Dr. Goldfarb said he could not predict this type of system failure that would occur in patients infected with the coronavirus.
“We were certainly not prepared in mid-March for what was going to happen. We were going to see a prevalence of kidney failure in patients with lung failure that no one has ever seen before, “said Dr. Goldfarb. “I don’t think we expect all of these patients to have kidney failure. “
It was pretty much the same at NYU Winthrop, one of the COVID-19 state hotspots.
The acute dialysis nurse manager says she has never seen anything like it.
“Each dialysis lasts three to four hours, we do 30 hours a day, and that represents a lot of nursing power for dialysis,” said Faith Lynch, Acute Dialysis, NYU Winthrop.
And with all this kidney failure, New York State has secured and distributed 50 dialysis machines from federal inventory. They were all Tablo hemodialysis systems.
NYU Winthrop and the VA also purchased these devices just before the peak in mid-April.
“It is smaller and lighter and easier to push, and its water system is contained,” said Dr. Goldfarb.
Tablo hemodialysis systems are the most recent dialysis machines available.
They are portable and user-friendly, allowing other medical staff to intervene when the dialysis nurses were sick.
But even with all the extra equipment, the virus has taken over.
“I can tell you that when you call the families of the patients, they will go on dialysis and not be able to give the kind of hope you want as a doctor,” said Dr. Naveed Masani, Director of Dialysis Services. at NYU. Winthrop.
Some of those who survived COVID-19 recovered their kidney function, but many did not, and dialysis may continue to be a part of their lives in the future.
“The combination of kidney failure and pulmonary failure has a very high mortality rate. At least 70 to 80% of these patients have died, “said Dr. Goldfarb.
The virus is once again showing its lasting impact.
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