IGMS Medical Solutions LLc.

KINGON P2 PORTABLE OXYGEN CONCENTRATOR

Portable Oxygen concentrators, often referred to as POC are devices used to provide oxygen therapy to patients. These patients require greater oxygen concentrations than normal air. Similar to home oxygen concentrators (OC), portable oxygen concentrators are smaller in size, portable & lighter.

** The smallest & lightest 1 Litre portable oxygen concentrator in the world!
** Weight: 1.97 kg including battery.
** Fantastic Battery Life – Approximately 4 hours and a battery charge time of 4 – 5 hours.
** Elegant design & appearance – Sleek design that fits in the palm of the hand.
** No sharp edges or easily-damaged small parts.
** Easy to meet different O2 demands by using the 5 flow settings
** High O2 concentration: 90%-3%/+6 on all settings
** Easy Operation; 2.8 inch liquid crystal colour display screen shows alarms, silenced alarms, battery level, device run time for single run of use & flow settings (1-5)
** Pulse dose delivery; It senses patients breathing from the cannula. As the patients breathing rate changes, the Kingon senses these changes & adjusts the amount of oxygen at the next inhale.
** Heat balance system ensures longer life span
** Practically Maintenance Free – Only three maintenance items: the battery, pre-filter and intake filter.
** Designed for 24 / 7 Use

Untreated sleep apnea leads to pneumonia in Covid-19: Dr Manoj Singh, Apollo Hospital, A'bad

https://health.economictimes.indiatimes.com/videos/untreated-sleep-apnea-leads-to-pneumonia-in-covid-19-dr-manoj-singh-apollo-hospital-abad/82849784

Untreated sleep apnea leads to pneumonia in Covid-19: Dr Manoj Singh, Apollo Hospital, A'bad | ET HealthWorld Covid-19 has shown us, as a chest specialist, that, it is one of the independent predictors of development of severe Covid pneumonia. Because any severe sleep..

High flow oxygen therapy device for COVID 19.

*** Humidified high flow nasal prong (cannula) therapy is a form of non-invasive respiratory support which has been compared to continuous positive airway pressure (CPAP).

*** HFNP may act as a bridge between low flow oxygen therapies and Nasal CPAP (NCPAP), reducing the need for NCPAP/intubation.

*** At high flows of 2 litres per kilogram per minute, using appropriate nasal prongs, a positive distending pressure of 4-8 cmH2O may be achieved.

*** The high flows and humidification improves functional residual capacity and mucocililary clearance of secretions thereby reducing work of breathing.

**How to do self-proning to improve oxygen levels? Here’s a step-by-step guide

**How to do self-proning to improve oxygen levels? Here’s a step-by-step guide

** COVID-19 patients are required to keep a check on their oxygen saturation frequently. If the saturation goes below 94 per cent, one should try ‘proning’ (lying on your belly), advise medical experts, to improve oxygen levels.

** The Health Ministry recently shared a step-by-step guide for proning, a medically accepted position to improve breathing comfort and oxygen, and therefore beneficial for COVID-19 patient

** Those in home isolation should keep these things in mind before they go for self-proning:

** For this, you need pillows — one should be below the neck, one or two below the chest through the upper thighs and two pillows below the shins, according to the Health Ministry.

** Following are the positions for self-proning; it is recommended that one should not spend more than 30 minutes in each position:

1. Start with lying on your belly
2. Lying on your right side
3. Sitting up with your legs extended in front of you
4. Lying on the left side
5. Go back to lying on your belly

** Dos and don’ts for proning

1. Avoid proning for an hour after meals
2. Maintain proning for only as many times as easily tolerable
3. One may prone for up to 16 hours a day, in multiple cycles, as felt comfortable
4. Pillows may be adjusted slightly to alter pressure areas and for comfort
5. Keep a track of any pressure sores or injuries, especially around bony prominences

** Who should avoid proning?

Proning should be avoided in conditions like:

1. Pregnancy
2. Deep venous thrombosis (treated in less than 48 hours)
3. Major cardiac conditions
4. Unstable spine, femur, or pelvic fractures

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50th National Day Wishes.........

Videolaryngoscopy Intubation in Patients with COVID-19: How to Minimize Risk of Aerosolization?

The highest viral load of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is found in the sputum and upper airway secretions. Therefore, endotracheal intubation, extubation, connection, and disconnection of the ventilator circuit in patients infected with coronavirus disease 2019 (COVID-19) may cause aerosolization that may contaminate the personal protective equipment, exposed body parts, or even the airway of the person handling the airway. Direct contact and droplet spread of respiratory secretions remain the predominant mode of spread, yet airborne transmission may occur, and taking precautions in aerosol-generating procedures should be done.

