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enhanced shifts in the operating room

enhanced shifts in the operating room
enhanced shifts in the operating room

PADOVA Accelerate activity recovery surgical stuck in the worst times of the pandemic. The goal is to reach ai livelli pre Covid. To reach the finish line theHospital agency kicked off the extraordinary opening of the operating rooms on the weekends. Each surgical team that gravitates to the 13 operating stalls in via Giustiniani and via Facciolati, between now and December, makes themselves available to guarantee an extra weekly shift. According to the plan developed by the management, approx 60 extra interventions between Friday afternoon, Saturday and Sunday. The figure represents an estimate: an operating session covers about 12 hours and, depending on the complexity, it ranges from a minimum of three operations to a maximum of twelve. “For some months we have been working with determination to continue recovering less urgent surgical operations, which had been postponed due to the pandemic – declares the general manager Giuseppe Dal Ben-. We have reviewed part of the organization, to take advantage of the operating theaters even on weekends: my thanks go to doctors, nurses, health professionals and technicians who are giving every energy to provide an excellent service, despite the pressure of Covid and the minority of workers in the health care that has chosen not to get vaccinated, failing its contribution in these delicate moments “.

INCREASE IN ADMISSIONS

The risk is that the rush of planned surgical activity will soon be stopped by the new surge in Covid hospitalizations. «Let’s hope the situation won’t get worse – admits Professor Stefano Merigliano, Director of General Surgery -. If we are forced to dedicate wards and resuscitation to positive patients, it will be difficult to continue. We are trying to optimize the processes: on the one hand with production bonuses and incentives for our professionals, on the other hand by relying on cooperatives to plug the shortcomings. To recover quickly you need free and personal beds. The biggest problem to be solved remains the finding of anesthetists ”. In 2019, 49,426 surgeries were performed in the hospital, in 2020 it fell to 43,493: the contraction is 12%. From January to September 2021, 32 thousand interventions are already reached, with good growth forecasts in the last period of the year.

SPECIALTIES

The extraordinary plan covers all surgical specialties: dto vascular surgery to urology, from hepatobiliary to ophthalmology surgery, from cardiac surgery to hemodynamics, from obstetrics to neurosurgery. «Beyond the economic recognition, the surgical teams work beyond the hours of service first of all out of a sense of duty – the medical-hospital director, Tiziano Martello, points out. The extraordinary opening plan started this weekend, now we will continue using all the potential to the full. We are also doing a great job with the anesthesiologists, thanks to the collaboration with the doctor Ivo Tiberio and professor Paolo Navalesi. Covid permitting, we will organize an extra weekly operating session for each group, therefore about 12 hours, with the aim of reaching the levels of 2019. At the moment, the priority goes to minor surgery “. There is a large amount of activity to be disposed of in Cardiology, directed by Professor Sabino Iliceto, where 500 elective services were suspended in the most critical period of the emergency. «Between hemodynamics and electrophysiology we are confident of delivering a dozen performances every Saturday – Iliceto specifies -. However, it is necessary to make the system even more efficient, because in addition to the backlog, it is necessary to deal with the growing increase in requests. In fact, from July to today, emergency hospitalizations have increased by 15% and scheduled hospitalizations by 25%. Medicine is changing, we need a greater production capacity. It is a difficult time. On the one hand we will try to dispose of the old one and on the other hand we will make sure not to create a waiting list for the new one ». On average the Cardiology manages 140 monthly scheduled hospitalizations, from July to today there has been an increase of at least 30 requests. «The increase also concerns emergency access from the emergency room or patients transferred from other hospitals – specifies Iliceto -. Probably these are people who have neglected themselves also because of the pandemic, and who have felt ill ».

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