Mechanical ventilation (intubation) is also used for severe courses of other viral diseases, such as influenza, if there is pneumonia.
The average 30-day mortality rate from such treatment is 22 percent, according to the ICNARC.
Around four out of five affected people survive such treatment.
The “Intensive Care National Audit and Research Center” (ICNARC) recently published a report in which data from 2.
883 patients with severe COVID-19 courses are evaluated.
All patients were treated in an intensive care unit in Great Britain.
It was found that the mortality rate for those receiving artificial ventilation was 51.6 percent – much higher than for other viral pneumonia.
The “ICNARC report on COVID-19 in critical care” can be viewed on the ICNARC website.
Mechanical ventilation (intubation) is the last resort to rescue seriously ill COVID-19 sufferers.
However, two studies already show that the mortality rate is unusually high with such treatment.
Around half of the patients died in England and even two thirds in China who received mechanical ventilation as a result of COVID-19 disease.
The risk of death is thus far higher than the ventilation that is carried out as a result of other viral diseases.
Around every second person dies from artificial ventilation
Is intubation the right treatment for COVID-19?
The latest ICNARC report shows that in 1689 intubations completed due to severe COVID-19 disease, 871 people died and 818 were released alive.
That gives a 30-day mortality rate of 51.6 percent in this group.
An even more drastic picture is a smaller case series from Wuhan.
Here, 32 out of 52 patients died in the intensive care unit.
This results in a mortality rate of 62.5 percent.
The chances of survival are much better for those who do not need intubation.
Here, the death rate was 19.4 percent – significantly lower than with mechanical ventilation.
The most important factor for the survival of the difficult courses is the age.
Only 27.1 percent of patients over the age of 80 survived ventilation.
Of those aged 70 to 79, 31.3 percent survived.
In the 60 to 69 age group, 43.6 percent of those affected were released live and 58.9 percent of the 50 to 59 year olds.
Ventilation death rates are higher than usual for COVID-19
According to various media reports from the USA, many doctors are switching to alternative methods due to the high mortality rate in mechanical ventilation.
This should make breathing easier and relieve the lungs through changes in position.
In addition, some doctors try to deliver larger amounts of oxygen through the nose, sometimes with the addition of nitrogen monoxide.
There is currently no reliable data on whether such methods are more effective.
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The results indicate that the treatment of severe courses needs to be improved.
For example, a small Chinese study showed that the prone position improves breathing in severe COVID-19 diseases.
Important NOTE:
This article contains general information only and should not be used for self-diagnosis or treatment.
He can not substitute a visit at the doctor.
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