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Pisa, November 8, 2020 – “The Intensive and sub-intensive beds for covid patients? Unfortunately yes “, the outburst is Paolo Malacarne, head of the Department of Anesthesia and Intensive Care of theCisanello Hospital in Pisa who asks those responsible for local and regional health care: “It is time to quickly change course, and decide by involving those who have experience with these patients and undoubtedly have good ideas and solutions to propose in these decisions.”
The doctor commissioned his complaint to Facebook this morning: “As was easily predicted and predicted, at least by those who worked day and night with covid patients and have the pulse of the situation, after the shortage of normal beds.” the shortage of intensive and sub-intensive beds has arrived. “
“The percentage of seriously ill patients from this recrudescence seems lower than that of March-May, but as the total number of patients increased, it was known that there would be an increase in intensive and sub-intensive patients, understand, those with” helmet ” or intubated “. Malacarne says: “In the last 48 hours I have consulted, among others, 4 patients who remained in the emergency room of my hospital who put on the famous” CPAP helmet “for at least 24 hours before finding an intensive subbed. The citizens of Pisa and neighboring areas should never stop thanking those of the PS, doctors, nurses, oss and health personnel, who treat them as if they were already hospitalized in a bed that is not there. In the last 48 hours in Pisa we have traveled constantly with 0 (“none) or 1 free or free intensive-sub-intensive bed out of the 32 available. And tomorrow? And in the rest of our Vast Area, as my fellow revivers tell me occasionally, the situation is not much different. ”
At the end of May, says the doctor, “the primary care workers of our Vast Area had provided the respective departments of the company with a leaflet specifying, hospital by hospital, which and how many intensive / sub-intensive beds should have been opened. in the event of a pandemic resurgence, progressively increasing the number with the progressive saturation (80%) of the beds used. ”” For the Pisa Hospital – recalls the chief doctor – we plan to open intensive / subintensive covid beds first in Cisanello until 18; then move to 24 beds in Cisanello and 6 in S. Chiara “.“ Bitterly – Malacarne complains – I must say that our proposal, at least here in Pisa, has been totally ignored by those who in recent weeks have made decisions about where and how many intensive and sub-intensive beds to open and with which staff, among whom I have not found that they have actually worked in contact with the sick in the March-May phase. ”“ An intensive or sub-intensive bed can save a patient only if next to the monitor and the ventilator there is a doctor and an expert nurse (that is, those who have already lived the Covid experience from March-May) or less expert but However, accustomed to anesthetic practices and supported by an expert – concludes the Chief Physician Malacarne -: It is obvious that as the need for intensive / sub-intensive beds increases, those urgent non-emergency activities that you see on a daily basis must be forcibly curtailed. those doctors and nurses who are experts or “less experienced but still used” are committed, that is, to reduce surgical activities that can be postponed. “
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