New York City Hospitals shared an image on Twitter thanking Musk and Tesla for delivering 40 ventilators to Elmhurst Hospital in Queens, but the photo shows BiPAP machines that are traditionally used for patients with sleep apnea.
However, the Tesla CEO is rebutting claims that the firm delivered the wrong ventilators, stating New York State Governor Andrew Cuomo had asked for both noninvasive and invasive devices, according to InterestingEngineer.
The FDA recently announced that BiPAP, the ones Tesla delivered, and CPAP machines could be used as an alternative to traditional life-support ventilators, as hospitals face shortages of the larger, more complex and costly devices.
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New York City Hospitals shared an image on Twitter thanking Musk and Tesla for sending 40 ventilators to Elmhurst Hospital in Queens, but the photo shows BiPAP machines that are traditionally used for patients with sleep apnea
‘Invasive ventilators are for worst case patients,’ Musk shared in a tweet on Thursday.
‘Survival rate at that point is low, as Gov Cuomo has pointed out. Nonetheless, we start delivery of intratracheal Medtronic units in NYC tonight.’
Musk announced last week that he was working to provide hospitals around the world with ventilators to treat patients with the virus.
The CEO had previously dismissed concerns about the outbreak, going as so far as to call the panic ‘dumb.’
Elon Musk has come under fire for sending ventilators that ‘don’t have any functionality in dealing’ with the coronavirus
The FDA recently announced that BiPAP machines, the ones Tesla delivered, could be used as an alternative to traditional life-support ventilators, as hospitals face shortages of the larger, more complex and costly devices
Noninvasive ventilators, which includes BiPAP and CPAP machine do not consist of tubes, but instead delivery oxygen to patients using mask that fits tightly on the face, over the mouth and nose and is held un place with straps.
These devices creates positive airway pressure and gives a push behind each breath to assist in expelling carbon dioxide from the body.
It is used extensively in treating chronic respiratory failure, chronic obstructive pulmonary disease (COPD) and pneumonia.
Invasive ventilators, which are being used to treat coronavirus patients, has been widely used for many years, include tube insertions.
These device provides oxygen, removes carbon dioxide, decreases the work of breathing and reverses life-threatening conditions such as hypoxemia, or insufficient oxygenation of arterial blood, and acute progressive respiratory acidosis, or build-up of carbon dioxide in the blood.
Invasive ventilation can be used during acute respiratory failure, weaning and for chronic respiratory failure when non-invasive ventilation is impossible to manage correctly.
But he seemed to quickly change his tune after the coronavirus made its way to the US – there are currently more than 245,300 cases reported in the country and the death toll has surpassed 6,000.
And New York City has been deemed the ‘epicenter’ of the coronavirus with over 102,800 cases and more than 2,935 deaths.
Musk had previously told his Twitter followers that ‘if there is a shortage’ he would step in to make ventilators for patients in intensive care who are struggling to stave off COVID-19 – and he has delivered on his promise.
The Financial Times had reported that Tesla had delivered the wrong ventilators to the Queens hospital.
The article argues that Tesla had delivered ventilators used for people with sleep apnea instead of the invasive ventilators severe coronavirus patients need to keep them alive.
New York State Governor Andrew Cuomo had asked for both noninvasive and invasive devices
The CEO had previously dismissed concerns about the outbreak, going as so far as to call the panic ‘dumb’
But he seemed to quickly change his tune after the coronavirus made its way to the US and offered to ship ventilators to hospitals in need
There are currently more than 245,300 cases reported in the country and the death toll has surpassed 6,000. And New York City has been deemed the ‘epicenter’ of the coronavirus with over 97,000 cases and more than 1,500 deaths
However, FDA recently announced that both CPAP and BiPAP machines could be used as an alternative to traditional life-support ventilators to treat patients with coronavirus, as hospitals face shortages of the larger, more complex and costly devices.
Musk said in a tweet on Thursday that ‘all hospitals were given exact specifications’ of the machines, and that ‘all confirmed they would be critical.’
He added that delivery of more intensive ventilators made by Medtronic would be delivered in New York City Thursday evening.
Although critics are taking this time to come down on Musk, New York State officials also issued a statement Thursday saying: ‘The State Department of Health has approved Northwell’s protocol allowing BiPAP machines to be converted into ventilators.
