Ventilators ... will it save those infected with the Coronavirus? 10 questions?

Hospitals round the world became in urgent need of ventilator equipment to assist patients of the newly invented "COVID-19" Coronavirus, which is spreading rapidly in Europe and therefore the us especially . How do these devices work, and does the survival of the person with corona under emergency procedure necessarily keep him alive or That there are other factors which will cause his death?

These and other questions are answered during this detailed report, which we've written in ten question:

1- what's the character of the ventilator?

A ventilator may be a machine that gives mechanical ventilation by transporting oxygenated air to the lungs, advice from a patient who cannot breathe alone or whose breathing isn't sufficient.

Respiratory devices can save a patient's life when an individual cannot breathe properly or when he cannot breathe on his own in the least .

2- Is it used for the aim of treatment?

The ventilator isn't a cure for a disease, but it's used during treatment to stabilize the patient's condition, for instance within the case of patients with Coronavirus, the ventilator doesn't treat the virus, but it allows the patient whose respiratory ability to survive has decreased, until his body recovers from the virus and defeats it, or Pending drug treatments.

3- What are the uses of a respirator?

There are many uses that are combined by the very fact that an individual is unable to breathe on his own or cannot breathe sufficiently, such as:

• While recovering from severe cases of the emerging virus "COVID-19" virus when a big decline in respiratory function.
• During surgery when an individual is under general anaesthesia .
• After surgery and through recovery, sometimes the patient needs a breathing device to assist him breathe for hours or maybe days after surgery.
• While losing consciousness.
• Coma.
• Brain injuries.
• Chronic embolism .
• Lung infection.
• Pneumonia.
• brain attack.
• The presence of injuries to the upper medulla spinalis .

4- How does a ventilator work?

The ventilator enters the oxygen to the lungs and expels the CO2 , including the utilization of a tube that connects the ventilator to the airways of the lung through the mouth or nose, and this is often called "intubation".

In some serious or prolonged cases, the breathing tube is connected on to the trachea through alittle hole within the neck that's opened with surgery.

The ventilator uses pressure to push the oxygenated air into the lungs. The ventilator needs electricity to work , and a few types can work on the battery.

Although a ventilator can save an individual's life, it increases the danger of lung infection, because the breathing tube can allow germs to enter the lungs.

5- Why do some patients need a ventilator?

To answer this question, we must explain what corona does to the lungs, because the virus attacks two specific groups of cells within the lungs, which are goblet cells and ciliated cells.

The goblet cells produce the mucus that forms a moisturizing layer on the tract , which is vital to assist maintain the moisture of the lungs, thus maintaining health.

The ciliary cells are cells with hairs that time upward, and their function is to shovel any harmful substance suspended in mucus, like bacteria, viruses, and mud particles, towards the throat to urge obviate them.

The Coronavirus infects these two groups of cells and begins to kill them, and its tissues begin to fall and collect within the lungs, and therefore the lungs begin to become obstructed, which suggests that the patient has pneumonia.

Also, there's another problem, which is that the body's system tries to reply because it realizes that the body is under fire , and this might cause an overload of immunity, then the system makes a significant attack that damages healthy tissues within the lung, and this also may make breathing harder.

With the power to breathe to decrease, the patient needs a ventilator, otherwise, he might not be ready to survive.

We means here that the info indicate that 80% of patients may haven't any symptoms or have mild symptoms which only 20% need hospital admission, 5% of them become critical, and 1-2% die.

According to the OR to affect the outbreak of the Coronavirus in Russia, about 40% of patients infected with the Coronavirus in Moscow who are treated with respirators of the lungs are under the age of 40 years.

6- How long does the Corona patient need under the ventilator?

According to NBC News, Dr. Joshua Dinson, a lung and important condition specialist, most of the Corona patients usually use respirators for one to 2 weeks.

7- Does keeping the person with corona under emergency procedure necessarily keep him alive, or are there other factors which will cause his death?

It must be emphasized here that employing a ventilator means saving the lifetime of the patient, without whom he won't be ready to breathe.

But nonetheless, with the utilization of ventilators, mortality may occur at a lesser rate, counting on other factors like the patient's age, the extent of injury to the lungs from the Coronavirus and whether the patient has chronic diseases.

