In São Paulo, the richest city in the country and with the most solid sanitation system, private hospitals live a “war situation” and reflect the chaotic scenario of the pandemic in Brazil. The panorama is dramatic and some centers have gone beyond the hospital pressure, without UCI beds and patient colleges in the hope that they will be transferred to other hospitals. If this sector has tenfold difficulties in increasing the number of beds, this week a pre-emptive problem has been added including those that exist: the use of medicines to intubate patients with covid-19, if invasive mechanical ventilation is invasive. a respirator.
In public health the panorama is not the best. Only drugs for the next 20 days, a problem of which various governors have alerted the Ministry of Health on a card that solicits the urgent need to import drugs. The Brazilian Association of Medical Insurers denounces the same situation in São Paulo and presses together with other associations that facilitate the import. Private hospitals and health care companies that work on a day-to-day basis for increasing demand and contact. Eran more than 680,000 cases have the last Wednesday school, and more than 20,000 deaths by covid in the city of 12, 3 million residents. “If the rhythm of contagios follows immediately, even if we increase miles of camaraderie [no daríamos abasto]… The only solution is to give credit to the people, ”said Marcos Novais, superintendent of the association’s superintendent.
The scenes of the collapse that took place in Manaos or in the north-east of Brazil last year, which a priori had less resources, were repeated in São Paulo. There is no need to be rich and pay for a good medical cure, although the population is poorer than it has been most affected by the pandemic since the beginning of the crisis. Now, including the private hospitals — which are waiting for people with the most powerful power to buy — try to show signs of collapse. “It’s a war situation,” said Francisco Balestrin, president of the Hospital, Clinic and Laboratories Syndicate. Ensure that the private centers are in operation “as if they were camp hospitals” there will be a significant increase in patients in the last 10 days and some will admit that they have increased the maximum occupancy capacity of the UCI.
“It’s a very difficult situation. The hecho of which all the beds are occupied occupy mayor mayor because we have an elevated number of diary cases. No control of tenemos la pandemia, sino todo lo contrario. This is the most requested and with the occupied rooms, can not accommodate this new request. “The UCI cameras have been occupied for more time than ever,” he added. On March 16, 240 deaths will be produced by covid-19 in the city, more than double the previous day. The first official death of the list of hopes for a UCI, announced by Alcalde Bruno Covas, was converted into an emblem of the situation of the city. A 22-year-old girl who was admitted to hospital with respiratory problems on the 11th day, had not received a bed. Murió al día siguiente sin la ventilation que necesitaba.
The Municipal Secretariat of Health has confirmed that it has received, in the long run, 30 applications from UCI beds and nurses for patients with covid-19 on behalf of private hospitals, but this is “not an indication of the agitation of the private rescue ”Aunque reflects the pressure of the pandemic on health. Erken, sondembargo, que es algo “sin precedentes”. Este jueves, elcalde Bruno Covas relation una fila de 475 personas a la espera de una cama de UCI en la ciudad.
Hasta the transfer of patients between private hospitals is problematic, due to the difficulty of increasing the number of beds while increasing the demand. A study conducted by SindHosp in 25% of the private hospitals affiliated with the union (93 centers) shows that only the middle class has the capacity to increase the number of beds and 82% have more than 91% of their occupied places. There are problems including guaranteeing the attention to the patients that it has: there are difficulties in guaranteeing medicines to intubate the patients, as well as teams with specialized professionals. Medical insurers have converted nurses and chiropractors at UCI, but the beds are occupied quickly.
‘No just a camera question. We also need an infrastructure of UCI and specialized professionals. The medicines for intubation were converted into the main preoccupation. We are working to increase the number of cameras, but we will not give up if the person does not pay, ”says Novais. A single bed only free when someone receives the high one and, according to Balestrin, the time of hospitalization is Mayor at the moment, marked by the creation of the number of hospitalized young people, including UCI beds. “Its most resistant, but, for some reason, it’s been violently violated and has become even more violent. We have more beds and we have many more patients ”.
In the Nipo-Brasileiro Hospital, for example, all UCI beds for covid-19 and other beds are occupied. The pastoral school, has 25 patients in emergencies who want a bed. The Nipo-Brasileiro says that a busy bus vacations in other hospitals of the city because it has raised the limit of occupation. The hospital is housed in a list of 15 private centers that have operated on patients in public hospitals, while explaining that it provides patients with medical care and does not cover costs as particular.
Private healthcare erkent has limitations so as to expand how to maintain the existing structure. It also has difficulties in guaranteeing the existence of drugs to seduce intubated and pharmacological patients that function as neuromuscular blockers, necessary for the patient not to “breathe with the ventilator” and to respond to the rhythm of ventilation. “There are pharmacists who have increased it by 900%. Reabastecerse is complicated ”, Balestrin dice. Mention the global dispute over these medicines, which, to be produced in Brazil, depend on the importation of the primary matter from India and China. Another problem is the difficulty in guaranteeing specialized teams in intensive care. “Each of its hospitals has more than a dozen expansions,” said the president of Sindhosp.
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