Laurent Petit, head of the surgical resuscitation unit at Bordeaux University Hospital.

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E.Provenzano / 20 Minutes

  • Two Covid patients from Meaux hospital are transferred this Sunday to Bordeaux University Hospital.

  • Room could be made in intensive care for them, but interventions will have to be deprogrammed to accommodate the next announced from Ile-de-France.

  • An impact on the entire chain of care is to be expected on the Bordeaux University Hospital and the hospitals in the region involved.

This Sunday in the middle of the day, two patients from the hospital in Meaux (Seine-et-Marne) with Covid-19 will be transferred by plane to the Bordeaux University Hospital.

If the Bordeaux structure is not yet overwhelmed, the deprogramming of interventions will have to be organized as soon as the next patients are received from Ile-de-France.

“On Saturday, as soon as we learned of these patient movements, we freed beds and patients left for hospital areas already under strain, but we managed to free two places”, explains Laurent Petit, anesthesiologist. resuscitator and head of the surgical and post-trauma resuscitation unit at Bordeaux University Hospital.

Medical intensive care has already almost reached its maximum capacity, so surgical intensive care is now taking care of patients transferred from other regions.

Limited reception capacities

"Today, the capacities of the Bordeaux University Hospital in terms of resuscitation are relatively limited since 90% of the places are occupied and we have about 20% of Covid patients in the intensive care and intensive care sectors", summarizes Laurent Petit .

Currently, 36 patients with Covid are in intensive care at the Bordeaux University Hospital.

With the next transfers, which will in particular mobilize beds but also the necessary staff at the bedside of Covid patients, deprogramming of interventions will be necessary.

“We, surgical resuscitation, on the Pellegrin site and in the southern hospital, will have to start deprogramming at least heavy interventions and there will be a penalty for certain patients awaiting major surgery.

This will be studied and discussed tomorrow in crisis advice at the Bordeaux University Hospital and we will adapt.

»Other hospitals could also be called upon to welcome these patients.

By deprogramming, the aim is to convert the continuous monitoring treatment rooms and recovery rooms to the benefit of resuscitation beds for Covid patients.

The most pessimistic scenario envisaged during the first wave made it possible to offer 400 to 450 beds by converting absolutely all the available beds but would then penalize non-Covid patients.

"Loss of luck" for non-Covid patients

Covid patients are transferred when they are stable and this does not cause "loss of opportunity" in their recovery.

On the other hand, an impact on the care of other patients is to be feared.

"Our capacity to welcome patients at the public hospital is limited and if we postpone patients, there are pathologies which, as during the first wave, are likely to worsen and some will not be able to be operated, deplores the doctor Laurent Petit.

It is clearly a waste of opportunity for those who will not be able to have the operation.

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“The average stay in intensive care is a week to ten days, Covid patients remain double or triple, that makes places occupied for a longer period, argues the anesthesiologist.

We kept a patient who had come from Paris for five months… Others stay for a short time, but the durations are generally longer.

The difficulty in the long term is that after resuscitation, the entire chain of care (monitoring, rehabilitation, etc.) is bottled up.

Since the start of the pandemic, Bordeaux has received 44 patients from other regions.

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  • Health

  • Covid 19

  • Coronavirus

  • Aquitaine

  • Bordeaux