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# 2 (22) 2018

 

СОДЕРЖАНИЕ

 МЕДИЦИНА

Ораз МУКАШЕВ: «Государственно-частное партнерство в Казахстане набирает обороты»

 

Инновации в кардиологии

и кардиохирургии

 

Новейшие достижения – в повседневную практику!

 

Здоровые дети – здоровая нация

 

Интеграции науки и клинической практики в образовании

 

Доверять здоровье надо профессионалам – нам 85 лет

 

Медицина дарит гармонию и мир в душе

 

Коллегиальность и профессионализм – достоинство больницы

 

Ориентация на профессионализм

 

С заботой о здоровье

 

Активный здоровый образ жизни – залог долголетия

 

Медицина каждого дня

 

Здоровье – бесценное богатство

 

Медицина, основанная на доказательствах

 

Innovations in cardiology and cardiosurgery

 

 

DYURZHANOV ADIL ADILBEKOVICH Director of Municipal state enterprise on the right of economic management Pavlovsk Regional Cardiology Center, Ph.D., cardiac surgeon of the highest category, chief non-staff cardiosurgeon of the Health Department in Pavlodar region, Master of Business Administration. Graduated from the Semipalatinsk State Medical Academy with honors. He was trained in clinical residency at the Scientific Centerof Cardiovascular Surgerynamed after A.N. Bakulev.

 

 

 

 

 

 

Adil Adilbekovich, please tell us about the activities of the Center.

 

As part of the development of cardiac and cardiosurgical care in the Republic of Kazakhstan since January 8, 2013 under the leadership of Mukashev Oraz Sarsengalievich, the Regional Cardiac Surgery Center in Pavlodar began its activity. The center serves the adult and children's population of Pavlodar and East Kazakhstan Regions. In 2014, it was renamed as Pavlodar Regional Cardiology Center, and by combining the Center with the city hospital No. 2, the first cardiological cluster in the republic was created, the capacity of the hospital increased by 200 beds. In 2016 the cardiological service of Pavlodar is centralized on our health facility. All this allowed to coordinate the cardiovascular service of the region, provide a full cycle of treatment and establish communication with primary health care.

 

 

For five years of work the structure of the whole center was transformed. Today it consists of two clinics:

-Cardiosurgical clinic, which included:

-Laboratory of electrophysiology and endovascular surgery laboratory, equipped with high-tech equipment that allows to perform all types of interventional procedures from coronary angiography up to implantation of sophisticated Arrhythmia devices.

Cardiosurgical departments of coronary heart disease and acquired heart defectsfor open-heart surgery for adults, starting from familiar shunting up to the most complex combined operations, valve corrections.

Department of congenital heart disease provides cardiac, cardiosurgical and rehabilitation care for children. It closely cooperates with the perinatal center and providesultrasound verification of the fetus, and since 2015 the newborns are operated amongthem. Children with a critical body weight of 0.900 grams are operated.

Department of Interventional Cardiology with Intensive Care Unit- where adult patients who had undergone interventions are treated.

Operating unit with three operating rooms classified as “sterile” and “non-sterile” zones. Supply-extract system of laminar air sterilizers create a “microclimate”, constantly maintaining a predetermined temperature.

Department of Anesthesiology, Reanimation and Intensive Care Adults and Children is equipped with modern anesthesia and respiratory equipment manufactured in the USA, Germany, France, which allows nursing the patients after operations of any complexity. The system of laminar-supply ventilation with the function of air disinfection maintains a constant temperature and humidity, which prevents the purulent-septic complications. In addition, the department has its own diagnostic equipment(ultrasound, fiber-optic bronchoscope), hemodialysis machines and a blood laboratory with modern equipment.

The uniqueness of the children's intensive care unit is that it is equipped with respiratory equipment with a neonatal option, which allows nursing children weighing from 500 grams. Couveuses of intensive care for newborns with a system of phototherapy. Mobile couveuses can transport newborns, including premature infants from any region of Kazakhstan. There is a device with nitric oxide for reducing pulmonary hypertension.

Department of perfusion, transfusiology and extracorporeal circulation is equipped with modern apparatus for providing artificial circulation and providing in vitro blood correction and membrane oxygenation. The main activity is the maintenance of artificial blood flow in the body, keeping it alive while exercising cardiosurgical interventions on the heart and great vessels. Moreover, there is blood recovery, processing and transfusion. The artificial blood circulation was applied in our region for the first time.

 

 

Cardiology clinic. To provide round-the-clock cardiological care to the adult population, a Primary Percutaneous Coronary Intervention center was created as the part of clinic’s facilities, a patient movement route and an algorithm for interaction between medical organizations in the provision of emergency care to patients with acute coronary syndrome (interaction algorithm) were developed. 24 hours a day, 7 days a week, patients from all over the region are admitted there. During the day, up to 40 patients are treated through the clinic, approximately 60% are urgently treated. 24 hours a day, through telemedicine, all regional Central District Hospitals can receive advice from a cardiologist and the leading cardiology centers in Kazakhstan at the PCI center. There

There are following departments in the clinic: acute myocardial infarction, restorative treatment and rehabilitation, chronic heart failure, coronary heart disease, general cardiology. In the latter, patients are hospitalized, mainly with heart rhythm disorders, with myocarditis and endocarditis and pulmonary artery thromboembolia. Inpatient-replacement care is provided.

