К ВОПРОСУ ПОИСКА ПУТЕЙ УЛУЧШЕНИЯ ОРГАНИЗАЦИИ КАЧЕСТВА ОКАЗАНИЯ МЕДИЦИНСКОЙ ПОМОЩИ В ДЕТСКОЙ АНЕСТЕЗИОЛОГИИ И РЕАНИМАТОЛОГИИ

DOI 10.53511/PHARMKAZ.2023.48.19.031

З.С.Тобылбаева1,2, М.А.Баймуратова1, К.К. Куракбаев1, А.Р.Рыскулова1, А.А. Кауышева1, Т.Е. Ибраев2
1Казахстанский Медицинский Университет «Высшая Школа Общественного Здравоохранения» Алматы, Казахстан
2 Корпоративный Фонд «University Medical Centre” , Астана, Казахстан

К ВОПРОСУ ПОИСКА ПУТЕЙ УЛУЧШЕНИЯ ОРГАНИЗАЦИИ КАЧЕСТВА
ОКАЗАНИЯ МЕДИЦИНСКОЙ ПОМОЩИ В ДЕТСКОЙ АНЕСТЕЗИОЛОГИИ
И РЕАНИМАТОЛОГИИ

Резюме: В данном литературном обзоре представлена необходимость проведения оптимизации
службы, и сопоставлена реальная деятельность детских врачей анестезиологов -реаниматологов в период постоянного реформирования системы здравоохранения в республике Казахстан. Выявлена незащищенность врача и пациента с позиции общественного здравоохранения. В частности, многолетние нерешенные вопросы в работе детского врача анестезиолога — реаниматолога, несмотря на ежегодное увеличение бюджетных средств, качество и доступность медицинских услуг еще не достигли высоких стандартов стран ОЭСЭР.
Ключевые слова: детская, анестезиология, реаниматология, организация, ОЭСР, безопасность,
обязанности.