The respirator is crucial in caring for the person affected by pulmonary failure that afflicts the patient in severe cases of corona, but it doesn't necessarily save the lives of patients.

8- is the world ready?

There are serious concerns that within the event of a big increase within the number of individuals infected with the Coronavirus, the hospitals are going to be filled and there'll not be enough respirators, which could lead on to deaths. Therefore, governments in various countries of the planet try to extend the amount of health breathing device in their services.

For example in Germany, the top of the Koch Institute, Lothar Wheeler, warned last Sunday that the amount of individuals with coronavirus infection exceeded the amount of respirators in hospitals within the country, calling for taking this data under consideration .

According to the info of the German Statistics Department, the country includes 28 thousand medical care units.

In the us , officials in states severely suffering from the Coronavirus demand President Donald Trump's administration and manufacturing companies to accelerate ventilator production to adapt to a rise within the number of patients requiring respiration.

US President Donald Trump tweeted, giving the green light to Ford, General Motors and Tesla to assist boost ventilator production.

The French "PSA" group, which owns "Peugeot" and "Citroen", told AFP that it had been looking "very seriously at the possibility" of joining the businesses that manufacture these medical devices.

New York Mayor Bill de Palacio told CNN on Sunday that the town will need many more respirators within days and more masks, medical clothing and other supplies by April 5.

Trump also said Friday that the us will produce 100,000 artificial respirators within 100 days, adding that he has appointed White House adviser Peter Navarro as coordinator of the Defense Production Act.

An industrial source told Reuters on Sunday that Britain had requested ten thousand respirators manufactured by a consortium of companies, including Ford, Airbus and Rolls-Royce, as a part of its efforts to combat the Coronavirus.

On Sunday, the senior minister within the British government, Michael Goff, said that the state-funded British National Health Service has just over 8,000 ventilators.

9- How did medical companies answer this crisis?

International companies have joined forces to assist produce ventilators to fill the severe shortage, and to assist people living with HIV survive.

For example, Ford Motor Company said on Monday that it'll produce fifty thousand respirators during subsequent hundred days at a factory in Michigan in cooperation with the health care unit at General Electric, and may then manufacture thirty thousand devices per month as required to treat patients infected with the Coronavirus.

Ford said that the simplified design of the ventilator can meet the requirements of most COVID-19 patients and depends on atmospheric pressure without the necessity for electricity.

General Motors said it plans to supply up to 10,000 respirators monthly by this summer at a plant in Kokomo, Indiana.

"With the epidemic spreading across the planet , there's an unprecedented demand for medical equipment, including ventilators," said Kiran Murphy, head of "GE Healthcare", Kiran Murphy.

French company Air Liquide plans to extend the assembly of respirators from 500 units per month to 1,100 in April.

And the company "Drieger", the medical technology giant in Germany, has doubled the amount of ventilators produced, while "Leuvenstein" obtained a government order that has 6500 units during subsequent three months.

It began to increase production in February thanks to the high demand for these devices from China.

In America, the US Department of Defense's Supply and provide Authority contracted with four entities to get 8,000 respirators, to affect the increasing numbers of individuals living with the Coronavirus.

On Saturday, Bloomberg News quoted Department of Defense spokesman light colonel Mike Andrews, Air Force One, as saying that the acquisition would happen piecemeal over the approaching months.

The agency said that the value of these devices amounted to 84.4 million dollars, and therefore the first batch of 1400 devices are going to be delivered by early May.

10- Are there experiments on new devices?

There are experiments in Britain on a replacement model of respirators developed by a team during which Mercedes is involved which can help patients with Coronavirus and is currently being tested in some London hospitals.

CPA devices were utilized in China and Italy to deliver air and oxygen to patients ’lungs and help them breathe without the necessity to put them on ventilators, which represent stronger medical intervention.

The supervisory authority has already approved CBEB devices, and 100 of them are going to be handed over to college College Hospital in London for trial before being distributed to other hospitals.

Reports from Italy indicate that approximately 50% of patients who were placed on CPAP devices didn't need ventilators that need patient anesthesia, which allowed these vital devices to others who were in greatest need.

"Mercedes can manufacture 1,000 devices within every week , and if the experiments go well, the NHS can catch on by the top of the week," said Rebecca Shipley, director of the Institute of Health Care Engineering of the University College Hospital, told the BBC.