IDEA AND THEORY
So the idea is how to attack the lipoprotein membrane of Corona virus for 24 hours in the airway of the infected person either in mild, moderate or severe cases who are on Ventilators. At the same time the thermal attack should be safe to the respiratory tissues.
As the Virus inside respiratory tract is protected by inside secretions so we should calculate the actual required temperature essential to heat upper and lower airways’ secretions to the degree that could cause Viral Coat destruction. This could decrease the extracellular viruses count and could decrease the overall viral load. (Francois 2020 ) Hence the fat density is 0.9 of water (Ali 2018 ) so if we could raise the temperature in respiratory tract secretion 1C this will deliver 1.333 °C thermal injury to the lipoprotein coat of the virus. So the infected person with Corona needs to inhale 48.76˷ 49 °C of continuous hot Vapor with ≥ 90% humidity for 15 minutes! This is unsafe for the lungs. This degree is thermal cytotoxic for human lungs. This would be more than the thermal threshold for alveolar damage even if delivered in short time about 15 minutes. The question to be urgently investigated is why not deliver 38°C or more - 44°C or less (which safer to the lung) of humid Vapor into patient’s airway? Author thinks this could be a great idea for the management of COVID_19.
This proposed thermal attack will eliminate a lot of extra-cellular viruses, inside respiratory tract secretions. It literally means decreasing the COVID_19 Viruses load (Francois 2020 ) and allows body immune system to combat the virus with almost no or a little cytokine storm. This idea can simply quiet the morbidity and mortality curve.
Although studies are not mentioning the viral count/each infected air droplet, this proposed heating approach, also may decrease the virulence of infection, when the viral count in the droplets are decreased with subsequent decrease in spread of infection to contacts.
These methods could be designed carefully for investigation by Heath providers who treating Victims with COVID_19 in different models of degree, duration and rate of lung tissue heating in randomized control study groups till complete recovery. This Idea could be also designed and delivered for patients on Ventilators according to each case clinical data. According to general data obtained from ICU specialized article, (Haitham 2014 ) physicians can keep the ventilation humidity at 100-120% and temperature at 40.7 C = (55X0.74) if they adjusted the heater at 55 to compensate the tube loss (0.74%). They could deliver different degrees of heating and humidity in the study.The article propose a theory of Safe heat thermolysis Attack of Corona virus COVID_19, to destruct its lipoprotein coat and that could make sense in the investigational studies.
Something to be mentioned; In Vitro studies (El Badrawy 2018;Maya 2018; Yonekura, 2020 ) recommended the Idea of Application of sodium bicarbonate (SB) in the heated humidified Vapor as an adjuvant to the kill the respiratory tract pathogens, via simple inhalation or even bronchoscopy or endotracheal tube may provide an additional help in management of COVID_19. Correction of Stress acidosis could not be neglected in patients with respiratory Failure. Parenteral SB will not affect the intracellular PH=7.2 but will correct the blood PH when needed.
All health governments must now take decisive action to investigate every possible assumption to combated COVID_19 (Lancet ed. 2020 ; Lo, V.T., 2020 )
Acknowledgment: To Mrs Nashwa Saleh for her help and support.
Conflict of interest statement: The Author has no any conflict of interest
Disclosure: The author has no financial interest to declare in relation to the content of this article.
Data availability is available on request
 Ethical Statement is not applicable