СПИСОК ЛИТЕРАТУРЫ
1 Habre W, Disma N, Virag K, et al. Incidence of severe critical events in paediatric anaesthesia (APRICOT): A prospective multicentre observational study in
261 hospitals in Europe. Lancet Respir Med 2017;5(5):398-418. https://doi.org/10.1016/ S2213-2600(17)30116-9
2 Gibson AR, Limb J, Bell G. Retrospective audit of unplanned admissions to pediatric high dependency and intensive care after surgery. Paediatr Anaesth
2014;24(4):368-372. https://doi.org/ 10.1111/pan.12343
3 Brindley PG. Perioperative do-not-resuscitate orders: it is time to talk. BMC Anesthesiol. 2013. January 14; 13: 2 doi:10.1186/1471-2253-13-1.
4 de Carvalho CC, Regueira SLPA, Souza ABS, et al. Videolaryngoscopes versus direct laryngoscopes in children: Ranking systematic review with network
meta-analyses of randomized clinical trials. Paediatr Anaesth 2022; 32:1000.
5 Lawthaweesawat C, Harris R, Isara W, Pongpirul K. Prehospital care of the 13 hypothermic, anesthetized patients in the Thailand cave rescue . N Eng J
Med. 2019;380:1360-9. doi: 10.1056/NEJMc1900831.
6 Tobin JM, Grabinsky A, McCunn M, Pittet JF, Smith CE, Murray MJ, Varon AJ. A checklist for trauma and emergency anesthesia. Anesth Analg 2013;117:1166–
79
7 McDonald CH, Heggie J, Jones CM, Thorne CJ, Hulme J. Rescuer fatigue under the 2010 ERC guidelines, and its effect on cardiopulmonary resuscitation
(CPR) performance. Emerg Med J 2013;30:620–6
8 Watanabe M, Risi R, Tuccinardi D, Baquero CJ, Manfrini S, Gnessi L (2020) Obesity and SARS-CoV-2: a population to safeguard. Diabetes Metab Res
Rev:e3325
9 Kwok S, Adam S, Ho JH, Iqbal Z, Turkington P, Razvi S, le Roux CW, Soran H, Syed AA (2020) Obesity: a critical risk factor in the COVID-19 pandemic. Clin
Obes 10(6):e12403. https://doi.org/10.1111/cob.12403
10 Umbrello M, Fumagalli J, Pesenti A, Chiumello D (2019) Pathophysiology and management of acute respiratory distress syndrome in obese patients. Semin
Respir Crit Care Med 40(1):32–59. https://doi.org/10.1055/s-0039-1685179
11 Bertsimas D, Dunn J, Velmahos GC, Kaafarani HMA. Surgical risk is not linear: derivation and validation of a novel, user-friendly, and machine-learningbased predictive optimal trees in emergency surgery risk (potter) calculator. Ann Surg. 2018;268(4):568-587.
12 Stéphanie Marotto, Carl Bradbrook, Aurora Zoff, Anaesthetic complications and preparedness part 1: pre- and intraoperative complications, Companion
Animal, 10.12968/coan.2018.23.10.578, 23, 10, (577-588), (2018).
13 Pfaff K.E., Tumin D., Miller R., Beltran R.J., Tobias J.D., Uffman J.C. Perioperative aspiration events in chil-dren: A report from the Wake Up Safe
Collaborative. Paediatr. Anaesth. 2020;30:660–666. doi: 10.1111/pan.13893. [PubMed] [CrossRef] [Google Scholar]
14 Gaba D.M. Anaesthesiology as a model for patient safety in health care. BMJ. 2000;320:785–788. doi: 10.1136/bmj.320.7237.785.[PMC free article]
[PubMed] [CrossRef] [Google Scholar]
15 Nurok M, Green DS, Chisholm MF, Fins JJ, Liguori GA. Anesthesiologists’ familiarity with the ASA and ACS guidelines on advance directives in the
perioperative setting. J Clin Anesth. 2014. May; 26 3: 169- 175. doi: 10.1016/j.jclinane.2013.11.011.
16 Burkle CM, Swetz KM, Armstrong MH, Keegan MT. Patient and doctor attitudes and beliefs concerning perioperative do not resuscitate orders:
anesthesiologists’ growing compliance with patient autonomy and self determination guidelines. BMC Anesthesiol. 2013. January 15; 13: 2 doi: 10.1186/1471-
2253-13-2.
17 AV Chhibber, PC Hill, J Jafali, M Jasseh, MI Hossain, M Ndiaye, J C Pathirana, B Greenwood, GA Mackenzie. Child mortality after discharge from a health
facility following suspected pneumonia, meningitis or septicaemia in rural Gambia: a cohort study. PloS one 10 (9), e0137095, 2015.September 09, Public
Library of Science.
18 Rosenthal J, Clark A, Campbell S, McMahon M, Arnoldo B, Wolf SE, Phelan H (2018) Effects of obesity on burn resuscitation. Burns 44(8):1939–1952.
https://doi.org/10.1016/j.burns.2018.06.002
19 Kalkman S, Hooft L, Meijerman JM, Knape JTA, van Delden JJM. Survival after perioperative cardiopulmonary resuscitation: providing an evidence base
for ethical management of do-not-resuscitate orders. Anesthesiology.2016;124(3):719-731.
20 De Jong A, Molinari N, Terzi N et al (2013) Early identification of patients at risk for difficult intubation in the intensive care unit: development and validation
of the MACOCHA score in a multicenter cohort study. Am J Respir Crit Care Med 187(8):828–840. https://doi.org/10.1164/rccm.201210-1851OC
21 American Society of Anesthesiologists.Ethical guidelines for the anesthesia care of patients with do-not-resuscitate orders or other directives that limit
treatment . Updated October 16, 2013. http://www.asahq.org/-/media/Sites/ASAHQ/Files/Public/Resources/standards-guidelines/ethical-guidelines-for-theanesthesia-care-of-patients.pdf. Accessed March 30, 2016.
