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Visiting in Chronicle of Belgrade Dr. Ladjevic says that when a patient is mechanically ventilated, the survival rate is 30 to 40 percent. Since March there have been great experiences and we can talk about the numbers, what is that percentage.
According to him, the thesis that someone is very bad because they are on a respirator is being replaced.
“Such a patient is in an extremely bad clinical condition, and so he has come to the last measure we can help with, which is mechanical ventilation,” Ladjevic said.
In Batajnica hospital, where there are almost 500 patients, about 100 are on different types of mechanical ventilation and 10 percent of them have been intubated, explains Dr. Nebojsa Ladjevic.
According to him, the entire facility in Batajnica, which has 400 beds, has been filled.
“Unfortunately a new facility was opened, which did not have to open until now. Another floor with 102 beds has opened and is quite full, and in the first facility B there is an intensive care unit and there are almost 90 in that unit. patients on mechanical ventilation. These are patients on ventilators, about 40 have been intubated ”, emphasizes the coordinator of all kovid hospitals.
He adds that they are all very difficult patients and require a lot of care.
“The treatment protocols are unique to the whole of Serbia, they are applied absolutely and have the possibility of being applied. I cannot control in the whole of Serbia if it is applied to the last detail, but it is understood that it applies because they are written in a very strictly and clearly in terms of procedure and gradually, “says Lađević.
There is enough equipment
It emphasizes that everything in the protocol exists and that there is enough equipment.
According to him, the protocol was written as a synthesis of different recommendations from around the world and different protocols written by our experts in different fields.
Dr. Lađević also explained the procedure of what to do with a patient who tested positive. It is recommended to arrive on time and be examined.
“You go to the ambulance first. It is the place where the primary triage takes place, whether you have a more severe or mild form of the disease. If that form is milder, medication will be prescribed and the patient will go home and be scheduled a checkup, “explains the doctor.
When it is concluded in Kovid’s clinic that the disease is progressing, that it is going in the wrong direction, that the basic therapy did not work, then said patient is sent to triage sites within hospitals such as the Infectious Diseases Clinic, Bežanijska kosa , KBC “Dragiša Mišović” and there for another triage, says Lađević.
When a patient goes to the hospital
Hospitals generally do a lung scan and assess whether the patient can continue treatment at home or needs to be hospitalized. At that time, you are provided with a place in the hospital and your hospital treatment continues.
At the beginning of the pandemic, Dr. Nebojsa Ladjevic told himself that the crown would last for two years. When asked if he still thinks so or if something has changed in the meantime, the doctor responds:
“At first, I gave myself a longer period of time not to think about when it would end, and now I think that’s the case.”
It says that a doctor has the right to be afraid like any other person.
“I don’t think it’s normal not to be afraid. However, there is a ratio that should help. If you follow the prescribed rules, you feel protected and you enter the red zone. It is not easy for anyone to enter the red zone to work.” says prof. Dr. Nebojsa Ladjevic.
