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Kolkata:
The West Bengal authorities on Monday suggested all COVID-19 hospitals within the state to subject dying certificates in response to the rules set by the Indian Council of Medical Research (ICMR).
The division additionally suggested the hospitals that “before putting hypoxic patients on ventilators, high flow nasal oxygen therapy should be tried as per the guideline”.
Earlier, it had suggested all COVID-19 hospitals to go for “prone awake ventilation” as and when potential earlier than placing a affected person on typical mechanical air flow.
The transfer would lower down on using mechanical ventilators amid the surge in coronavirus instances, a senior official of the well being division stated.
Prone positioning air flow additionally referred to as as inclined awake air flow (mendacity flat on the stomach to enhance oxygenation), which is usually utilized in intensive care items (ICUs) for these having acute respiratory misery syndrome (ARDS), must also be tried on COVID-19 sufferers, in response to an advisory issued by the division.
If that doesn’t assist, sufferers ought to be placed on typical ventilators, the official stated.
“With the number of COVID-19 cases soaring every day, we have to have ICUs and ventilators ready for patients at all times. But the number of ventilators the state has at the moment is not enough to support them all,” he stated.
West Bengal at the moment has 395 ventilators and 948 ICU beds in its COVID-19 hospitals, in response to state well being division knowledge.
“In cases, where the doctors suspect that the patient has a ”secondary bacterial infection”, the (blood) culture should be sent for examination and he or she should be put under mechanical ventilation,” the advisory acknowledged.
The division additionally stated that “super-specialty teams should be available for appropriate advice in relevant cases”.
It has additionally warned in opposition to “indiscriminate use” of antibiotics for bacterial infections.
“Since COVID-19 is a viral infection, a justification for prescribing antibiotics must be documented…We need to avoid indiscriminate and prolonged (use of antibiotics) as experience shows that it may cause harm in many cases,” the advisory stated.
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