   #781
twistedsquid
Guerrilla
 
twistedsquid's Avatar
 
Join Date: Dec 2010
Location: Northern Colorado
Posts: 441
Quote:
Originally Posted by doctom54 View Post
A really really bad idea. CPAP and BiPAP and Nebulizers all aerosolize the COVID-19 and make it much more transmittable. That is exactly what happened in WA state at the LTC facility.

O2 concentrators are fine.
Thanks for this. Im in arguments with my 83 year old mother who insists on donating and delivering her 2 CPAP machines after Coumo says the State will buy them.
__________________
"Unrewarded genius is common. Persistence alone is omnipotent". Calvin Coolidge

"The wicked flee even when none pursueth". Proverbs 28:1
twistedsquid is offline   Reply With Quote
Old Today, 12:02   #782
Joker
Quiet Professional
 
Joker's Avatar
 
Join Date: Jan 2008
Location: Tampa
Posts: 2,240
Quote:
Originally Posted by doctom54 View Post
A really really bad idea. CPAP and BiPAP and Nebulizers all aerosolize the COVID-19 and make it much more transmittable. That is exactly what happened in WA state at the LTC facility.

O2 concentrators are fine.
Doc, thanks for this information.
Joker is offline   Reply With Quote
Old Today, 12:05   #783
mugwump
Area Commander
 
Join Date: Nov 2005
Posts: 1,392
Grey = 7 days

B4A31D16-5E72-4786-BE2D-4D9BA6313548.jpg
__________________
mugwump

“Klaatu barada nikto”
mugwump is offline   Reply With Quote
Old Today, 12:14   #784
Badger52
Area Commander
 
Join Date: Jan 2011
Location: Western WI
Posts: 5,068
Quote:
Originally Posted by doctom54 View Post
A really really bad idea. CPAP and BiPAP and Nebulizers all aerosolize the COVID-19 and make it much more transmittable. That is exactly what happened in WA state at the LTC facility.

O2 concentrators are fine.
That incident in WA I recall reading about. I would think that someone using an Albuterol nebulizer as a maint med could find an order to self-quarantine putting them between a rock & hard place. I suppose since the entire household comes under the quarantine it would be moot, but vigorous dispersion of the virus (if positive) while using a nebulizer can't be a good thing anywhere.

Further, our family doc & the wife's RT's advise against folks arbitrarily turning up their O2 concentrators due to potential "O2 flooding" if a person is a CO2 retainer, as I imagine many with COPD are. Leave this shit to the pro's; that's why RT's and Pulmo specialists get the big bucks, no?
__________________
"Civil Wars don't start when a few guys hunt down a specific bastard. Civil Wars start when many guys hunt down the nearest bastards."

The coin paid to enforce words on parchment is blood; tyrants will not be stopped with anything less dear. - QP Peregrino
Badger52 is offline   Reply With Quote
Old Today, 13:52   #785
TACJAM
Asset
 
Join Date: Aug 2015
Location: Kentucky
Posts: 13
Quote:
Originally Posted by doctom54 View Post
A really really bad idea. CPAP and BiPAP and Nebulizers all aerosolize the COVID-19 and make it much more transmittable. That is exactly what happened in WA state at the LTC facility.

O2 concentrators are fine.
I use a bi-pap nightly and would like to understand this a bit more. Are you saying that if I were to have Covid-19 (with or without symptoms) and use the bi-pap, I am putting others in my household at more risk of infection?
TACJAM is offline   Reply With Quote
Old Today, 15:52   #786
ender18d
Quiet Professional
 
ender18d's Avatar
 
Join Date: May 2004
Location: Pineland
Posts: 166
Quote:
Originally Posted by TACJAM View Post
I use a bi-pap nightly and would like to understand this a bit more. Are you saying that if I were to have Covid-19 (with or without symptoms) and use the bi-pap, I am putting others in my household at more risk of infection?

Yes, your bipap will aerosolize your respiratory secretions and increase the risk of transmission, which is why we have essentially stopped doing BiPap in the ER.

-E
__________________
Medicina Bona Locis Malis
ender18d is offline   Reply With Quote
Old Today, 16:55   #787
doctom54
Guerrilla
 
doctom54's Avatar
 
Join Date: Feb 2009
Location: Northwest AR
Posts: 377
Quote:
Originally Posted by TACJAM View Post
I use a bi-pap nightly and would like to understand this a bit more. Are you saying that if I were to have Covid-19 (with or without symptoms) and use the bi-pap, I am putting others in my household at more risk of infection?
YES. BiPAP and CPAP turn a DROPLET transmitted infection into an AIRBORNE transmitted infection.

