‘The virus has changed weapons, red alarm bells are ringing in intensive care units’


Turkey, since the start of the epidemic 13 months, reached the highest number of cases and the number of severely ill patients. The President of the Turkish Intensive Care Association, Prof. Dr. İsmail Cinel emphasized that patients are beginning to be lost at a much younger age and that intensive care teams are faced with a severe traumatic process. Making important evaluations to Demirören News Agency, Prof. Dr. Cinel said, “When we think that this is a third upward trend as a major, there was almost a state of mobilization in the first wave and the number of cases was at the peak of 13 thousand 300. The reflection on intensive care was 1980 patients. The reflection on the care was in the 5 thousand 970s (maximum). Before we went to complete closure, we overcame this with the incredible self-sacrificing struggle of the intensive care teams, which we can call a superstructure besides a great health infrastructure, and our seriously patient numbers had decreased to 500. But now the situation “It’s different. We’re going up. It’s clear that red alarm bells have been ringing for the past 15 days.”
“THERE IS A MUTATED VIRUS”

“In the current course, there is a mutated virus in front of us, it can spread rapidly in the society and it destroys the tissues a little more, ‘said Prof. Dr. Cinel, and the consequences of this are more severe and added:” We have much younger patients. With the benefit of vaccination (we managed to vaccinate over the age of 65), we are now back from the age of 78 in intensive care to the 60s and 59s. This is a very important detail. Because now we have 38-year-old patients and 45-year-old patients. These come to our intensive care units with more damaged tissues. We are currently around 3,200 in the number of seriously ill patients. It has been increasing every day for the last 6 weeks. The need for intensive care is also increasing rapidly. It is a very difficult time for healthcare professionals. You have 10 intensive care units, you have turned two of them into Kovid intensive care, it is not enough, six of them are seven, you cannot do all of them in Kovid intensive care. Because non-Covid patients also need intensive care when they have a traffic accident, brain hemorrhage or serious heart attack. “

“WE REQUEST CONTRIBUTION FROM OUR CITIZENS TO THE PROCESS WITH A FEEL OF MOBILITY”

Stating that “everyone should take a step back from now on”, Prof. Dr. Saying that this can be done with a sense of mobilization, Cinel said, “We have been making very serious warnings since the beginning of April. The number of cases is still 62-63 thousand. We did not see it decrease. Even if we see it, the cases in intensive care will continue to increase for 1 week and 10 days. Considering that we, as intensive care workers, are very worried. I had previously also. here I meant that there are spiritual aspects of Ramadan. we listen to ourselves, we were alone. he needs such a period of Turkey. he needs to make a break, “he said.

“I AM VERY CONCERN ABOUT INTENSIVE CARE THIS WEEK”

Turkey is pressing the brake a little bit with the new restrictions, but said it would be seen whether there is sufficient Professor Dr. İsmail Cinel continued his words as follows: “Look, we made the brake, but whether this brake is enough or not, how will the effect of Ramadan be, these will come out Saturday and Sunday next week. But how will this one week pass, I think this on behalf of intensive care. Because, for example, you had 50 intensive care beds, it was 80, it was 100, it was 120. Do you know what this brings? Even the group of physicians who want to put their hands under the stone and who are far from intensive care is worried. You cannot get efficiency by employing your doctor in intensive care. ” “

DENSE CARE IS THE INSURANCE OF HOSPITALS “

Stating that the very high number of serious patients will prevent intensive care units from being the insurance of hospitals, Prof. Dr. Cinel said, “As soon as the number exceeds a certain number, intensive care units lose their insurance characteristics. Intensive care, which cannot see the insurance function for the entire hospital, means full intensive care. It means unintentional loss of medical quality. If the intensive care workers are psychologically seriously annoyed, this will lead to frustration and exhaustion. Think about it, while in an intensive care unit, for example, there are an average of 100 deaths per month, when you look at it, it goes up to 300-400. A piece of the intensive care worker who has worked for 20 days and 30 days for these patients is torn. Especially if the patients are younger, the effect is more devastating. This virus has even targeted children, changing weapons. Vaccination means science. We definitely need to reach the vaccine, “he said.

THE SYSTEM LOCKED IF THE BEDS ARE FULLY FILLED

also he said that he needed to gain time in the intensive care unit of Turkey’s outbreak Prof. Dr. Cinel said, “We need to save time right now. We want everyone to be aware of the incident and help the health system. We need to do this very insistently, in the most urgent way. The number of seriously ill patients has been increasing continuously for the last 7-8 weeks. Our occupancy rates in Istanbul now. This does not mean that the beds (in intensive care units) are completely full, not that there are no beds. We are not a nation that will leave our patient at the door or on the street. It is the first level, cardiology, neurology intensive care, you can temporarily serve Kovid patients here.The main place where they will receive service is the tertiary intensive care.These patients are general intensive care units, anesthesia intensive care units, chest diseases related intensive care units. More occupancy means that ICUs lose their insurance function. This burden is more difficult to carry, both from the point of view of his business and psychologically, “

“PRIVATE HOSPITALS LIKE THE FIRST TWO WAVES SHOULD HAVE MORE SUPPORT”

During the first peak and the peak of November-December, Prof. Dr. Cinel also called the private sector and ended his words as follows: “There are different points of going up the third. Sensitivity decreased, indifference, apathy occurred. There are differences in perception. As the pandemic got longer, the resistance of people started to decrease. Economic concerns also developed. Some private hospitals gave more support. The issue here is not about money. We also provide 30-40 days of ECMO support to some of our patients in the tertiary care and we actually do this by making a loss in terms of SSI reimbursement. It reflects to us as 60-70 percent loss. We are in the pandemic period. In emergency care, in intensive care, money, numbers, these should not be considered. You will fight with nurses for 1-2 years, you will not be like Italy, you will not lose patients in the corridors. But in general, your intensive care mortality rates increase. I do not want this to increase. For this, first of all, contamination should definitely be prevented in the field. a urgently, our patients should not come to hospitals for a short time, except for emergencies. Polyclinics should be completely canceled for a certain period of time. ”


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