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Anesthetists are always with critically ill patients, and as there are many in the epidemic, they and their work are in the focus of interest.
Source: B92
Photo: Printskrin / TV b92
Professor Dr. Nebojsa Ladjevic, Director of the KCS Center for Anesthesiology and Reanimatology, and Assistant Professor Dr. Ivan Palibrk, his deputy, were assigned to the task when the coronavirus epidemic began to redistribute anesthesiologists within Serbia and Belgrade, as well as provide them with accommodation. Many of them work 15 days without interruption and because they work in highly contagious conditions, they have chosen to stay in hotels and have not seen their family for days.
The most severe patients are in the respiratory room of the Infectious Diseases Clinic in Belgrade, but, according to Dr. Ladjevic and Palibrk, there are currently fewer serious patients.
“The situation is improving. We believe that in a day or so, some patients will switch to wards,” Dr. Palibrk told the Special Special Review.
Her colleague, Dr. Ladjevic, has been working nonstop for 21 days. Anesthetics are changed in suitcases every 4 hours. Along with them, pulmonologists, infectious diseases, bronchologists work within the contaminated area. An anesthesiologist can care for more patients, but he or she is assisted by anesthetists and nurses.
The data shows that patients with lighter clinical imaging have been arriving in recent days.
“At first, the patients did not know how dangerous the disease was, they waited a long time to report, they were losing days and were in serious condition, and then the clinical picture developed very quickly. As collective consciousness grew, people they became more alert and alert. ” even with what is not greedy, but at least we were able to bring them home with a negative result, “cries Dr. Ladjevic.
Putting the patient on a respirator is a complicated procedure
Doctors say they need to be especially careful when setting up intubation so they don’t breathe in the patient’s exhaled air and become infected.
“Experience has taught us not to rush into patient intubation. In deciding to put someone on artificial ventilation, we consider their age, the course of the disease, if the disease is confirmed, how long it lasts … Also, we try to save the condition more oxygen, if we see that it does not work well and that there is a risk of serious damage to the organism, then we introduce it in artificial ventilation, explains Dr. Palibrk.
Photo from Dr. Nebojsa Ladjevic: Printskrin / TV b92
So when a respirator is needed, the patient is in a very serious condition.
The patient can spend several days on the respirator, there is no time limit.
“The patient can remain on mechanical ventilation for a long time. It is important to determine the parameters well. The device supplies the oxygen that the lungs need to recover, and with other medications, it treats the underlying process that has invaded the lungs,” adds Ladjevic.
Taking someone out of the respirator takes into account how the patient feels, the patient’s consciousness, and the gas parameters.
Doctors do their best to help everyone equally, without difference.
“Everyone’s life is important, regardless of age. The therapy is not assumed for years, but for the current situation of patients,” concludes the director of the KCS Center for Anesthesiology and Reanimatology.
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