A.A. Arynov ¹, A.Kh. Magrupov ¹, M.B. Mukanova ¹, I.M. Smagina ¹

1. “Kazakh Institute of Oncology and Radiology” JSC, Almaty, the Republic of Kazakhstan

DOI: https://www.doi.org/10.52532/2663-4864-2023-1-67-4-9

UDC: 616-006-089.5-082.6

Year: 2023 issure: 67 number: 1 pages: 4-9

Download PDF:

ABSTRACT

Relevance: The Department of Anesthesiology and Intensive Care of the Kazakh Research Institute of Oncology and Radiology is an organized system for providing care to oncological patients, which consists of anesthetic support for all types of oncosurgical operations, postoperative intensive therapy, intensive care for patients in cases of life-threatening conditions during radiation and chemotherapy. High-quality care is possible only with an appropriate level of professional training of medical and nursing staff and a sufficient provision of life support and monitoring technologies, medicines, and medical products.
The study aimed to analyze the work of the Department of Anesthesiology and Intensive Care in 2021-2022 to further improve the quality of specialized anesthetic and resuscitation care to oncological patients in KazIOR.
Methods: The reporting documentation on clinical activities of the Department of Anesthesiology and Intensive Care for 2021 and 2022 was analyzed.
Results: In 2021-2022, 5517 anesthesias were performed. While the number of anesthesias in 2022 increased by 9.2%, the structure of the types of anesthesia performed remains unchanged. Anesthetic complications were 0.27%, with no anesthetic mortality. The number of patients admitted to postoperative intensive care in 2022 decreased by 6%. The share of patients re-admitted to the Department of Anesthesiology and Intensive Care was 2.1% in 2021 and 2.7% in 2022. The proportion of elderly and senile patients accounted for more than 40% of the intensive care department patients. In 40% of cases, patients suffered from chronic diseases of the cardiovascular system. Mortality at the Department of Anesthesiology and Intensive Care for the analyzed period was 42 cases, of which postoperative were 25 cases, while postoperative mortality remains approximately at the same level, and in-hospital and general mortality has slightly increased.
Conclusion: The reporting documentation analysis for 2021-2022 showed that the number of anesthesia performed and the total number of patients treated in the Department of Anesthesiology and Intensive Care increases annually, which requires further improvement and modernization of the anesthesiology and intensive care service in oncology.
Keywords: Department of Anesthesiology and Intensive Care, intensive care, anesthetic management, anesthetic complications, anesthetic mortality.

List of sources used:

