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Those patients who reach the ventilator, that is, the mechanical ventilator, are patients who are in an extremely difficult condition, said prof. From RTS. Dr. Nebojsa Ladjevic, director of the Anesthesiology Center of the Serbian Clinical Center and coordinator of all covid hospitals. He explained how treatment protocols are implemented for patients with milder and more severe clinical symptoms.
Visiting the Belgrade Chronicle, Dr. Ladjevic says that when a patient is on mechanical ventilation, 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 poor clinical state and that is why he has reached the last measure with which we can help, and that is mechanical ventilation – Lađević said.
“Building with 400 full beds in Batajnica”
In Batajnica hospital, where there are almost 500 patients, about 100 are on different types of mechanical ventilation and 10% 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 has not had to be opened until now. Another floor with 102 beds has been opened and it is quite full, and in the first building B there is an intensive care unit and in that unit there are almost 90 patients on mechanical ventilation. These are patients with respirators, 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.
– Treatment protocols are unique for the whole of Serbia, they apply absolutely and have the possibility of being applied. I cannot monitor the whole of Serbia to see if it is applied to the last detail, but it goes without saying that it is applied because they are written very strictly and clearly, both procedurally and gradually – says Ladjevic.
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.
What should a patient who tested positive do?
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.
– First you go to the ambulance. This is where the primary staging is done, 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 return home and a check-up will be scheduled – explains the doctor.
When it is concluded in the kovid 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 classification places within hospitals such as the Infectious Diseases Clinic, Bežanijska kosa, KBC “Dragiša Mišović” and there for another triage, says Lađević.
Hospitals usually perform 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.
“The pandemic will last two years”
At the beginning of the pandemic, Dr. Nebojsa Ladjevic told himself that the crown would last for two years. When asked if he still believes it or if something has changed in the meantime, the doctor responds:
– At first, I gave myself a longer period not to think about when it would end, and now I think it is.
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 will feel protected and enter the red zone. It is not easy for anyone to go to work in the red zone – says prof. Dr. Nebojsa Ladjevic.
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