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Anesthetists and resuscitators against the government commissioner. Also corrected by Brusaferro
In the end, the president of the Higher Institute of Health, Silvio Brusaferro, had to intervene to clarify the case of intensive care. According to the latest survey, 9,931 intensive care places are active in Italy. The 11,000 of which the commissioner for the coronavirus emergency Domenico Arcuri spoke yesterday “are the beds in intensive care that can be activated,” explained Brusaferro at a press conference at the Ministry of Health after the controversy by the commissioner of the Government of the Covid that had said that pressure in intensive care is non-existent today.
The response from the national secretary of Anaao Assomed Carlo Palermo had come very soon. “When the total number of intensive care places is indicated at more than 11 thousand, it must be specified that some 3,500 are only on paper – he emphasizes – that can be activated in critical conditions and not immediately, including beds in the preparation process, whose Tenders only started in October, as well as sub-intensive and surgical beds already used in ordinary hospital activity. Not to mention that, in any case, the medical and nursing staff necessary for the care and assistance of patients would not be available, due to a decade of total failure. in specialized needs planning. “
Today comes the answer from Alessandro Vergallo, president of the association of anesthetists Aaroi-Emac. There is no disaggregated data related to intensive care, it is not known how many people die from Covid in resuscitation, but doctors feel that “the pressure is the same as in the first wave.” “There are no concrete data,” explained Vergallo, “the figures we have are those that are officially communicated. We don’t know how many people die in intensive care and how many go out ”. The incoming data “says little. We should take a snapshot of intensive care at one point.” Specifically, “all hospitals must communicate at the same time how many people are hospitalized in intensive care,” said Vergallo. “The truth is that in many regions the intensive care alarm threshold has been exceeded with more than 40% of Covid hospitalized.” And this “in view of the reassuring statements of Commissioner Arcuri who speaks of more than 10,000 places in intensive care. But if this means that on paper 10 medical beds are being converted into intensive care places, then we disagree. put a fan in front of a bed, “said the president of Aaroi. Not only that, for Vergallo the situation is worse than that of the first wave: “The burden in intensive care is the same, that of hospitalization is even greater and this is due to the fact that many patients who come to the emergency room present a picture that must be treated in The positive aspect is that this means that we intervene earlier and anticipate the treatments, the negative is that it increases the burden because many patients go to the hospital because there is no local medicine ”.
“It is said that the pressure on ICUs is sustainable but in reality in the red zone the pressure is almost unbearable and in the oranges it is very, very strong. Admission to intensive care is to think that knowing how to turn on a ventilator is enough to save a life. Unfortunately, this is not the case ”, Antonio Giarratano, president of Siaarti, declares in a video message broadcast in Agorà, on RaiTre, the issue that brings together anesthetists and rescuers.
Arcuri is also corrected by Federico Gelli, President of the Italia In Salute Foundation: “Covid Emergency Commissioner Domenico Arcuri is wrong. The peak of Covid patients in intensive care in the first wave was not ‘around 7,000’ but 4,068, April 3. And to say that today there is no pressure in these wards is a bet. First of all, as the rescuers themselves repeat several times, a single ventilator is not enough to make an intensive care post. That said, It is impossible not to also take into account the occupancy rate of non-Covid patients present in these rooms. The other pathologies have not disappeared by ‘magic’. Finally, it should be noted that the activation of some 11,000 beds generates a problem: who will attend these patients given the shortage of specialists? As Aaroi-Emac reported in recent weeks, with the current staff we can serve around 7,000 beds. As this number increases, we run the risk The quality of service provided to these people has collapsed. “
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