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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

Trembach N.V.

Kuban State Medical University

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»

Volchkov V.A.

8 St. Petersburg State University

Ovezov A.M.

Moscow Regional Research and Clinical Institute

Neymark M.I.

Altai State Medical University

Dunts P.V.

Regional Clinical Hospital No 2

Khomiakov S.V.

Belgorod National Research University;
Belgorod regional clinical hospital of St. Ioasaph

Balaev I.V.

Ivanovo State Medical Academy

Orlov Y.P.

Omsk State Medical University

Abazova I.S.

Republican Clinical Hospital

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

Grigoryev E.V.

Kemerovo State Medical University

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

Lakhin R.E.

S.M. Kirov Military Medical Academy

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?

Authors:

Lebedinskii K.M., Zabolotskikh I.B., Kirov M.Yu., Protsenko D.N., Trembach N.V., Semkichev V.A., Volchenkova A.I., Vasilieva G.N., Volchkov V.A., Ovezov A.M., Neymark M.I., Dunts P.V., Khomiakov S.V., Balaev I.V., Orlov Y.P., Abazova I.S., Gorokhovskiy V.S., Skopets A.A., Shchegolev A.V., Gritsan A.I., Gorbachev V.I., Belkin A.A., Vlasenko A.V., Grigoryev E.V., Zamyatin M.N., Kuzovlev A.N., Kuzkov V.V., Lazarev V.V., Lakhin R.E., Lomivorotov V.V., Subbotin V.V., Shifman E.M., Yaroshetskiy A.I.

More about the authors

Journal: Russian Journal of Anesthesiology and Reanimatology. 2021;(3): 41‑51

DOI: 10.17116/anaesthesiology202103141

Read: 1777 times

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Table of contents

ONE HUNDRED QUESTIONNAIRES FROM REPURPOSED HOSPITALS: WITH WHAT FORCES AND MEANS DID WE FIGHT THE «SECOND WAVE» OF COVID-19?
ONE HUNDRED QUESTIONNAIRES FROM REPURPOSED HOSPITALS: WITH WHAT FORCES AND MEANS DID WE FIGHT THE «SECOND WAVE» OF COVID-19?

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

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Использование инфографики авторами научных работ
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Abstract:

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:

new coronavirus infection COVID-19
intensive care unit
medical care organization
health care response model

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

Trembach N.V.

Kuban State Medical University

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»

Volchkov V.A.

8 St. Petersburg State University

Ovezov A.M.

Moscow Regional Research and Clinical Institute

Neymark M.I.

Altai State Medical University

Dunts P.V.

Regional Clinical Hospital No 2

Khomiakov S.V.

Belgorod National Research University;
Belgorod regional clinical hospital of St. Ioasaph

Balaev I.V.

Ivanovo State Medical Academy

Orlov Y.P.

Omsk State Medical University

Abazova I.S.

Republican Clinical Hospital

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

Grigoryev E.V.

Kemerovo State Medical University

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

Lakhin R.E.

S.M. Kirov Military Medical Academy

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

Close metadata

References:

  1. Federal’nyj zakon «Ob osnovah ohrany zdorov’ya grazhdan v Rossijskoj Federacii» ot 21.11.11 №323-FZ. Accessed April 17, 2021. (In Russ.). https://minzdrav.gov.ru/documents/7025
  2. Prikaz Minzdrava RF ot 15.11.12 №919n «Ob utverzhdenii Poryadka okazaniya medicinskoj pomoshchi vzroslomu naseleniyu po profilyu «anesteziologiya i reanimatologiya». Accessed April 17, 2021. (In Russ.). https://minzdrav.gov.ru/documents/9128
  3. Prikaz Minzdrava RF ot 19.03.20 №198n «O vremennom poryadke organizacii raboty medicinskih organizacij v celyah realizacii mer po profilaktike i snizheniyu riskov rasprostraneniya novoj koronavirusnoj infekcii COVID-19». Accessed April 17, 2021. (In Russ.). https://www.garant.ru/products/ipo/prime/doc/73669697/
  4. Pis’mo Minzdrava RF ot 24.03.20 №30-1/10/2-24 «O minimal’nyh trebovaniyah k zdaniyam i pomeshcheniyam, gde planiruetsya organizaciya dopolnitel’nyh infekcionnyh koek». Accessed April 17, 2021. (In Russ.). https://legalacts.ru/doc/pismo-minzdrava-rossii-ot-24032020-n-30-1102-24-o-minimalnykh/
  5. Vremennye metodicheskie rekomendacii Minzdrava RF «Profilaktika, diagnostika i lechenie novoj koronavirusnoj infekcii COVID-19» (versii 1—10). Accessed April 17, 2021. (In Russ.). https://base.garant.ru/400292418/
  6. Zabolotskikh IB, Kirov MYu, Lebedinskii KM, Protsenko DN, Avdeev SN, Andreenko AA, Arsentyev LV, Afonchikov VS, Afukov II, Belkin AA, Boeva EA, Bulanov AYu, Vasiliev YaI, Vlasenko AV, Gorbachev VI, Grigor’ev EV, Grigor’ev SV, Gritsan AI, Eremenko AA, Ershov EN, Zamyatin MN, Ivanova GE, Kuzovlev AN, Kulikov AV, Lakhin RE, Leiderman IN, Lenkin AI, Mazurok VA, Musaeva TS, Nikolaenko EM, Orlov YuP, Petrikov SS, Roitman EV, Ronenson AM, Smetkin AA, Sokolov AA, Stepanenko SM, Subbotin VV, Ushakova ND, Khoronenko VE, Tsarenko SV, Shifman EM, Shukevich DL, Shchegolev AV, Yaroshetskiy AI, Yarustovsky MB. Anesthesia and intensive care for patients with COVID-19. Russian Federation of anesthsiologists and reanimatologists guidelines. Vestnik intensivnoj terapii im. A.I. Saltanova. 2021;S1:9-143. (In Russ.). https://doi.org/10.21320/1818-474X-2021-S1-9-143
  7. Silaev BV, Vechorko VI, Protsenko DN, Averkov OV, Khalikova EYu. Minimum requirements for rescuit beds and respiratory equipment in institutions refined for treatment of the new coronavirus infection COVID-19. Vestnik intensivnoj terapii im. A.I. Saltanova. 2020;2:34-40. (In Russ.). https://doi.org/10.21320/1818-474X-2020-2-34-40
  8. Sinbuhova EV, Procenko DN. Assessment of the psychological state of medical personnel during the COVID-19 pandemic. Anesteziologiya i reanimatologiya. 2020;(6-2):54-60. (In Russ.). https://doi.org/10.17116/anaesthesiology202006254
  9. Korekhova MV, Kirov MYu, Novikova IA, Solov’ev AG. The emotional state of anesthesiologists and resuscitators during the COVID-19 pandemic. Anesteziologiya i reanimatologiya. 2020;(6-2):61-67. (In Russ.). https://doi.org/10.17116/anaesthesiology202006261
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