» What is transmission by droplet contact?
Some diseases can be transferred by infected droplets contacting surfaces of the eye, nose, or mouth. This is referred to as droplet contact transmission. Droplets containing microorganisms can be generated when an infected person coughs, sneezes, or talks. Droplets can also be generated during certain medical procedures, such as bronchoscopy. Droplets are too large to be airborne for long periods of time, and quickly settle out of air.

Droplet transmission can be reduced with the use of personal protective barriers, such as face masks and goggles. SARS and COVID-19 are examples of diseases capable of droplet contact transmission.

» What is airborne transmission?
Airborne transmission refers to situations where droplet nuclei (residue from evaporated droplets) or dust particles containing microorganisms can remain suspended in air for long periods of time. These organisms must be capable of surviving for long periods of time outside the body and must be resistant to drying. Airborne transmission allows organisms to enter the upper and lower respiratory tracts.

Diseases capable of airborne transmission include:

Tuberculosis
Chickenpox
COVID-19 with CPAP, nebulizers, suctioning etc
__________________
"For exercise I recommend vigorous walking... and carrying a gun. The gun’s weight will increase the level of exercise and the possession of a gun on a walk produces real confidence."
Thomas Jefferson
doctom54 is offline   Reply With Quote
Old Today, 17:36   #788
Cynic
Guerrilla
 
Cynic's Avatar
 
Join Date: Apr 2007
Location: Michigan
Posts: 137
This is being used in the Detroit area as necessary. It converts the bipap to a closed ventilator system.
I am not an RT, just passing this along.

https://www.facebook.com/54721548878...2750/?vh=e&d=n
Cynic is offline   Reply With Quote
Old Today, 17:51   #789
TACJAM
Asset
 
Join Date: Aug 2015
Location: Kentucky
Posts: 13
Quote:
Originally Posted by ender18d View Post
Yes, your bipap will aerosolize your respiratory secretions and increase the risk of transmission, which is why we have essentially stopped doing BiPap in the ER.

-E
Thank you for this information. I had not heard this before and will have to consider whether and how to modify my bi-pap usage.
TACJAM is offline   Reply With Quote
Old Today, 17:52   #790
Gypsy
Area Commander
 
Gypsy's Avatar
 
Join Date: Jan 2004
Location: Midwest
Posts: 6,785
Speaking of CPAP

Read this article today. Would this be any "better" for patients with the virus?

https://www.bbc.com/news/health-52087002
__________________
My Heroes wear camouflage.
Gypsy is offline   Reply With Quote
Old Today, 17:53   #791
TACJAM
Asset
 
Join Date: Aug 2015
Location: Kentucky
Posts: 13
Quote:
Originally Posted by doctom54 View Post
YES. BiPAP and CPAP turn a DROPLET transmitted infection into an AIRBORNE transmitted infection.

» What is transmission by droplet contact?
Some diseases can be transferred by infected droplets contacting surfaces of the eye, nose, or mouth. This is referred to as droplet contact transmission. Droplets containing microorganisms can be generated when an infected person coughs, sneezes, or talks. Droplets can also be generated during certain medical procedures, such as bronchoscopy. Droplets are too large to be airborne for long periods of time, and quickly settle out of air.

Droplet transmission can be reduced with the use of personal protective barriers, such as face masks and goggles. SARS and COVID-19 are examples of diseases capable of droplet contact transmission.

» What is airborne transmission?
Airborne transmission refers to situations where droplet nuclei (residue from evaporated droplets) or dust particles containing microorganisms can remain suspended in air for long periods of time. These organisms must be capable of surviving for long periods of time outside the body and must be resistant to drying. Airborne transmission allows organisms to enter the upper and lower respiratory tracts.

Diseases capable of airborne transmission include:

Tuberculosis
Chickenpox
COVID-19 with CPAP, nebulizers, suctioning etc
Thank you for this response. Very informative and, as I replied to ender, I will have to consider whether and how to modify my bi-pap usage.
TACJAM is offline   Reply With Quote
Reply


Currently Active Users Viewing This Thread: 1 (0 members and 1 guests)
 
Thread Tools
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is Off
HTML code is Off

Forum Jump



All times are GMT -6. The time now is 23:34.



Copyright 2004-2019 by Professional Soldiers ®
Site Designed, Maintained, & Hosted by Hilliker Technologies