Large hospitals within the metropolis have been receiving a number of calls every day, in search of to confess critically-ill patients, who want intensive care help. Such is the load that at some large hospitals, admission of at least 10 critical patients to the ICU are being refused every day as authorities are having an growing waiting list of such patients.
At Bharati Hospital, there are 75 ICU beds, and 58 individuals with critical sickness are on air flow. “We are refusing at least 10 new ICU admissions daily. Pune on April 9 witnessed the highest number of 7,000 new cases. Some patients get moderately or severely ill within a week. How do we admit the other critically-ill patients when those already admitted need ICU support? In such a scenario, we are witnessing least eight to nine deaths daily,” mentioned Dr Jitendra Oswal, deputy medical director at Bharati Hospital.
At Noble Hospital, all 55 ICU beds are full. The hospital’s Executive Director Dr H Ok Sale mentioned they’re getting at least 50 calls every day from politicians, NGOs and medical doctors amongst others, in search of admission for Covid-19 patients. “Doctors from smaller hospitals also call us, seeking admission of their critical patients. We are trying to manage the situation but it’s been extremely difficult. Ventilators are being procured but each costs Rs 12 lakh,” Dr Sale added.
Symbiosis Hospital’s CEO Dr Vijay Natarajan mentioned there’s a deficiency of Remdesivir, oxygen and mattress. “We have more than 200 occupants and 24 ICU beds with 10 on ventilation. If we can stop the disease’s progression by using Remdesivir at the correct time, then we can prevent ICU admissions,” he mentioned.
However, the drug’s scarcity has compounded the issue. “We are administering the limited vials hospitals get only to a few patients,” Dr Natarajan mentioned. Some patients deteriorate rapidly, whereas others want excessive move of oxygen. The subsequent two to a few weeks might be extraordinarily difficult,” Dr Natarajan mentioned.
“We are getting 8-10 patients waiting in the emergency room for critical care beds. We are stabilising them and also asking hospitals if beds are available,” mentioned Dr Avdhut Bodamwad, medical superintendent at Ruby Hall Clinic.
According to the Sancheti Hospital administration, the state of affairs is turning into tense. “We have admitted 40 Covid patients, of which 18 are in the ICU. We were waiting for our supply of Remdesivir till yesterday and got limited vials. Oxygen supply is also a challenge. We are feeling totally helpless. I am unsure about tomorrow’s supply,” Manisha Sanghvi, govt director at Sancheti Healthcare Academy, Sancheti Hospital, mentioned.
Prior to the lockdown within the state, an evaluation by the state well being division had anticipated that there could be 1.8 lakh lively instances in Pune by May 2 and estimated that there could be a shortfall of two,240 ICU beds, whereas one other 518 ventilators could be required in Pune district.
“The lockdown has given us some time to upgrade the health infrastructure and meet the demands for Remdesivir and oxygen. New hospitals with oxygenated beds are being identified and this is a daily process,” a district well being official mentioned.
‘Activate unutilised oxygen plants: State health secretary’
On April 24, a letter was despatched by State Health Secretary Dr Pradeep Vyas to the district collectors on exploring the chances of building oxygen technology crops.
“We are struggling to augment supplies of oxygen and even re-purposing PSA plants for nitrogen. There are PSA plants for oxygen, which are lying unutilised. One such plant is being reactivated at Satara to generate oxygen and fill 2,400 jumbo cylinders per day. These need to be reactivated to meet the shortfall in the state,” Dr Vyas mentioned. While new oxygen technology crops will take three to 4 weeks to put in, retrofitting present PSA crops for nitrogen could be achieved in lower than per week, he added.