In addition to lead for synthetic antibodies, there is no specific treatment for coronavirus. However, the consequences of the disease can be combated in several ways. Caregivers learned a lot in the first year of the epidemic and studies are being done. Together with vaccinations, this will help reduce mortality. Our report at Mont-Godinne CHU.
We met Alain Simon. At the hospital since early November, he hopes to finally begin his rehabilitation in a few days. He explains that the doctor has called his relatives two or three times. “because we thought it was over, “he trusts.
Today is the end of a long tunnel for this coronavirus survivor who spent more than two months in a coma. “I got here for first aid, then I don’t remember anything. Completed. There was less than one, I had to go there, they had to climb over me. There they made it necessary, ”explains Alain.
Use of cortisone
As soon as he came to the hospital, he was given cortisone. Little used during the first wave of the epidemic, this treatment has now proved its worth. “Cortisone is anti-inflammatory, so it helps reduce inflammation and helps reduce this inflammatory reaction in the body. So it helps to reduce the pressure and thus allow the patient not to get into an inflammatory storm“, says Geoffrey Horlait, director of the Intensive Care Clinic.
We learn from those patients who unfortunately died of massive pulmonary embolism
Another observation: the use of anticoagulants makes it possible to reduce the mortality of covid patients by a third in thirty days. “We know that the first wave of patients had thrombosis, embolism in a much more important way than the general population. And so we learn from those patients who unfortunately died of massive pulmonary embolism. Significant cerebral thrombosis, ”explains Geoffrey Horlait.
Intubate patients earlier
Finally, respiratory assistance is getting earlier. This is the second lesson of the first wave. “These patients were exhausted. And that’s why we intubated them in bad conditions because we intubated them when they desperately needed oxygen. And it can unfortunately lead to death, ”indicates the head of the intensive care clinic.
What about chloroquine and remdesivir?
In addition to vaccinations, these new practices have made it possible to reduce the overall mortality associated with the coronavirus.
In the meantime, “chloroquine” or “remdesivir” has been discarded in most hospitals due to lack of efficacy.