Who and why puts Arcuri on intensive care
What did virologists, anesthetists and resuscitators answer to Commissioner Arcuri on intensive care
While more and more regions of Italy are colored red and are kept under severe restrictions to curb infections from Covid-19, the extraordinary commissioner for the emergency, Domenico Arcuri, tries to calm the minds by claiming that the pressure on the intensive care wards there is not.
Words, however, that were not liked by anesthesiologists, resuscitators and virologists who immediately responded to Arcuri. Let's go step by step.
THE WORDS OF DOMENICO ARCURI
Let's start from what was said by the Covid emergency commissioner Domenico Arcuri.
“In Germany in March there were 30,000 intensive care places, six times more than in Italy, where there were 5,000; at the peak we had about 7,000 resuscitation patients in our country, two thousand more than the total capacity of the wards. Today we have around 10,000 ICU places and we will reach 11,300 in the next month. Currently there are about 3,300 hospitalized in intensive care (for Covid, ed), so the pressure on these departments is not there ", said Arcuri yesterday during the conference 'Finance and country system a year later" of the Digital Finance Community Week .
THE ACCOUNTS OF CARLO PALERMO
Arcuri's accounts, however, do not go back to Carlo Palermo, president of the Anaao Assomed hospital doctors union: “There are 7,500 intensive care places available in Italy today. Of these, about 60% are occupied by very seriously ill non-Covid patients. The 30% threshold, indicated as the alarm level, of resuscitation beds dedicated to Covid is about 2,300, while the patients are already over 3,400 ”, said Palermo.
PALERMO: NO STAFF
"When it comes to 11 thousand places, it must be specified that 3,500 are only on paper and in any case there is a lack of staff to assist the hospitalized", added Palermo.
ANDREA CRISANTI: A FAN IS NOT ENOUGH TO CREATE A PLACE
The words of Andrea Crisanti, director of microbiology and virology at the University of Padua, are also harsh.
“An intensive care place is not created just by turning on a ventilator. There is a whole structure behind it, there are skills that are difficult to multiply. Why not multiply the beds without using nurses and resuscitators. A resuscitator takes years to train him, and the more beds he follows, the more difficult it is for him to treat patients ”, said Crisanti, echoing the words of Palermo, speaking in the Agorà broadcast on Rai Tre.
"The more additional places created in intensive care, the less pressure there is and the more the virus spreads," says Crisanti. "By doing so, at the end of the pandemic, it will be discovered that the regions with more places in resuscitation will have made more deaths".
GIARRATANO: IN THE RED REGIONS THE PRESSURE IS UNSUSTAINABLE
Antonio Giarratano, president of Siaarti, anesthetists and resuscitators also spoke on the subject.
“It is claimed that the pressure on intensive care is sustainable but in reality in the red regions the pressure is almost unbearable and in the orange ones it is very, very heavy. To argue that 10,000 ventilators can guarantee sufficient margin to sustain this exponential growth in ICU admissions means to think that knowing how to turn on a ventilator is enough to save a life. Unfortunately this is not the case, ”said Giarratano, in a video message broadcast in Agorà on RaiTre.
This is a machine translation from Italian language of a post published on Start Magazine at the URL https://www.startmag.it/sanita/chi-e-perche-boccia-arcuri-sulle-terapie-intensive/ on Tue, 17 Nov 2020 14:10:55 +0000.