Intensivist, ecmologist, anaesthetist, whole systems changist, safetyist, team culturist, HPist...
Mar 31, 2020 • 8 tweets • 1 min read
To explain our rationale...
COVID-19 seems to present as 2 phenotypes: initially high compliance with poor V/Q match and low recruitability, ‘dry’ lungs; versus subsequent low compliance, ‘wet’ lungs, potentially recruitable.
Initial phenotype maybe due to pulmonary vascular pathology, some interstitial water on CXR, but no pulmonary oedema. Hypoxic but often comfortable on HFNO/CPAP because compliance normal.
Stretch receptors happy.