‘The State has purchased 3,000 BiPAP machines from Philips in Pittsburgh, and 750 machines are already in stock and will be distributed to hospitals.’
However, doctors have come forward saying they do not even call BiPAP and CPAP machines ‘ventilators’, the Los Angeles Times’ Russ Mitchell reports.
NPR has released a report stating CPAP devices could also be spreading the disease ‘by aerosolizing the virus.’
The Tesla CEO is rebutting claims that the firm delivered the wrong ventilators, stating New York State Governor Andrew Cuomo had asked for both noninvasive and invasive devices
The event had occurred at a Washington state nursing home, where first responders found the machines used throughout the facility were infected with coronavirus – which resulted in 19 deaths.
The American Society of Anesthesiologists issued a statement following the outbreak at the nursing home, discouraging CPAP as a way to treat coronaviurs patients — advice largely informed by experience with the SARS epidemic in 2003.
Studies released in 2003 found that CPAP and similar devices ‘can pump viruses into the air, potentially increasing the spread of a contagious disease.’
HOW NEW YORK IS USING BIPAP MACHINES AS VENTILATORS TO SAVE COVID-19 PATIENTS AND HOW THE TWO DEVICES DIFFER
As a critical shortage of ventilators looms, New York Governor Andre Cuomo revealed Friday that the state will begin repurposing BiPAP machines to sustain severely ill coronavirus patients.
Last week, the state resorted to converting anesthesia machines to supplement its stockpile of an estimated 6,500 ventilators.
Thursday, Cuomo said he wasn’t sure if BiPAP machines could or would be used as ventilators, but by Friday the state had included them in the list of alternatives it was pursuing.
WHAT IS A BIPAP MACHINE?
BiPAP is an acronym for bilevel positive airway pressure. These and continuous positive airway pressure (CPAP) machines are used to treat patients with sleep apnea.
People with sleep apnea may stop breathing during while asleep for a number of reasons, and the machine ensures they continue to have normal respiration.
One of the machine’s positive pressure airways helps to push air into the lungs while a second is set to a lower pressure that makes it easier for a patient to breathe out normally.
The alternation of these two components is set to match the patient’s normal inhalation and exhalation pattern, which makes it feel more comfortable and similar to natural breathing when in use.
Pressure is delivered through a tube connected to a face mask that’s worn at night.
HOW IS A BIPAP MACHIE DIFFERENT FROM A VENTILATOR?
Ventilators are typically reserved for only the sickest patients who may not be able to breathe on their own at all, as opposed to sleep apnea patients, whose breathing is abruptly interrupted periodically, but whose lungs are generally functional.
So-called mechanical ventilation is both more invasive and more forceful than a BiPap.
Patients on ventilators are intubated, meaning a tube is threaded through the mouth and airway and the machine creates the contraction and expansion action their lungs are no longer able to do on their own.
They can, however, be used less invasively, with a mask like patients on BiPAP machines use.
HOW CAN A BIPAP MACHINE BE USED AS A VENTILATOR?
Both machines broadly help the lungs when they’re struggling to function.
For one, the settings have to be adjusted to not just augment the patient’s inhalations and exhalations, but to do the work for them.
To convert BiPAPs, which are typically used with masks, to be used on intubated patients, scientists at Northwell Health in New York City 3-D printed a T-shaped adapter.
Their method has been tested successfully on dozens of patients.
At the University of California, Berkeley, team reconfigured a BiPAP machine so that it can take in oxygen from a tank, rather than just drawing on the air around it.
Endotracheal tubes that go down the windpipe were then attached in addition to a double-filtering system to ensure that pathogens like the coronavirus don’t get in or out.
Already, the FDA has cleared the way for sleep apnea machines like these to be used as ventilators, a previously unapproved use for BiPAP or similar CPAP machines.
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'Cuomo requested them - and they're used for worst case patients': Elon Musk silences critics who said Tesla accidentally shipped sleep apnea BiPAP machines to NY hospital instead of ventilators after spotting one in his delivery have 1580 words, post on www.dailymail.co.uk at April 3, 2020. This is cached page on Talk Vietnam. If you want remove this page, please contact us.