Thread by @DrEricDing

INTUBATION WITHOUT SEDATIVES—Hospitals in Rio has run out of intubation sedatives. Patients now get intubated with diluted or no sedatives at all—being mechanically tied to their beds wide awake as they get tubed. ICU doctors admit it is form of “torture”. g1.globo.com/rj/rio-de-jane…

2) TRANSLATED: A nurse at the Albert Schweitzer Municipal Hospital in Realengo, in Rio's West Zone, says that patients with the most severe form of the disease are intubated, wokenand tied to beds due to the absence of medications.

3) Without the medication, the teams unfold looking for alternatives.
According to intensivist physicians, mechanical restraint can be used, but the patient needs to be medicated with at least a mild sedation.

4) "The mechanical restraint used without sedative is really a form of torture because the patient is there troubled and is seeing himself in a situation where he can not even call for help by the multidisciplinary team", explains the intensivista doctor Áureo Carmo Filho.

5) 21 people died between Saturday (10) and Sunday (12) at hospital São José.
A nurse stated that on duty part of the deaths was caused by the lack of sedatives.
"I had no medications, no sedatives for ICU patients, and then unfortunately they died.

6) “We saw, like, the desperate professionals, crying, because we had nothing to do to help, right? It's missing a syringe, it's missing a needle."

The intensican doctor explains why the lack of these medications can cause the death of the person.

7) "It can do a lot of damage to him. It can lead to death, but by a number of factors. It's not just the lack of sedative that will directly lead the patient to death.”

8) “The lack of sedative will add up there in the balance of treatment of things that are hindering and the sedative will not be helping the patient to save energy. It will certainly greatly harm his treatment, besides being a discomfort and an inhuman situation."

9) At Anchieta Hospital, the only one in the state that treats only Covid patients in the capital, there is a lack of sedatives and other materials.

10) "At Anchieta, we already lost patients due to lack of equipment, lack of infuser pump equipment and did not have to be able to put, to maintain pressure of the patient, and patient shocked & patient died, there were 3 patients in this situation. It's complicated, it's hard."

11) "I can't alleviate this suffering of the patient because that's a great suffering. It's just you imagine you lying with the thick tube stuck in your throat that goes up to your lung, and you're trying to breathe with it, it's very hard for us to see that, it's very sad."

12) That situation is not happening only in Rio, but SP too. São Paulo’s government asked the Ministry of Health for more sedatives NINE TIMES WITHOUT ANSWER. Now there’s lack of medication in 600 hospitals. HT @brunobbragac g1.globo.com/sp/sao-paulo/n…

13) PERSONAL SIDE STORY: When I had major open chest surgery, I was intubated for over a day. When I first awoke disoriented and tube, it was painful and agonizing. Can’t imagine how horrible and torturing to be intubated without sedatives. Praying for Brazil. #Sosbrasil

14) What is even more infuriating is that Bolsonaro knew there was a shortage and he **declined** to order more intubation medicines!! Advisors warned of this in August 2020! It’s all there in history books.

Bolsonaro Pandemicide- let’s call it. cnnbrasil.com.br/saude/2021/03/…

15) Brazil’s out of control pandemic is like an active Fukushima disaster that might endanger the world with its uncontrolled #P1 outbreak.

theintercept.com/2021/04/05/ent…

16) Let this sink in —there is so little intubation medication, that “Its last delivery was enough to cover just 6% of monthly needs in the state’s public health network, officials told AP.”

apnews.com/article/health…

17) even private hospitals in trouble —“Brazil’s private hospital association published a survey Thursday in which nine of 71 institutions reported having supplies for five days or less. About half said they had enough for a week.”