Danke Fox News für den sachlichen Link. (mT)

DT, Montag, 13.04.2020, 16:17 (vor 1446 Tagen) @ FOX-NEWS2476 Views
bearbeitet von DT, Montag, 13.04.2020, 16:26

Wie irgendjemand nach dem Lesen dieses Berichts noch glauben kann, es wäre "nur eine Grippe" und im Vergleich mit den jährlichen Grippe-Epidemien nichts besonderes will mir nicht in den Kopf. Glauben diejenigen, der Arzt, der schon viel erlebt und gesehen hat, schreibt "einfach mal so" das hier:

We are facing a Global Health Crisis of unimaginable magnitude. We are all in this together. We need to break down the barriers to solving this crisis. We need to act decisively and immediately; there is no time to lose. Patients are dying needlessly.

COVID-19 results in a dysregulated and exuberant immune response. Patients requiring
intensive care have significantly higher levels of IL-6, IL-10 and TNFα and fewer CD4+ and CD8+ T cells. Downregulating the cytokine storm is an essential component of the treatment of severe COVID-19 disease.

This is not your “typical” ARDS… but something else (weird). Chest CT shows bilateral, discreet, irregular, multilobar “ground-glass” infiltrates and not the typical dependent air-space consolidation (“sponge lung/baby lung”) characteristic of “typical” ARDS. Physiologically
“COVID-19 ARDS” is different; our preliminary data suggests that lung water (EVLWI) is normal
or only marginally increased (therefore by definition this is NOT ARDS). Furthermore, lung
compliance is quite good yet there is severe hypoxia (due to shunting). This suggest
microvascular and/or macrovascular disease… or some other alternative explanation.
In
addition, pulmonary embolism appears to be very common in these patients and may be the
cause of sudden death (see Figure). The typical ARDS that develops over time (see Figures) is
due mechanical ventilator induced lung injury and/or superadded bacterial pneumonia.


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