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The study by Tonetti et al 1 describes a potential configuration for the invasive ventilation of two adults on one ventilator (‘co-venting’). This is a similar configuration to those previously published in 2006 by Neyman and Irvin (four test lungs on one ventilator),2 and evaluated both in 2008 by Paladino et al 3 (using normal lungs in sheep, ventilating four on one ventilator) and again by Branson et al 4 in 2012 (with different respiratory system compliance and airways resistance in four tested lungs on one ventilator). This concept was also explored using face masks (non-invasive ventilation) in two human volunteers for 10 min by Smith and Brown in 2009.5 In 2017, Keven Menes used this previously evaluated ‘splitting’ of ventilators and implemented it during a mass shooting in Las Vegas, when …
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