Coronavirus At least three things differentiate coronary patients from others – Intensive care doctor Jenni Puoliväli says how desperate the fight against corona feels

In the intensive care unit, young unvaccinated coronary patients sometimes sleep in the tubing for weeks. The nursing staff is also hard then.

Like pulling on top of the garbage bag.

It feels like a doctor specializing in anesthesia and intensive care Jenni Halfway, when the coronary patient arrives at the ward.

Then Mid is wearing a tight face mask, a hair hat, a liquid impervious protective jacket and plastic gloves. He is already sweating while waiting for the patient.

During the proceedings, she will wear a visor and sterile Essu on top of her protective gear. When sweating, the visor becomes easily misted and cannot be wiped in the middle of everything.

“You have to put your head in such a position that you can see a central venous catheter, for example,” Puoliväli says.

According to intensive care physician Jenni Puolävi, it takes time to put on protective clothing, and a coronary patient cannot be reached as quickly as a normal intensive care unit’s room.

The corona protection of those working in intensive care includes a tight special mask and a protective hat.

Jenni Puoliväli works at Seinäjoki Central Hospital. The coronavirus situation in Southern Ostrobothnia was good until the summer, but in the autumn, when schools started and people returned to local work, the situation plummeted.

On Friday South Ostrobothnia Hospital District 266 new coronary infections were detected in the area, with an incidence rate of 137.8 cases per 100,000 inhabitants. After mid-October, the area entered an epidemic phase, with more than 50 cases per 100,000 inhabitants.

According to Jenni Puoliväli, the liquid-impervious protective jacket is really sweaty.

The intensive care unit of Seinäjoki Central Hospital has six places, two of which are isolation rooms. There have been 1 to 3 coronary patients in intensive care at a time in recent weeks. Their age has ranged from 20 to 60 years.

Mid believethat the opening up of society and the easing of restrictions have had a major impact on the deterioration of the corona situation in the region. At the same time, the vaccine coverage in the region is the lowest in Finland.

“So far, everyone in intensive care has been unvaccinated,” he says.

Midway through his work With their Instagram account, and last weekend he opened up with the grief and anxiety caused by the situation. He wrote that he had seen too many coronary diseases that were too severe. As a family himself, he finds the situation of families with children particularly worrying.

In the power department The midway is accustomed to caring for the elderly and the terminally ill. Postoperative conditions, those recovering from severe pneumonia, those suffering from heart disease, those recovering from severe cerebral infarction, or those with renal insufficiency coming for dialysis.

Adolescents are rare: sometimes stings or overdoses. They are typically in the power department for just a few days.

“Coronary patients are on average for a couple of weeks. Some for a shorter period, but others for up to a month, ”says Mid.

Patients’ situations during that time even go to the doctor’s emotions. Relatives may be quarantined and visits will not be successful due to isolation. Many have families, and they do not dare to promise their loved ones anything about recovery for a long time.

“Even though we’re asleep under the power, yes, it would still feel important that a loved one could even go by it,” he thinks.

According to doctor Jenni Puoliväli, the doctor will be able to stay in the intensive care unit in the patient room for a maximum of two hours. In the picture Midway with intensive care nurse Mari Kovalainen.

The middle is accustomed to the fact that the situation of patients in intensive care usually resolves fairly quickly: the well-being either goes for the better quickly, or there is no hope at all, and the patient dies.

The affliction of coronary patients ripples so that you may already be very hopeful, but then there will be a collapse.

“It’s quite differently heavy,” Midway says.

The average age of coronary patients in intensive care in Finland is 59 years, but in Seinäjoki there have been clearly more younger patients.

No one knows why some get a serious form of corona disease and others survive with milder symptoms.

Midpoint believes that the average age of patients contributes to the fact that in Seinäjoki more than 90 per cent survive even a long period of intensive care. At least he has not yet had to prove the death of any coronary patient.

“Weaning from the ventilator takes its own time, and permanent scar tissue may remain in the lungs. Then breathing does not fully recover, ”he says.

He emphasizes that no one knows why some get a serious form of corona disease and others survive with milder symptoms.

The mid-term does not discuss non-vaccination with patients afterwards, as it does not affect treatment.

“Still, I hope that awareness of the benefits of vaccination will be spread even more.”

Intensive care physician Jenni Puoliväli treats coronary patients in the intensive care unit together with nurse Mari Kovalainen at Seinäjoki Central Hospital.

In the bed compartment coronary patients manage with an oxygen mustache, oxygen mask, or high-flow mustache to keep the airways and lungs open.

Normally a person breathes 12 to 16 times a minute. In respiratory failure, the lungs are unable to take in enough oxygen or vent carbon dioxide out of the body. At this point, the person begins to gasp and breathes more frequently. When a coronary patient begins to breathe 30 to 40 times per minute, starvation is imminent.

“If it lasts a long time, the patient will no longer be able to breathe on their own,” Midway says.

In the intensive care unit, the coronary patient’s breathing is assisted by hyperbaric oxygen therapy, in which a tight mask is placed on the face. Often the patient is also given a breathing tube, ie he is intubated. Prior to intubation, the patient is anesthetized.

In any case, the patient lying in the intensive care unit is trapped in many tubing: medication and anesthetic pass through a vein, blood values ​​and blood pressure are measured from the artery, the trachea helps to breathe, food flows in through the nasogastric tube and pees out through the urinary catheter.

Turning on a single patient binds 5 to 7 employees, depending on the size of the patient.

For coronary patients it is also beneficial for abdominal sleep therapy, in which the patient in the ventilator is turned on his stomach. It is intended to improve the ventilation of the lungs and the supply of oxygen to the body.

Turning on a single patient binds 5 to 7 employees, depending on the size of the patient. According to the mid-term, the coronary patient may need to be turned 1 to 5 times during the treatment period.

The stomach lasts 12 to 24 hours, during which time pressure ulcers on the chin and back of the nose easily develop. They are cleaned and greased, but if the reversal has to be repeated, it is difficult to treat the wounds.

The intensive care unit dispenses the prescribed medications, performs treatment procedures and monitors the patient’s condition around the clock. He will tell the doctor if the situation changes. For example, if your blood oxygen level drops below 70 percent, your brain is in danger.

In the middle has two years of specialization in anesthesiology and intensive care. The treatment of coronary patients has been, in his opinion, the most rigorous fire test to date.

“Sometimes I think that if a patient has a rapid collapse or cardiac arrest, it will take time to put on clothes, and the patient will not be able to get to the room as quickly as a normal intensive care unit.”

A sad and distressing feeling comes to him especially during on-call time, evenings and nights. During the day, things are always arranged, but at night, for example, it is not easy to get more caregivers.

“When on call, I think too often that hopefully there won’t be more patients tonight,” he says.

Read more: Unique photos show how coronary patients are treated in Finland – HS followed the daily lives of the doctors in the Korona wards through the long autumn and winter

Read more: Two nurses appeal to Finns and talk about the situation in the coronary care unit

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