Videolaryngoscopy is ideally recommended in patients infected with COVID-19 to increase the distance between the operator’s face and the patient’s face to minimize the risk of contamination. In addition, videolaryngoscopy offers a better view of the glottis entrance.

In part 1 of the video, the use of standard Macintosh laryngoscope for tracheal intubation places the face of the intubator very close to the patient, which puts the intubator at high risk of contamination from airway secretions. In part 2 of the video, the use of a videolaryngoscope allows the intubator to be further away from the patient and is therefore at reduced risk of exposure to airway secretions and contamination. The use of a single-use blade might also reduce the risk of patient-to-provider transmission compared with use of a reusable blade.

What does ultrasound machine do?

An ultrasound machine makes images so that organs inside the body can be examined. The machine sends out high-frequency sound waves, which reflect off body structures. A computer receives the waves and uses them to create a picture.

**The test is done in the ultrasound or radiology department.
** You will lie down for the test.
** A clear, water-based gel is applied to the skin on the area to be examined. The gel helps with the transmission of the sound waves.
** A handheld probe called a transducer is moved over the area being examined. You may need to change position so that other areas can be examined.

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https://www.youtube.com/watch?v=YAP0b0spvNU

Are you overweight and don’t want to undergo surgery?

Have a gastric balloon inserted and lose 16 kg on average in 6 months.

A gastric balloon is a weight loss procedure where a silicone balloon filled with saline and air is inserted in your stomach to limit the amount of food you can eat. It is meant to make you feel full faster, which in turn reduces the amount of food you consume per meal. Doctors may recommend gastric balloon placement if other natural weight loss options have not worked for you. This weight loss procedure can also be recommended if a patient’s body mass index (BMI) is not high enough to qualify them for bariatric surgery.

**How is Gastric Balloon Done?

The placement of the gastric balloon is often carried out as an outpatient procedure in the endoscopy unit. The doctor will insert a thin tube down your throat loaded with the gastric balloon into your stomach. It is then accompanied by an endoscope that allows the doctor to see the balloon as it is filled with saline. The gastric balloon procedure takes about half an hour.

**How Much Weight Can You Lose with Gastric Balloon?

The amount of weight you can lose with a gastric balloon may vary depending on the changes you make to your lifestyle habits. The placement of the balloon in your stomach helps to slow down the time it takes for food to be emptied in your stomach. Your doctor can remove the gastric balloon after 6 months or less depending on your health goals and recommendations.

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What’s a Ventilator?

It’s a machine that helps you take breaths if you can’t do it on your own. Your doctor might call it a “mechanical ventilator.” People also often refer to it as a “breathing machine” or “respirator.” Technically, a respirator is a mask that medical workers wear when they care for someone with a contagious illness. A ventilator is a bedside machine with tubes that connect to your airways.

Why Do You Need a Ventilator?

When your lungs inhale and exhale air normally, they take in oxygen your cells need to survive and expel carbon dioxide. COVID-19 can inflame your airways​​​​​​​ and essentially drown your lungs in fluids.
A ventilator mechanically helps pump oxygen into your body. The air flows through a tube that goes in your mouth and down your windpipe. The ventilator also may breathe out for you, or you may do it on your own.
The ventilator can be set to take a certain number of breaths for you per minute. Your doctor also may decide to program the ventilator to kick in when you need help. In this case, the machine will blow air into your lungs automatically if you haven’t taken a breath in a set amount of time.

"Silent Hypoxia"/"Happy Hypoxia,"

A well-known symptom of the coronavirus is low oxygen levels in the body, aka hypoxia, which normally lead to shortness of breath. But some coronavirus patients with hypoxia don't experience this hallmark sign that their oxygen levels have dropped into dangerous territory.

The phenomenon is referred to as "silent" or "happy hypoxia," where the body has oxygen saturation below 90%, but the person can still breathe normally.

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91% Oxygen@ Home

Respiratory Support for COVID-19 Patients

With the rapid spread of the COVID-19 virus, the need for essential medical devices/equipment is also increasing. The disease is characterized by normal to severe, and even life-threatening respiratory symptoms due to levels of oxygen in the bloodstream. So, the need for oxygen support devices like ventilators, CPAP, oxygen concentrators, etc is increasing day by day.
But many of us haven’t heard much about the oxygen concentrator. Let’s take a deeper look into the device and its importance during this COVID-19 pandemic.

