Torpedo of the Brotzu anesthesiologists against Doria: «Disconcerting on Microcitemico»
The trade union of professionals: «Twelve colleagues who have left in two years and the councilor does not know it. With the merger destroyed the path to a pediatric center. You don't take care of children only when they end up in the press"
"Once again we are baffled by the declarations of the commissioner, who is concerned with young patients only when the problems end up in the press and to patch things up he organizes a summit between managers, certainly not with health professionals". It is a press release but it has the effect of a torpedo against Carlo Doria, delegate to Health of the Giunta Solinas, the one written by Marina Pisu, company delegate of Brotzu of the Aaroi Emac anesthesiologist union.
From the ward, he carefully followed the controversy that broke out over the skin of children hospitalized in Pediatric Oncohematology at Microcitemico, a hospital suspended between the ASL and the Brotzu company. And now he intervenes: the words are heavy, but heavy. Here is the note sent on behalf of the anesthesiologists.
«I don't know if the commissioner knows that 12 anesthesiologists have resigned from Arnas Brotzu in the last 2 years. He certainly doesn't know the reasons, because none of his colleagues have been asked what led them to such drastic choices, but ignoring the discomfort of an entire category of professionals on whom the lives of thousands of people depend is not a good sign for Sardinian healthcare".
And again: «But let's go back to the Microcitemico problem and the declarations of councilor Doria. “It doesn't matter which plaque is displayed outside the Microcitemico hospital,” he said. The plaque on display denotes a bureaucratic organizational process that evidently the councilor does not know in all its aspects. In the previous organization, a journey had begun, within the Brotzu company, the only garrison that boasts the presence of numerous surgical specialities, adequate services, an emergency/urgency system and helicopter rescue. The unification of Microcitemico, the transfer of pediatric surgery, the creation of the pediatric anesthesia service, the opening of the pediatric emergency room, the presence of pediatric cardiology, as well as the possibility of subjecting pediatric patients to ultra-specialist interventions (such as neurosurgery and interventional radiology) crowned by the establishment of a pediatric department, had made it possible to begin giving due importance to a type of patient hitherto managed patchily in the city of Cagliari itself, facilitating diagnostic and therapeutic clinical pathways, favoring the professional growth of operators with the possibility of acquiring and maintaining the necessary skills , resulting in a more appropriate clinical assistance response for children and families".
For the representative of the anesthesiologists "the picture should have been completed by physically transferring the Pediatric Oncohematology department to the Brotzu hospital (given the complexity and delicacy of the patients belonging to the aforementioned department and the well-known management difficulty in case of need for resuscitation assistance) , with the presence of the neonatal intensive care unit (NICU) (essential in a structure where pediatric surgery operates which also treats newborns and premature babies) as well as the creation of a pediatric intensive care unit, which does not currently exist in our region. All in the same structure. Instead, with the spin-off of Microcitemico and the transfer of the pediatric anesthesia label to the ASL», the note continues, «everything was destroyed by going back years and bringing the health management framework of the pediatric patient back to unacceptable conditions. Sailing therefore against the tide of the State-Regions agreement of the Ministry of Health of 2017 and the guidelines and recommendations of both national and international scientific societies in the sector".
Doria also said: "There is no pediatric anesthesia specialization school."
Pisu writes: «It is true, but there are ministerial guidelines and pediatric scientific societies. To think that the pediatric patient, from the premature infant to the age of 18, can be managed by any healthcare operator (whether anesthetist, surgeon, internist or nurse) both in hospitalization and in the various diagnostic/therapeutic procedures, denotes a lack of knowledge of the specificities and peculiarities of pediatric patients in their evolutionary path, as well as the peculiar pathologies of the pediatric age which often have nothing to do with those of the adult patient and require specific skills for their recognition and treatment".
Then the hope: «We look forward to a meeting with all the health professionals involved in the management of the pediatric patient , hoping to be heard and to hear proposals and solutions. It is not the structures that make the differences but the staff and the clinical-assistance organization, only in this way can we get to ensure adequacy and safety in the treatments, as our councilor says he wants to pursue », concludes Pisu.
