South Florida Sun-Sentinel Palm Beach (Sunday)

Brazil health sector running out of intubation medication

- By Diane Jeantet and David Biller

RIO DE JANEIRO — After weeks of warnings that hospitals and state government­s risked running out of critical medicines, reports are emerging of Brazilian health workers forced to intubate patients without the aid of sedatives.

One doctor at the Albert Schweitzer municipal hospital in Rio de Janeiro said that for days health workers diluted sedatives to make their stock last longer. Once it ran out, nurses and doctors had to begin using neuromuscu­lar blockers and tying patients to their beds, the doctor said.

“You relax the muscles and do the procedure easily, but we don’t have sedation,” said the doctor, who agreed to discuss the sensitive situation only if not quoted by name. “Some try to talk, resist. They’re conscious.”

Lack of required medicines is the latest pandemic problem to befall Brazil, which is experienci­ng a brutal COVID-19 outbreak that has flooded the nation’s intensive care units. The daily death count is averaging about 3,000, accounting for a quarter of deaths globally and making Brazil the epicenter of the pandemic.

“Intubation kits” include anesthetic­s, sedatives and other medication­s used to put severely ill patients on ventilator­s. The press office of Rio city’s health secretaria­t said in an email that occasional shortages at the Albert Schweitzer facility are due to difficulti­es obtaining supplies on the global market and that “substituti­ons are made so that there is no damage to the assistance provided.” It didn’t comment on the need to tie patients to beds.

The newspaper O Globo on Thursday reported similar ordeals in several other hospitals in the Rio metropolit­an region, with people desperatel­y calling other facilities seeking sedatives for their loved ones.

It’s unclear whether the problem seen in Rio remains an isolated case, but others are sounding the alarm about impending shortages.

Sao Paulo state’s health secretary, Jean Carlo Gorinchtey­n, said at a news conference Wednesday that the situation was dire in the hospitals of Brazil’s most-populous state. On Thursday, more than 640 hospitals were on the verge of collapse, with shortages possible within days, officials said.

His state’s health officials sent nine requests for intubation medication to the Health Ministry over the past 40 days, according to a statement Wednesday. Its last delivery was enough to cover just 6% of monthly needs in the state’s public health network, officials told AP.

Federal Health Minister Marcelo Queiroga said Wednesday that a shipment of sedatives was expected to arrive in Brazil “in the next 10 days.” It is the result of a contract signed with the Pan American Health Organizati­on. He said two separate efforts to acquire medication­s on the internatio­nal market are underway “to end this day-to-day struggle.”

A group of seven large companies donated 3.4 million doses of intubation drugs to the Health Ministry.

 ?? ANDRE PENNER/AP ?? Everton Nascimento de Oliveira receives treatment Tuesday at the emergency unit of a field hospital set up for COVID-19 patients in Ribeirao Pires, Brazil.
ANDRE PENNER/AP Everton Nascimento de Oliveira receives treatment Tuesday at the emergency unit of a field hospital set up for COVID-19 patients in Ribeirao Pires, Brazil.

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