** What are Oxygen Concentrators

Oxygen concentrators are devices that concentrate the oxygen from a gas supply by selectively removing nitrogen to supply an oxygen-enriched product gas stream.

It helps in delivering oxygen therapy to people with breathing disorders. It is a portable and cost-effective device, good for hospital & home use.

**How Does it Work?

“Oxygen concentrators filter surrounding air, compressing it to the required density, and then delivering purified medical-grade oxygen into a pulse-dose delivery system or continuous stream system to the patient. They’re also equipped with special filters and sieve beds which help remove Nitrogen from the air to ensure delivery of completely purified oxygen to the patient.”

**How Crucial is it For COVID-19

A major issue with the patients suffering from COVID-19 is breathlessness. As per ASTMH – ‘The symptoms start arising within 7-10 days of illness. Several drug trials are underway, but the current treatment for severe COVID-19 depends majorly on providing the best possible oxygen supportive care’.
Patients infected with COVID-19 virus may suffer from mild to severe symptoms. Hospitals being overcrowded and lack of availability of ventilators in underprivileged settings is a challenge for everyone. Oxygen concentrators are proving to be helpful in such situations. As the majority of cases are patients with mild symptoms who don’t require ventilator support, breathing therapy by oxygen concentrator helps in stabilizing the health of the patient.

**Advantages of Oxygen Concentrators

Oxygen concentrators have many plus points and are contributing to the fight against coronavirus.

1. Portable
2.Cost-Effective
3.Easy to operate
4.Useful for Home & Hospitals
5.Helpful in emergency

**Who Needs Oxygen Concentrators?

Patients suffering from chronic and acute breathing disorders require oxygen support. Patients with COPD, asthma, and those having respiratory distress due to climate change need supplemental oxygen. In such cases, they keep oxygen concentrators at their homes.
In case you’re having difficulty in breathing, immediately contact your nearest healthcare service. Buy an oxygen concentrator only when you consult with your physician. Remember that you can’t buy it over the counter, it requires a prescription. The doctors will show you how to properly use the device at home.

**Which Places are Oxygen Concentrators Helpful?

Home Settings

With so many benefits mentioned above, there’s no doubt that oxygen concentrators can be very useful for home. A COVID-19 infected patient can take his/her oxygen therapy from the safety and comfort of their home. A report by ThePrint suggests that not all patients require complete ventilation, patients with mild symptoms are suggested to use an oxygen concentrator if required.

**How do you know when to use Oxygen Concentrators?

If a person gets infected from coronavirus, there are some symptoms that should start reflecting. But as the cases are on the rise, doctors have observed patients who have missed these symptoms. This is termed as silent hypoxia, where the patient’s oxygen level drops but he/she does not feel any abnormality.
Here, you should use a Pulse Oximeter to keep a check on the levels of oxygen saturation in your blood. The normal oxygen saturation usually lies between 95% – 100% (SpO2). When this drops below 92% (SpO2), you should seek immediate medical assistance. We all should keep the device at home and monitor regularly.

Hospital Settings

Oxygen concentrators provide a cost-effective and sustainable source of medical oxygen to health facilities. Due to COVID-19 hospitals are overcrowded and availability of medical oxygen support is very important. Low-cost oxygen concentrators manufactured from locally available components would be the most suitable option under these circumstances.

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Obstructive Sleep Apnea (OSA) the silent killer
Obstructive sleep apnea (OSA) is a condition in which breathing stops involuntarily for brief periods of time during sleep. Normally, air flows smoothly from the mouth and nose into the lungs at all times. Periods when breathing stops are called apnea or apneic episodes.
Symptoms of Sleep Apnea
*Headaches that are difficult to treat
*Feeling disgruntled (grumpy)
*Forgetfulness
*Drowsiness
*Excessive daytime sleepiness.
*Loud snoring.
Risk factors

*Excess weight.
*Narrowed airway.
*High blood pressure (hypertension).
*Chronic nasal congestion.
*Diabetes.
*Cardiovascular problems.

Treatment
**Continuous positive airway pressure (CPAP) therapy is the first line of treatment for obstructive sleep apnea. CPAP is administered through a facemask that’s worn at night. The facemask gently delivers positive airflow to keep the airways open at night. The positive airflow props the airways open. CPAP is a highly effective treatment for sleep apnea
**Bilevel positive airway pressure machines are sometimes used for the treatment of OSA if CPAP therapy is not effective. BiPAP machines have settings, high and low, that respond to your breathing. This means the pressure changes during inhaling versus exhaling.

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