Coronavirus: Why is Boris Johnson in intensive care and what treatment will he receive? | UK News

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There is currently no known cure for COVID-19, so why would Boris Johnson have been transferred to intensive care and what treatment would he receive?

At 5:00 p.m. Minister of Foreign Affairs Dominic Raab led the government’s daily briefing on coronavirus retaliated, assuring the public that Mr. Johnson was still in charge. Beth Rigby of Sky News said that “things changed pretty quickly after that”.

“His condition got worse, he had to give him oxygen – he was having trouble breathing. The decision was made at 7 p.m. to move the Prime Minister to this intensive care unit, “she said.

“He is not on a fan. He was aware, indeed he telephoned Dominic Raab to ask him to replace, to take over. The fan is there if its condition gets worse. “

And she added, “It is deeply disturbing and overwhelming for his colleagues and loved ones, as well as for the country.”

Why intensive care?

Emergency care doctor Kishan Rees told Sky News, “Judging from the way he instructed Dominic Raab, it doesn’t seem like he was intubated … which is obviously a good thing, and We wish him good luck. I think he will be in an intensive care unit because it allows for a much higher level of supervision in terms of the physiology of the body and there is also individual care. There is a very close eye from a medical point of view and they can really monitor its observations – its temperature, blood pressure, heart rate and oxygen saturation. “

Professor Derek Hill, professor of medical imaging, University College London, said: “It seems clear that the Prime Minister went to the hospital because he had trouble breathing. He appears to have been put on oxygen first and was conscious. But as often happens with COVID -19, his condition has now deteriorated. ”

Boris Johnson is in intensive care at Guys and St Thomas & # 39; hospital
Picture:
Prime Minister is treated at Guys and St Thomas Hospital

Why did PM’s disease last so long and get worse?

Dr. Rees said, “Some people have flu-like illness for five to seven days, and then they get better. Other people … there are the risk categories – people with diabetes, I am aware that PM does not fall into these categories …

“The second stage of this disease in some people who get it can involve a really severe autoimmune reaction, something called a cytokine storm – basically, the body’s natural defenses are overwhelmed and the body shuts down with multi failure – organs. Dr. Rees said the Prime Minister’s case does not seem to be that bad.

What treatments could he receive in intensive care?

“The treatment is very favorable,” said Dr. Rees. “It means that fluids, perhaps paracetamol to control fever, but also, if the patients’ cases deteriorate to the point where they are no longer able to maintain their blood pressure, then they could end up in a unit intensive care and they would get inotropic support. This is when your body can no longer maintain blood pressure because your body gets to the point where it fails. Inotropic support is essentially a powerful “vaso-constrictor,” which means that all blood vessels constrict, diverting blood to your vital organs – your brain, heart, and kidneys. ”

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Professor Hill said, “It is very likely that he was placed under a mechanical ventilator to breathe for him. A ventilator can be invasive (involving the placement of a tube in the patient’s throat) or non-invasive, for example by breathing through a specialized mask. Invasive ventilation tends to be recommended for COVID-19 patients. Critical care ventilators have sophisticated software and sensors to allow them to adjust how they work according to the patient’s needs and to change the amount of oxygen inhaled into the air. “

Microbiologist Dr. Simon Clarke told Sky News that the NHS would likely support the Prime Minister with fluids and “may also try to dampen the immune response.” But he added, “I think what is most likely is that he is also getting oxygen, to help him breathe. It is understood that Boris Johnson is not on a fan.

Dr. Clarke added, “Ventilation is a particularly invasive procedure, so just because someone gets a little oxygen doesn’t mean they are ventilated. Ventilation is much more invasive.

Does Boris Johnson really need to be in intensive care?

Dr. Clarke told Sky News: “I’ll tell you this, the NHS, especially right now, is not abandoning the intensive care beds just for people to examine – it doesn’t work like that, even for prime ministers.

“He would not be in intensive care unless he needed to be in intensive care, especially not at that time, and I think it is probably time that the journalists of number 10 start to tell us talk about his condition. “

Professor Hill added: “One of the hallmarks of COVID-19 in all countries seems to be that many more men fall seriously ill than women – especially in the age group over 40. We also know that people under the age of 60 seem to have a better chance of recovering from a serious illness with COVID-19 than the elderly. But there is no doubt that this turn of events means that Boris Johnson is extremely sick. “

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