I am not a holder but watching as a friend is.......
regarding the numerous comments over sloppy journalism throughout this thread,...last Monday’s front page of the Sydney Morning Herald, an article of an elderly gentleman who was in hospital in a very grave condition via Covid 19. Life and death stuff, the journalist was laying it on quite thick, she went on to say that “a tube running down his oesophagus and attached to a ventilator, pushing air down his lungs”.
SMH front page Monday 11th May, full story page 9.
Very very sloppy poor reporting.
A “tube” (an ETT or EndoTracheal Tube) passed into the oesophagus, will allow Air ( air is the invisible substance that surrounds us, it contains approx 79% nitrogen and approx 21% Oxygen and 5 rare gasses) to be passed into and only the stomach. We don’t often use air when ventilating, we mostly use O2 and No2 mixture with a higher % on O2. Very few patients survive being long term ventilated in the Oesophagus.
For those that are interested, we breathe in Air (79%, 21% plus 5 rare gasses, and breathe out 79% nitrogen, 16% oxygen and 5 rare gasses and Carbon DiOxide. Because we breathe out 16% O2 we can successfully give “mouth to mouth” to maintain life.
Although giving breaths has been dropped from current CPR protocols, giving as many chest compressions as possible to maintain circulation is current practice. The thought being the chest compression will cause movement of Air to pass into the lungs. Plus the fact most people don’t want to do “mouth to mouth” and mostly get it wrong anyway.
Co2 monitoring is the go to gas to know if you’ve intubated correctly, instantly returned gassed from a correctly intubated patient will include Co2. Intubating the oesophagus, stomach, there is no returned gasses. The stomach will inflate and gasses will return via minimal pressure on the stomach and after conformation removal of said ETT. Of course to much pressure can cause stomach contents, highly acidic, about pH of 2, to be regurgitated giving a real fear of Aspiration, which is stomach contents coming up the Oesophagus and going down the Trachea and into the lungs. Generally a very bad idea, and if not already in ICU, a bed will be arranged.
Had the tube (ETT as described) been passed through the vocal cords and into the Trachea, it would have been able to ventilate the poor mans lungs. “Pranging” the vocal cords (as its called) can cause some instantaneous difficulties, but I’ll leave that for another time.
I cannot believe that very basic facts of intubation were not checked by a “proof reader” of some description. Sure I wouldn’t expect a story to include my detailed version of events.
It is incredible poor piece of journalism. Obviously checking your story is for the oldies and the new generation just believe anything they read. It annoys me no end of the poor fact checking that passes for journalism these days.
the only 2 things that I can see that Donald Trump has got right, Hillary was crooked and there’s plenty of “fake news”
Anyway hope I enlightened you morning cup of tea. Mine went cold.
Back on the topic of Mesoblast Limited........
My friend who got on board MSB (does not have membership at HC) told me about MSB the Wednesday prior to the 100%++ ($1.90 ish) price hike that to get on board cause its going to be a 15 bagger.
Good luck to all holders, hope you all make a mottza!
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Too low tech nowadays I guess. And since mechanically ventilating a patient with SARS CoV-2 virus-induced ARDS appears to be counterproductive in some instances......
(20min delay)