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The Commissioner for Emergencies after the State-Regions Conference: “We have another 1,500 ventilators available, but before distributing them we would like to see activated the beds for which we have already sent them.” Minister Boccia: “The problem is where fans are, we are waiting for answers in real time.” Concern for some regions and for the relationship between anesthetists-resuscitators and beds. Abruzzo has saturated 150% of the additional places implemented
“Before Covid, there were 5,179 intensive therapies and now 6,628 are active but, based on the devices provided, we had to have another 1,600 that are already available in the individual regions but are not yet active. I would ask the regions to activate them.” So says the Emergency Commissioner Domenico Arcuri who, at the end of the State-Regions Conference, takes stock of the increase in coronavirus infections in Italy and the situation of intensive care (COVID: LIVE UPDATES – THE SPECIAL). Regional Minister for Autonomies, Francesco Boccia, also addresses the regions: “In recent months lung ventilators have been distributed everywhere, as Arcuri confirms: the problem is where the ventilators have gone, we expect responses in real time from the regions “. And the national president of the Italian association of hospital resuscitators – emergencies in critical areas (Aaroi-Emac), Alessandro Vergallo, warns: to date “in ten Regions, the maintenance of intensive care is particularly at risk.”
Arcuri: “We have another 1,500 fans available”
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“In recent months we have sent 3,059 pulmonary ventilators for intensive care, 1,429 for sub-intensive care to the Regions – said Arcuri – We have another 1,500 ventilators available, but before distributing them we would like to see activated the 1,600 intensive care beds for which we have already sent Fans “.
Boccia to the Regions: “We have now helped them to give answers”
“Maximum availability and maximum transparency, those who need help say so, but this must be done before intervening in work and school,” warned Boccia, who later added: “Campania before Covid had 335 intensive care beds. The government, Through Commissioner Arcuri, he sent 231 ventilators for intensive care and 167 for sub-intensive care. Today 433 places are activated, there must be 566 “.
Anesthesiologists: “Intensive care at risk in all regions”
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For his part, Vergallo explained, “we are approaching the maximum threshold set by the Ministry of Health of 30% of the places dedicated to occupied Covid patients; We are in a situation of alert in all regions because there is a risk, in the short term, of a saturation of Covid squares if the trend of infections does not change ”. In intensive care, he warns, “the pressure is increasing and we are beginning to experience the We fear that we can return to the dramatic situation of the first epidemic phase.”
Altems: “More locations but revivers are not enough”
There is also a warning from Americo Ciocchetti, coordinator of the weekly report of the Higher School of Economics and Health Systems Management of the Catholic University, Rome campus (Altems): “Given the increase in intensive care (IT) to date there is an equal increase in the number of anesthesiologists, which undermines the relationship between the anesthesiologist and the bed in You. “
The relationship between anesthesiologists-resuscitators and beds in the regions
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Before the emergency, Altems points out, the ratio in Italy between anesthesiologists-resuscitators and Ti beds was 2.5. For each bed, there were 2.5 staff units. Considering the structural response of the regions, that is, the acquisition of personnel through calls for open and fixed-term positions, and the increase in positions provided for by Legislative Decree 34, the ratio drops to 1.6 (-0, 9), with regional differences. The lowest value is found in Calabria and Marche: 1.4 anesthetists per bed of Ti. On the contrary, the region that maintains the highest proportion is Friuli Venezia Giulia with 2 units per bed. If we consider the reduction in the ratio of anesthetist-IT staff beds, the Altems Report emphasizes, the Region with the greatest reduction is Valle d’Aosta (-1.7), going from 3.5 anesthetists and resuscitators per bed earlier. from the emergency to 1.8. On the contrary, Veneto and Molise registered the smallest decrease, going from 1.9 to 1.6 and from 2.0 to 1.7 respectively.
