The West Bengal authorities on Monday suggested all COVID-19 hospitals within the state to difficulty demise certificates in response to the rules set by the Indian Council of Medical Analysis (ICMR).
The division additionally suggested the hospitals that “earlier than placing hypoxic sufferers on ventilators, excessive circulate nasal oxygen remedy needs to be tried as per the rule of thumb”.
Earlier, it had suggested all COVID-19 hospitals to go for “susceptible awake air flow” as and when potential earlier than placing a affected person on typical mechanical air flow.
The transfer would reduce down on the usage of mechanical ventilators amid the surge in coronavirus circumstances, a senior official of the well being division mentioned.
Inclined positioning air flow additionally referred to as as susceptible awake air flow (mendacity flat on the stomach to enhance oxygenation), which is generally utilized in intensive care models (ICUs) for these having acute respiratory misery syndrome (ARDS), also needs to be tried on COVID-19 sufferers, in response to an advisory issued by the division.
If that doesn’t assist, sufferers needs to be placed on typical ventilators, the official mentioned.
“With the variety of COVID-19 circumstances hovering each day, we’ve got to have ICUs and ventilators prepared for sufferers always. However the variety of ventilators the state has in the intervening time is just not sufficient to help all of them,” he mentioned.
West Bengal presently has 395 ventilators and 948 ICU beds in its COVID-19 hospitals, in response to state well being division knowledge.
“In circumstances, the place the docs suspect that the affected person has a ”secondary bacterial an infection”, the (blood) tradition needs to be despatched for examination and she or he needs to be put below mechanical air flow,” the advisory said.
The division additionally mentioned that “super-specialty groups needs to be obtainable for acceptable recommendation in related circumstances”.
It has additionally warned in opposition to “indiscriminate use” of antibiotics for bacterial infections.
“Since COVID-19 is a viral an infection, a justification for prescribing antibiotics should be documented…We have to keep away from indiscriminate and extended (use of antibiotics) as expertise exhibits that it might trigger hurt in lots of circumstances,” the advisory mentioned.