One ventilator, two patients: New York hospitals shift to crisis mode

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One ventilator, two patients: New York hospitals shift to crisis mode
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At least one New York hospital has begun putting two patients on a single ventilator machine, an experimental crisis-mode protocol some doctors worry is too risky but others deemed necessary as the coronavirus outbreak strains medical resources.

FILE PHOTO: A ventilator is seen at the New York City Emergency Management Warehouse, where 400 ventilators arrived and before being shipped out for distribution, due to concerns over the rapid spread of coronavirus disease in the Brooklyn borough of New York City, U.S., March 24, 2020. REUTERS/Caitlin Ochs/File Photo

Dr. Craig Smith, surgeon-in-chief at New York-Presbyterian/Columbia University Medical Center in Manhattan, wrote in a newsletter to staff that anesthesiology and intensive care teams had worked “day and night” to get the split-ventilation experiment going.New York Governor Andrew Cuomo, who says his staff is struggling to find enough machines on the market, has touted the adaptation as a potential life-saver. “It’s not ideal,” he told reporters, “but we believe it’s workable.

At Columbia, Smith noted that they could not split a ventilator across just any two COVID-19 patients, but were only pairing patients with sufficiently similar respiratory needs.

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