Eden intensive care hospital in Chandigarh received abnormal amount of oxygen due to shortage: The Tribune India
Tribune press service
Chandigarh, June 2
When the city faced a severe shortage of medical oxygen, Eden Intensive Care Hospital procured an unusually large amount. This is indicated by the report of an investigation into the abnormal pattern of consumption of medical oxygen cylinders by the hospital from April 1.
On May 9, Yashpal Garg, the Nodal Oxygen Supply Officer in Chandigarh, formed a committee chaired by Jagjit Singh, a PCS officer, to conduct the investigation. Dr Manjit Singh of GMSH-16 and Dr Manpreet Singh of GMCH-32 were other members of the committee. The committee completed the investigation and submitted its report to Garg on May 31.
“There can be no justification for consuming around 200 to 350 bottles per day. Since the hospital did not produce the daily patient list with the purpose of admission or treatment and proper recording of oxygen consumption, the possibility of hoarding / black marketing / illegal diversion of gas cylinders. ‘medical oxygen cannot be ruled out,’ the investigation report read. .
The committee observed that Eden Hospital was using medical oxygen at very high flow rates, contrary to guidelines issued by the Indian government. In comparison with other private hospitals in UT, Eden Hospital consumed a much higher number of cylinders for an almost similar number of patients. Even though all the hospital beds were occupied and all patients were high flow oxygen, the consumption of D-type cylinders could not exceed 150-160 cylinders, the report reads.
Due to a severe shortage of medical oxygen in Chandigarh, it was decided to rationalize the distribution of oxygen and set a daily quota for private hospitals. Eden Hospital consumed an abnormal amount of about 350 cylinders per day while another hospital of almost the same capacity consumed only about 90 cylinders.
Even the declared leaks in the pipeline did not justify the exceptionally high consumption of oxygen cylinders on certain dates. No explanation was given as to how the abnormal consumption of oxygen cylinders decreased immediately after the quota was set on May 7.
The hospital agreed not to maintain the balance of opening and closing oxygen cylinders on a daily basis. This showed irresponsible behavior, according to the report.
The daily use of O2 by the hospital was compared. The first period (April 26-May 5) was before the quota was set while the second period (May 23-June 1) was after the quota was abolished. During these times, the hospital was free to procure any number of cylinders, but the mode of consumption was different. Eden should have used 1,641 cylinders for 565 patients during the first period, but he consumed 2,935 cylinders.
Use of patients with high flow O2
One of the glaring conclusions of the investigation report was that using a high flow of oxygen against prescribed guidelines could have negative effects on patients.
“Strict action justified”
Yashpal Garg, nodal manager of O2 supplies, said the health ministry may take strict action against the hospital under the Disaster Management Act.