Toronto (Reuters, Canada)-Young Canadians bear the brunt of the country’s latest COVID-19 surge, the demand for artificial lungs is growing, and because the hospital has made the last effort to save patients, they are maintaining severe illness The personnel in the intensive care unit also encountered difficulties.
Marcelo Cypel, director of surgery for the Extracorporeal Life Support Program at the University of Toronto Health Network (UHN), explained that treatments called extracorporeal membrane oxygenation or ECMO are more likely to be used for patients under 65.
Last week, UHN recorded 19 ECMO patients, of which 17 were severe COVID-19. When the lungs of the most severely ill COVID-19 patients are filled with fluid and the mechanical ventilator cannot continue to work, artificial lungs can save lives.
By Monday, the doctor had been weaned from the machine, and there were only 14 ECMO patients, 12 of whom had COVID-19.
The demand for these artificial lungs reflects changes in the Canadian epidemic, which has worsened, with a surge in new cases, and outbreaks that have hit workplaces and schools.
As many elderly people are vaccinated, and new, more contagious variants of the coronavirus spread widely, younger patients are increasingly receiving intensive care.
Cypel said: “It’s very different from the first wave, when we saw older people with comorbidities.” “We are seeing more…young basic workers.”
Cypel cautioned that the current ECMO situation is under control, but the situation may change soon.
When hospital systems in other countries are overwhelmed, they have to stop using ECMO because it requires a large number of staff-seven or more people to start treatment.
Cypel said that about 55% of people receiving this therapy can survive. However, he added that long-term hospitalization has caused them to often suffer “severe physical limitations.”
Many provinces in Canada are working hard to accelerate the introduction of vaccines and are in the midst of the worsening third wave of COVID-19. The country reported more than 6,200 new cases on Monday, with 3.8% of those who tested positive for the virus.
“Seeing a flat tire”
In British Columbia, hospitals’ urgent need for intensive care unit (ICU) beds has surged. This is caused by the highly concerned P.1 virus variant, which was originally discovered in Brazil but is now raging in Brazil, from Vancouver The Intensive Care Doctor Del Dorscheid Paul Hospital in São Paulo is more worried about staffing than artificial lungs.
He said that according to the scheduled shifts, one-third of the employees are working overtime.
He said: “They are trying to find corpses that can fill these vacancies.” “I wouldn’t say that we saw more mistakes. Still not. But we will definitely see burnout.”
For ICU, there is no end. As of Tuesday, there are 497 COVID-19 patients in the intensive care unit in Ontario, a record high. Last week, experts advising the provincial government said that even if there is a new home order, this number may rise to 800 by the end of April. The province stopped a new whole-house service order.
The new restrictions imposed in Ontario last week have little effect on the hardest-hit areas. In Toronto, the terraces of outdoor bars and restaurants were closed, and plans to reopen the salon were shelved. On Monday, Peel, who was hit hard west of Toronto, took action on his own and suspended face-to-face learning at the school for two weeks.
After a slow start, the vaccination rate in Canada has increased, with 15% of the population having been vaccinated at least once. However, data from the Institute of Clinical Evaluation Science shows that communities with the highest risk of spreading COVID-19 in Ontario also have the lowest vaccination rates.
These communities often have a large percentage of residents unable to work from home, many of whom are non-white immigrants, and their jobs are vulnerable to virus infection.
Brampton University doctor Aman Pratt Brar said that some people lack the car to drive to the vaccination site or have no time to buy the vaccine. Some of the worst-hit communities lack pharmacies that distribute COVID-19 vaccines.
Blair said: “This does reflect the systemic inequality we see in society.” “They are considered unnecessary, while their work is considered essential.”
Edited by Denny Thomas and Bill Berkrot