All news 22.05.2017

WE DO NOT DISCHARGE A PATIENT BEFORE THEY STABILIZE OR HEAL

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Doctor Nikolay Uvaliev - Head of Resuscitation and Intensive Care Unit at Acibadem City Clinic Burgas: WE DO NOT DISCHARGE A PATIENT BEFORE HE/SHE STABILIZES OR COMPLETELY HEALS

"Patient at Acibadem City Clinic Burgas stayed in the intensive care unit for 82 days. We did not spare time and money, we put all the efforts and applied the most modern methods to bring him back to life, "says Dr. Nikolay Uvaliev, head of the resuscitation and intensive care departments in Acibadem City Clinic Burgas.

The department covers all European standards for quality anesthesiology and intensive medicine. The first in the country to begin the routine administration of tranexamic acid-inhibitor of fibrinolysis, which significantly reduces the use of bioproducts to 40% for the cardiac surgical patients.

All methods for dialisys for acute renal failure are routinely used, and for the first time in Bulgaria to use citrate anticoagulation. 

As part of the complex and modern treatment of critically ill patients, the routine use of sorbents(filters) is introduced for the first time in Bulgaria. 

Dr. Uvaliev insists on telling the general public a final case of his practice because he is not a precedent, but a practice in the cardiac surgery hospital, and especially against the tales of how private hospitals are in a hurry to write off the patients for austerity.

A 41-year-old patient was admitted urgently to a cardiac surgery clinic diagnosed with acute anterior large myocardial infarction with 12-hour prescription due to inadequate reception diagnosis / gastritis / in another medical facility.

Coronarography is immediately done, the affected artery is stent, but the man is in a critical condition with multiorgan failure.

During the first three weeks, he is in command breathing and hemodialysis, all modern methods of intensive care known to the world, as well as prolonged antibiotic, antimycotic and immunomodulatory treatment are applied.

Despite the efforts of the team, the patient develops severe muscle weakness to the extent that he can not even lift his finger. Neural muscle deficit is the subject of discussion by consilius specialists, many predict lethal outcome.

"The survival rate for the patient was 5%, but our team did not surrender for a single moment", Dr. Uvaliev said.

At the end of the second month, a gradual overcoming of the critical conditions begin - recovery of organ failure, stabilization of haemodynamic and respiratory parameters, and control of the infectious syndrome. After long-term rehabilitation and reversal of neuromuscular deficit, the patient was discharged on the 82nd day after Hospitalization.