Management in health care
  • 2020 № 2 Оrganization of extracorporeal care in a multidisciplinary medical institution

    Organization of round-the-clock extracorporeal (EC) treatment in required volumes and options is one of the
    most important tasks of a modern surgical hospital. The annual volume of extracorporeal procedures at the B. V. Petrovsky
    National Research Center for Surgery (NRCS) is 1.5–2.0 thousand. The most significant methods are transfusiological blood
    saving, high-volume plasmapheresis, and renal replacement therapy. Doctors of various specialties are traditionally engaged
    in conducting EC procedures: resuscitators, nephrologists, transfusiologists. In modern medicine, EC hemocorrection
    methods are in wide demand. Their effectiveness can be determined by the start time of the procedure. Therefore, roundthe-
    clock access to all the necessary manipulations is important. In the absence of specialized departments of extracorporeal
    treatment with around-the-clock working schedule the implementation of the necessary extracorporeal procedures is
    possible in close contact with resuscitators, nephrologists, transfusiologists, in collaboration with the doctor of the clinical
    diagnostic laboratory. The quality of providing high-tech extracorporeal care depends on the adequacy of the treatment
    process management in a particular medical institution. Collegial performance of EC procedures for one patient by specialists
    of various profiles – resuscitators, nephrologists, transfusiologists – gives a high clinical result.

    Authors: Polyakova Yu. V. [3] Solovyova I. N. [2] Marchenko T. V. [1]

    Tags: extracorporeal hemocorrection1 high volume plasma exchange1 nephrology1 renal replacement therapy1 resuscitation1 transfusiological blood saving1 transfusiology1

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