1. Wikipedia. Bjørn Aage Ibsen. https://en.wikipedia.org/wiki/Bj%C3%B8rn_Aage_Ibsen. 23.03.2023.
2. Duška F., Al-Haddad M., Cecconi M.Intensive Care Fundamentals. Practically Oriented Essential Knowledge for Newcomers to ICUs. – Springer Cham, 2023. – ISBN: 978-3-031-21991-7. https://doi.org/10.1007/978-3-031-21991-7
3. Lanier W.L. A Three-Decade Perspective on Anesthesia Safety // Am. Surgeon. – 2006. – Vol. 72(11). – P. 985-989. https://doi.org/10.1177/000313480607201101
4. Gebbie D. Anaesthesia and death // Can. J. Anaest. – 1966. – Vol. 13(4). – P.390-396. https://doi.org/10.1007/BF03002181
5. Приказ Министра здравоохранения Республики Казахстан. Об утверждении Стандарта организации оказания анестезиологической и реаниматологической помощи в Республике Казахстан: утв. 16 октября 2017 года, № 763 [Prikaz Ministra zdravooxraneniya Respubliki Kazaxstan. Ob utverzhdenii Standarta organizacii okazaniya anesteziologicheskoj i reanimatologicheskoj pomoshhi v Respublike Kazaxstan: utv. 16 oktyabrya 2017 goda, № 763 (in Russ.)]. https://adilet.zan.kz/rus/docs/V1700015953/history
6. Приказ Министра здравоохранения Республики Казахстан. Об утверждении минимальных стандартов оснащения организаций здравоохранения медицинскими изделиями: утв. 29 октября 2020 года, № ҚР ДСМ-167/2020 [Prikaz Ministra zdravooxraneniya Respubliki Kazaxstan. Ob utverzhdenii minimal’nyx standartov osnashheniya organizacij zdravooxraneniya medicinskimi izdeliyami: utv. 29 oktyabrya 2020 goda, № ҚR DSM-167/2020 (in Russ.)]. https://adilet.zan.kz/rus/docs/V2000021560
7. Hasselager R.P., Hallas J., Gögenur I. Inhalation anaesthesia compared with total intravenous anaesthesia and postoperative complications in colorectal cancer surgery: an observational registry-based study // BJA. – 2022. – Vol.129 (3). – P. 416-426. https://doi.org/10.1016/j.bja.2022.03.019
8. Hays S.R. Inhalation anesthetic agents: Clinical effects and uses. https://www.uptodate.com/contents/inhalation-anesthetic-agents-clinical-effects-and-uses?source=history_widget. 23.03.2023
9. Said F.A., Kenemo B., Buname G., Kituuka O., Washington L., Chalya P.L. Patterns of immediate post-anesthetic complications and associated factors among patients undergoing major surgery at Bugando Medical Centre, Mwanza, Tanzania // Tanzania J. Health Res. – 2022. – Vol.23(1). –P. 1-13. https://doi.org/10.4314/thrb.v23i1
10. Nanavati A.J., Prabhakar S. Fast-track surgery: Toward comprehensive peri-operative care. // Anesth., Essays & Res. – 2014. – Vol. 8(2). – P. 127-133. https://doi.org/10.4103/0259-1162.134474
11. Altman A.D., Helpman L., McGee J., Samouëlian V., Auclair M.H., Brar H., Nelson G.S. Society of Gynecologic Oncology of Canada’s Communities of Practice in ERAS and Venous Thromboembolism. Enhanced recovery after surgery: implementing a new standard of surgical care // Can. Med. Ass. J. –2019. –Vol. 191(17). –P. 469-475. https://doi.org/10.1503/cmaj.180635
12. Ponzoni C.R., Corrêa T.D., Filho R.R., Serpa Neto A., Assunção M.S.C., Pardini A., Schettino GPP. Readmission to the Intensive Care Unit: Incidence, Risk Factors, Resource Use, and Outcomes. A Retrospective Cohort Study // Ann. Am. Thorac. Soc. –2017. –Vol. 14(8). –P. 1312-1319. https://doi.org/10.1513/AnnalsATS.201611-851OC
13. Гуданис О.А., Лебединский К.М. Повторный перевод в отделение реанимации // Анестезиология и реаниматология. – 2018. – Т. 4. – C. 15 21 [Gudanis O.A., Lebedinskij K.M. Povtornyjperevod v otdeleniereanimacii // Anesteziologiya i reanimatologiya. – 2018. – T. 4. – S. 15-21 (in Russ.)]. https://doi.org/10.17116/anaesthesiology201804115
14. Halvorsen S., Mehilli J., Cassese S., Hall T.S., Abdelhamid M., Barbato E., De Hert S., de Laval I., Geisler T., Hinterbuchner L., Ibanez B., Lenarczyk R, Mansmann U.R., McGreavy P., Mueller C., Muneretto C., Niessner A., Potpara T.S., Ristić A., Sade L.E., Schirmer H., Schüpke S., Sillesen H., Skulstad H., Torracca L., Tutarel O., Van Der Meer P., Wojakowski W., Zacharowski K.; ESC Scientific Document Group. 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery // Eur. Heart J. – 2022. –Vol. 43(39). –P.3826-3924.https://doi.org/10.1093/eurheartj/ehac270
15. Jackson M. B., Huang R., Kaplan E., Mookherjee S. The Perioperative Medicine Consult Handbook. –3rded. – Springer, 2020. https://doi.org/10.1007/978-3-030-19704-9
16. Pastores S.M. Critical Care and Oncology // Critical care clinics. – 2021. – Vol.37 (1).– P. XV-XVI. https://doi.org/10.1016/j.ccc.2020.10.001
17. Intensive care national audit and research centre (ICNARC). 14.03.2023
18. Halpern N.A., Goldman D.A., Tan K.S., Pastores S.M. Trends in Critical Care Beds and Use Among Population Groups and Medicare and Medicaid Beneficiaries in the United States: 2000-2010 // Critical care med. –2016. –Vol. 44(8). –P.1490-1499. https://doi.org/10.1097/CCM.0000000000001722
19. Kumar V., Gupta N., Mishra S. Onco-critical Care. An Evidence-based Approach. – Springer, 2022. https://doi.org/10.1007/978-981-16-9929-0
20. Miller’s Anesthesia / eds. M. Gropper, L. Eriksson, L. Fleisher, J. Wiener-Kronish, N. Cohen, K. Leslie. – 2-vol. set. – 9th ed. –Elsevier, 2019. – eBook ISBN: 9780323612647.
21. Приказ Министра здравоохранения Республики Казахстан. Об утверждении Дорожной карты по совершенствованию службы анестезиологии и реаниматологии в Республике Казахстан на 2022-2023 годы: утв. 7 декабря 2021 года, № 777 [Prikaz Ministra zdravooxraneniya Respubliki Kazaxstan. Ob utverzhdenii Dorozhnoj karty po sovershenstvovaniyu sluzhby anesteziologii i reanimatologii v Respublike Kazaxstan na 2022-2023 gody: utv. 7 dekabrya 2021 goda, № 777 (in Russ.)] // https://online.zakon.kz/Document/?doc_id=31947668&pos=4;-106#pos=4;-106