Nepal | January 16, 2021

Sukraraj hospital needs anaesthetists, critical care physicians

SABITRI DHAKAL
Share Now:

Kathmandu, April 5

Sukraraj Tropical and Infectious Disease Hospital, which has been designated by the government for treating coronavirus patients, lacks anaesthetists and critical care physicians.

According to the hospital, there is only one anaesthetist and it doesn’t have any critical care medicine physicians.

This is all the more alarming as Nepal reported its first case of local coronavirus transmission yesterday.

Critical care is an integral component of the global response to COV- ID-19 infection. Patients need intensive care and should be kept on ventilator when their oxygen saturation drops and they suffer from severe and acute respiratory illness.

According to the World Health Organisation, critical illness patients suffer from acute respiratory distress syndrome or sepsis with acute organ dysfunction. While most people with COVID-19 develop only mild or uncomplicated illness, approximately 14 per cent develop severe disease that requires hospitalisation and oxygen support and five per cent require admission to an intensive care unit.

“In severe cases, COVID-19 can be complicated by ARDS, sepsis and septic shock, multiple organ failure, acute kidney injury or cardiac injury.

We need critical care physicians as they are the ones who treat patients in ICU,” said Subhash Prasad Acharya, head of the department of critical care medicine at Tribhuvan University Teaching Hospital.

“We need to keep patients on ventilators if their health deteriorates. We have treated patients with only mild and moderate symptoms till now. But if the number of patients surges, we’ll need critical care physicians and anaesthetists to support us,” said Anup Bastola, consultant tropical medicine at Sukraraj Tropical and Infectious Disease Hospital.

“The patients’ lungs can deteriorate when there is severity of infection. That’s when we need critical care physicians,” said Acharya.

“Regular supply of oxygen will not be sufficient in patients with severe COVID-19 illness. To maintain oxygen saturation when it starts dropping, we need critical care medicine physicians and anaesthetists,” said Bastola.

“Coronavirus patients placed on a ventilator will probably need to stay on it for weeks. We need skilled manpower to treat such patients,” said Bastola.

According to STIDH, the hospital needs six to 10 such medical practitioners to work round the clock for providing ventilator service to COV- ID-19 patients in critical stage. The hospital is installing 20 machines for providing intensive care to patients on ventilator support.

“Oxygen plant is being installed to provide the service. We are working on it. It will be completed within a week,” said Sagar Kumar Rajbhandari, director at Sukraraj hospital.

“Not only doctors, we also need well-trained nurses in ICU. The government had announced vacancies for anaesthetist, critical care physicians and nurses, but the posts have been lying vacant,” said Rajbhandari.

“We need at least four nurses to work daily in ICUs with ventilators.

The nurse to patient ratio should be 1:1,” said Acharya.

Nine cases of COVID-19 have been reported in the country so far. Eight of them are undergoing treatment in hospitals in Kathmandu, Baglung and Dhangadi, while one had recovered in January.


A version of this article appears in e-paper on April 06, 2020 of The Himalayan Times.


Follow The Himalayan Times on Twitter and Facebook

Recommended Stories:

More from The Himalayan Times:

First Arab Ama Dablam Expedition makes successful attempt on Thursday

KATHMANDU: A team from Seven Summit Treks ‘First Arab Ama Dablam Expedition’ comprising Qatari climber Fahad Badar, Sherief Elabd from Eygpt and Nadhira Al Harthy from Oman have attempted Mt Ama Dablam (6812 m) on January 14. The winter ascent to Ama dablam consisted of at least 14 climbers w Read More...

Biden unveils $1.9T plan to stem COVID-19 and steady economy

WILMINGTON, DELAWARE: President-elect Joe Biden unveiled a $1.9 trillion coronavirus plan Thursday to end “a crisis of deep human suffering” by speeding up vaccines and pumping out financial help to those struggling with the pandemic’s prolonged economic fallout. Called the “American Read More...

Mobile data users abandoning Ncell for NT

KATHMANDU, JANUARY 14 Mobile data users in the country are increasingly abandoning Ncell and subscribing state-owned Nepal Telecom. At least that is what the data compiled by Nepal Telecommunications Authority reveals. According to the Management Information System of NTA, 60 per cent of the t Read More...

Rival NCP factions hold standing committee meetings

KATHMANDU, JANUARY 14 Nepal Communist Party (NCP) led by Pushpa Kamal Dahal and Madhav Kumar Nepal held its Standing Committee meeting and discussed ways to effectively carry out its protest programme against dissolution of the House of Representatives. NCP (Dahal-Nepal) Spokesperson Naryan Ka Read More...

Security personnel of Khotang District Police Office destroy cannabis planted illegally by the locals in Durchim VDC of Khotang district on Monday, December 21, 2015. Photo: RSS

Cops intensify drive to destroy cannabis, opium plants

KATHMANDU, JANUARY 14 Nepal Police destroyed cannabis and opium plants cultivated in a large swathe of land across the country in the fiscal year 2019-20, according to an annual report recently released by the Ministry of Home Affairs. According to the report, cannabis plants being cultivated Read More...

WHO supports member countries to end COVID-19 pandemic

KATHMANDU, JANUARY 14 Member countries in the World Health Organisation South-East Asia Region are gearing up for massive vaccination campaigns in a bid to end the COVID-19 pandemic. The WHO South-East Asia Region has 11 member countries — Bangladesh, Bhutan, Democratic People’s Republic o Read More...

Bhattarai calls for decisive agitation

DAMAULI, JANUARY 14 Janata Samaj Party-Nepal Federal Council Chairperson Baburam Bhattarai has stressed the need of a decisive struggle to protect democracy and the constitution. Accusing Prime Minister KP Sharma Oli of putting the constitution and democracy at risk by dissolving the Parliamen Read More...

Locals protest East-West Railway survey

BARA, JANUARY 14 The locals have protested a survey of the East-West Railway in Bara. The locals were up in arms after a survey was done affecting the main settlement in the bazaar area of Nijgadh Municipality. According to the survey team Incharge Suraj Poudel, the locals impeded the d Read More...