Amerikanarna har löst det?!!
I korthet: kortison, vitamin C intravenöst, blodförtunnande och syrgas samt att inte sätta in ventilator baserat på syremättnad utan först vid svåra andningsproblem.
"None of his patients has died. Dr. Varon and the other members of the critical care working group caution that it’s unreasonable to expect a 100% cure rate with any treatment, but that has been Dr. Varon’s experience with the MATH+ protocol to date. "
https://covid19criticalcare.com/wp-content/uploads/2020/04/MATHPressRelease.pdf
MATH+ Protocol
1. Intravenous Methylprednisolone
o Mild Hypoxia (<4L): 40mg daily until off oxygen
o Moderate-Severe Illness: 80 mg bolus then 20mg q6h IV push for 7 days
o Alternate: 80mg daily for 7 days
o Day 8: Switch to oral prednisone, taper over 6 days
2. High Dose Intravenous Ascorbic Acid (Vitamin C)
o 3 grams/100 ml every 6 hours
o Continue for a total of 7 days or until discharged
3. Full Dose Low Molecular Weight Heparin
o Mild Illness: 40-60mg daily
o Moderate-Mild Illness: 40-60mg daily
o Continue until discharged
4. PLUS optional treatment components: Thiamine, Zinc, and Vitamin D
•••••••••••••••
TREATMENT OF LOW OXYGEN
• If patient has low oxygen saturation on nasal cannula, initiate heated high flow nasal cannula
• Do not hesitate to increase flow limits as needed
• Avoid early intubation that is based solely on oxygen requirements. Allow “permissive hypoxemia” as tolerated.
• Intubate only if patient demonstrates excessive work of breathing