22 de Caen AR, Berg MD, Chameides L, Gooden CK, Hickey RW, Scott HF, Sutton RM, Tijssen JA, Topjian A, van der Jagt ÉW, Schexnayder SM, Samson
RA (2015) Part 12: Pediatric advanced life support: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency
Cardiovascular Care. Circulation 132(18 suppl 2):S526–S542. https://doi.org/10.1161/CIR.0000000000000266
23 European Resuscitation Council (2019) ERC Quality standards for cardiopulmonary resuscitation practice and training Available at: https://www.erc.edu/
sites/5714e77d5e615861f00f7d18. Accessed 5 Dec 2019
24 Vlassakova B.G., Sinnott S.M., Askins N., Callahan M.X., Leahy I.C., Zurakowski D., Hickey P.R., Cravero J.P. The Anesthesia Perioperative “Call for
Help”-Experience at a Quaternary Pediatric Medical Center: Analysis of 67,564 Anesthesia Encounters. Anesth. Analg. 2018;127:126–133. doi: 10.1213/
ANE.0000000000003353.[PubMed] [CrossRef] [Google Scholar]
25 Habre W., Disma N., Virag K., Becke K., Hansen T.G., Jöhr M., Leva B., Morton N.S., Vermeulen P.M., Zielinska M., et al. Incidence of severe critical events
in paediatric anaesthesia (APRI-COT): A prospective multicentre observational study in 261 hospitals in Europe. Lancet Respir. Med. 2017;5:412–425. doi:
10.1016/S2213-2600(17)30116-9. [PubMed] [CrossRef] [Google Scholar].
26 Kurth C.D., Tyler D., Heitmiller E., Tosone S.R., Martin L., Deshpande J.K. National Pediatric Anesthesia Safety Quality Improvement Program in the United
States. Anesth. Analg. 2014;119:112–121. doi: 10.1213/ANE.0000000000000040.[PubMed] [CrossRef] [Google Scholar]
27 MacLennan A.I., Smith A.F. An analysis of critical incidents relevant to pediatric anesthesia reported to the UK National Reporting and Learning System,
2006–2008. Pediatr. Anesth. 2011;21:841–847. doi: 10.1111/j.1460-9592.2010.03421.x.[PubMed] [CrossRef] [Google Scholar]
28 Vlassakova B.G., Sinnott S.M., Askins N., Callahan M.X., Leahy I.C., Zurakowski D., Hickey P.R., Cravero J.P. The Anesthesia Perioperative “Call for
Help”-Experience at a Quaternary Pediatric Medical Center: Analysis of 67,564 Anesthesia Encounters. Anesth. Analg. 2018;127:126–133. doi: 10.1213/
ANE.0000000000003353.[PubMed] [CrossRef] [Google Scholar]
29 Haydar B., Baetzel A., Stewart M., Voepel-Lewis T., Malviya S., Christensen R. Complications Associated With the Anesthesia Transport of Pediatric Patients:
An Analysis of the Wake up Safe Database. Anesth. Analg. 2019;131:245–254. doi: 10.1213/ANE.0000000000004433.[PubMed] [CrossRef] [Google Scholar]
30 Uffman J.C., Tumin D., Beltran R.J., Tobias J.D. Severe outcomes of pediatric perioperative adverse events occurring in operating rooms compared to offsite anesthetizing locations in the Wake up Safe Data-base. Paediatr. Anaesth. 2019;29:38–43. doi: 10.1111/pan.13549. [PubMed] [CrossRef] [Google Scholar]
31 Hall BL, Hamilton BH, Richards K, Bilimoria KY, Cohen ME, Ko CY. Does surgical quality improve in the American College of Surgeons National Surgical
Quality Improvement Program: an evaluation of all participating hospitals.Ann Surg. 2009;250(3):361-377.
32 Senkubuge F, Modisenyane M, Bishaw T. Strengthening health systems by health sector reforms. Glob Health Action. 2014;7(1):235-46. doi: 10.3402/gha.
v7.23568. — DOI — PMC -PubMed
33 Sacks E, Morrow M, Story W, Shelley K, Shanklin D, Rahimtoola M, et al. Beyond building blocks: Integrating community roles into health systems
frameworks to achieve health for all. BMJ Global Health. 2019;3:e001384. doi: 10.1136/bmjgh-2018-001384. — DOI -PMC — PubMed
34 Recio RS, Pablo Alonso Pérez De Ágreda J, José Rabanaque M, Aguilar Palacio I. Understanding the Effect of Economic Recession on Healthcare
Services: A Systematic Review. Iran J Public Health. 2022 Mar;51(3):490-502. doi: 10.18502/ijph.v51i3.8925. PMID: 35865061; PMCID: PMC9276592.
35 Pascarella G, Strumia A, Piliego C, Bruno F, del Buono R, Costa F, Scarlata S, Agrò FE (2020) COVID-19 diagnosis and management: a comprehensive
review. J Intern Med 288(2):189–204.. https://doi.org/10.1111/joim.13091
36 Neuschwander A et al, Br J Anaesth 2017;119:125-131
37 Schulz CM et al, BMC Anesthesiol 2016;16:4
38 Reich MR, Harris J, Ikegami N, Maeda A, Cashin C, Araujo EC, et al. Moving towards universal health coverage: lessons from 11 country studies. Lancet.
2016;387(10020):811–816. doi: 10.1016/S0140-6736(15)60002-2. — DOI- PubMed
39 Lucy Gilson, Irene Akua Agyepong, Strengthening health system leadership for better governance: what does it take?, Health Policy and Planning, Volume
33, Issue suppl_2, July 2018, Pages ii1–ii4, https://doi.org/10.1093/heapol/czy052
40 Tomblin Murphy G, Mtey G, Nyamtema A, LeBlanc J, Rigby J, Abel Z, Mselle LT. Building leadership and managerial capacity for maternal and newborn
health services. BMC Health Serv Res. 2022 Sep 7;22(1):1128. doi: 10.1186/s12913-022-08448-7. PMID: 36071415; PMCID: PMC9450380.

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