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Lebedinskii K.M.
North-West State Medical University named after I.I. Mechnikov;
Federal scientific and clinical center of resuscitation and intensive care;
All-Russia Public Organization «Federation of Anaesthesiologists and Reanimatologists»
Zabolotskikh I.B.
Kuban State Medical University;
Regional Clinical Hospital 2;
All-Russia Public Organization «Federation of Anaesthesiologists and Reanimatologists»
Kirov M.Yu.
Northern State Medical University
Protsenko D.N.
«Kommunarka» Moscow Multidisciplinary Clinical Center of the Moscow City Healthcare Department;
N.I. Pirogov Russian National Research Medical University of the Ministry of Health of Russia
Semkichev V.A.
North-Western State Medical University n.a. Ilya I. Mechnikov
Volchenkova A.I.
All-Russia Public Organization «Federation of Anaesthesiologists and Reanimatologists»
Vasilieva G.N.
Mechnikov North-Western State Medical University;
All-Russia Public Organization «Federation of Anaesthesiologists and Reanimatologists»
Ovezov A.M.
Moscow Regional Research and Clinical Institute
Khomiakov S.V.
Belgorod National Research University;
Belgorod regional clinical hospital of St. Ioasaph
Gorokhovskiy V.S.
Far Eastern State Medical University
Skopets A.A.
Scientific Research Institute — Ochapovsky Regional Clinical Hospital 1
Shchegolev A.V.
Kirov Military Medical Academy
Gritsan A.I.
Voyno-Yasenetsky Krasnoyarsk State Medical University
Gorbachev V.I.
Irkutsk State Medical Academy of Postgraduate Education
Belkin A.A.
Ural State Medical University
Vlasenko A.V.
Russian Medical Academy of Continuing Professional Education;
Botkin City Clinical Hospital
Zamyatin M.N.
National Medical and Surgical Center named after N.I. Pirogov
Kuzovlev A.N.
Federal Research and Clinical Center of Itensive Care Medicine and Rehabilitology
Kuzkov V.V.
Northern State Medical University
Lazarev V.V.
Russian Children’s Clinical Hospital of the Pirogov Russian National Research Medical University;
Pirogov Russian National Research Medical University
Lomivorotov V.V.
Meshalkin National Medical Research Center;
Novosibirsk State University
Subbotin V.V.
Loginov Moscow clinical research center of the Moscow Department of health
Shifman E.M.
Moscow Regional Research and Clinical Institute
Yaroshetskiy A.I.
Pirogov Russian National Research Medical University;
Sechenov First Moscow State Medical University (Sechenov University)
One hundred questionnaires from repurposed hospitals: with what forces and means did we fight the «second wave» of COVID-19?
Journal: Russian Journal of Anesthesiology and Reanimatology. 2021;(3): 41‑51
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To cite this article:
Lebedinskii KM, Zabolotskikh IB, Kirov MYu, et al. . One hundred questionnaires from repurposed hospitals: with what forces and means did we fight the «second wave» of COVID-19?. Russian Journal of Anesthesiology and Reanimatology.
2021;(3):41‑51. (In Russ.)
https://doi.org/10.17116/anaesthesiology202103141
In November-December 2020, the Federation of Anesthesiologists and Reanimatologists has conducted a survey of intensive care units (ICU) in 100 hospitals re-profiled for the treatment of COVID-19. There were regional (n=44), city (n=31), district (n=13), interdistrict (n=8) and federal (n=4) hospitals from 27 constituent entities of the Russian Federation. Capacity of 59 hospitals was less than 300 beds, 23 hospitals — over 500 beds, 18 hospitals — 300—500 beds. The number of ICU beds exceeded 10% of repurposed beds in 35 hospitals, 5—10% of ICU beds — in 51 hospitals, less than 5% — in 14 hospitals. There were 6—12 patients per one physician in 68 ICUs, less than 6 patients — in 12 ICUs, over 12 patients — in 20 ICUs. Also, there were 3-6 patients per a nurse in 69 ICUs, less than 3 patients — in 2 ICUs, over 6 patients — in 29 ICUs. Over 70% of the repurposed beds were provided with a networked oxygen supply in 61 hospitals, 50—70% — in 25 hospitals, less than 50% — in 14 hospitals. Oxygen flow rate over 10 l/min was provided in 70 hospitals, 5—10 l/min — in 28 hospitals, less than 5 l/min — in 2 hospitals. Over 80% of ICU beds are equipped with ventilators in 78 hospitals, 50—80% — in 15 hospitals, less than 50% — in 7 hospitals. Less than 5% of ventilators have been out of order throughout the pandemic in 62 ICUs, 5—10% — in 20 departments, over 10% — in 18 ICUs. High-flow oxygen therapy was not available in 48 ICUs, ultrasound — in 10 ICUs. ECMO was available only in 17 ICUs. If we consider the pandemic as a model of health system response to non-standard global challenges, these data are essential for critical analysis despite small sample size.
Keywords:
Authors:
Lebedinskii K.M.
North-West State Medical University named after I.I. Mechnikov;
Federal scientific and clinical center of resuscitation and intensive care;
All-Russia Public Organization «Federation of Anaesthesiologists and Reanimatologists»
Zabolotskikh I.B.
Kuban State Medical University;
Regional Clinical Hospital 2;
All-Russia Public Organization «Federation of Anaesthesiologists and Reanimatologists»
Kirov M.Yu.
Northern State Medical University
Protsenko D.N.
«Kommunarka» Moscow Multidisciplinary Clinical Center of the Moscow City Healthcare Department;
N.I. Pirogov Russian National Research Medical University of the Ministry of Health of Russia
Semkichev V.A.
North-Western State Medical University n.a. Ilya I. Mechnikov
Volchenkova A.I.
All-Russia Public Organization «Federation of Anaesthesiologists and Reanimatologists»
Vasilieva G.N.
Mechnikov North-Western State Medical University;
All-Russia Public Organization «Federation of Anaesthesiologists and Reanimatologists»
Ovezov A.M.
Moscow Regional Research and Clinical Institute
Khomiakov S.V.
Belgorod National Research University;
Belgorod regional clinical hospital of St. Ioasaph
Gorokhovskiy V.S.
Far Eastern State Medical University
Skopets A.A.
Scientific Research Institute — Ochapovsky Regional Clinical Hospital 1
Shchegolev A.V.
Kirov Military Medical Academy
Gritsan A.I.
Voyno-Yasenetsky Krasnoyarsk State Medical University
Gorbachev V.I.
Irkutsk State Medical Academy of Postgraduate Education
Belkin A.A.
Ural State Medical University
Vlasenko A.V.
Russian Medical Academy of Continuing Professional Education;
Botkin City Clinical Hospital
Zamyatin M.N.
National Medical and Surgical Center named after N.I. Pirogov
Kuzovlev A.N.
Federal Research and Clinical Center of Itensive Care Medicine and Rehabilitology
Kuzkov V.V.
Northern State Medical University
Lazarev V.V.
Russian Children’s Clinical Hospital of the Pirogov Russian National Research Medical University;
Pirogov Russian National Research Medical University
Lomivorotov V.V.
Meshalkin National Medical Research Center;
Novosibirsk State University
Subbotin V.V.
Loginov Moscow clinical research center of the Moscow Department of health
Shifman E.M.
Moscow Regional Research and Clinical Institute
Yaroshetskiy A.I.
Pirogov Russian National Research Medical University;
Sechenov First Moscow State Medical University (Sechenov University)
Received:
02.05.2021
Accepted:
20.05.2021
List of references:
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