 

 

 

 

 

 

What is the statistics for the years of the Center's activities?

 

Between 2013 and 2017, 19,204 patients were treated, including 1 101 children. There were more than 13 thousand operations, including 760 in children. For open heart - more than 6 thousand, including 598 operations in children.

 

 

 

What innovations are applied?

 

For the sake of classes, we regularly invite specialists from leading cardiology centers of Hungary, Japan, China, Turkey, Lithuania, Belarus, Russia, and Kazakhstan. All of them highly appreciate the infrastructure of the center and the qualifications of doctors. To date, our cardiac surgeons independently carry out a wide range of operations for adults and children, both on the open heart and endovascular X-rays (transcatheter aortic valve transplantation, minimally interventricular communication occlusion, implantation of sophisticated arrhythmological devices, etc.) using the most modern practices and advanced technologies.

Surgery or treatment isonly the first step to health recovery. Therefore, worldwide emphasis is on rehabilitation, when under the supervision of specialists, the patient can restore his health, vitality and return to a full and normal lifestyle. Every year in the region, up to 1500 patients who underwent cardiosurgical interventions and myocardial infarction require rehabilitation treatment. To resolve this issue on September 4, 2017, we pioneered a specialized branch of the second stage of rehabilitation for 40 beds in the country. This allowed to expand the cardiological cluster of our region. We can confidently state that today our patients enjoy a full range of cardiac and cardiac care.

 

 

 

 What support units and departments do you have?

 

Consultative and diagnostic department, modern equipment of extra-class ultrasound, CT, MRI equipped with a cardioprogram and, of course, the professionalism and expertise of doctors allow quickly and qualitatively diagnosing heart diseases in the early stages. High-tech methods for CT and MRI visualization, with 3-dimensional reconstruction and use of contrast agents, give a voluminous image of organs enabling to determine the prevalence of the lesion, and enable an operative intervention volume to be assessed prior to the operation.

Clinical and diagnostic laboratory conducts about 100 types of research. The laboratory provides for a bacteriological laboratory. The modern bacteriological equipment manufactured in France allows to identify and determine thesensitivity of microorganisms to antibiotics. Productivity of up to 60 crops per day, a single download of 30 tests, card reading occurs every 15 minutes, the result of the analysis is available in 2-4 hours. The total period for issuing the results is reduced to the end of 2 days (previously 5-7 days). Studies are carried out on the isolation of bacteria from biological material and environmental objects. Improved AdvancedColorimetricTM technology allows to determine more types of microorganisms and their strains with very high accuracy. Full automation of the process thanks to the bar-coding system of test cards allows you to prevent errors during registration.

 

 

 

 

 

 

The Cardio Center has a digital database of patients. Tell us about it.

 

We are the first in the field to convert our workto electronic format. In 2014, we developed and introduced an electronic case history (cardiocard), a single digital database and cardiovascular and laboratory programs. When the patient for the first time comes to the record department of consultative and diagnostic unit, his information is entered into a single database: a special scanner reads the data from the identification card, the electronic form is filled, when a patient comes into the doctor's office, his information is already updated in doctor’s computer. The patient's electronic passport is updated gradually along with the results of examinations and laboratory studies and information of specialists' visits. The electronic medical records of those who have passed inpatient treatment are generated. Whatever the scope of treatment, a person receives in our center, his data is stored in our system. The clinical diagnostic laboratory can also do without hard copies and it serves not only our center, but also 15medical organizations in the Pavlodar Region. Two special laboratory-information systems are used here: “LIS” and “Bacilus”, and all data in digital format is transferred from the analyzers to the software and then to the destination. Since last year, internal workflow has been converted into electronic format, which saves resources and time.

 

 

 

What are the prospects for the development of the Center?

 

There are now many plans for the future, there will be a further development of minimally invasive surgery and pediatric cardiosurgery of newborns as well as further development of arrhythmology, treatment of rhythm disturbance in children along with introduction of neurointegration, i.e. abolition of cerebral aneurysms for the prevention of strokes.

 

 

 

Адрес редакции:

 

Республика Казахстан, 050026, г. Алматы,

ул. Кожамкулова, 16В

 

Тел.:      +7 (727)233 50 42

 

Моб.:     +7 702 765 20 00

                  +7 777 276 64 32

 

e-mail:  novaera01@bk.ru

                  novaera02@inbox.ru

 

 

Издается  с января 2014 г.

Зарегистрирован в Министерстве культуры и информации Республики Казахстан. Регистрационное свидетельство №15904-Ж от 25.03. 2016 г.

Собственник и издатель – ИП «Костина И.А.»

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