Defects of intensive care of patients with COVID-19. Expert doctors and opinion
Background. A significant proportion of patients infected with the SARS-CoV-2 virus had a severe course of the disease required hospitalization and intensive care The objective was to analyze the defects allowed during intensive care of patients with SARS-CoV-2, and to assess the causes of their occ...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | Russian |
| Published: |
New Terra Publishing House
2023-07-01
|
| Series: | Вестник анестезиологии и реаниматологии |
| Subjects: | |
| Online Access: | https://www.vair-journal.com/jour/article/view/834 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849698358972645376 |
|---|---|
| author | V. I. Gorbachev N. N. Utkin E. S. Netesin K. G. Shapovalov S. M. Gorbacheva P. V. Dunts V. I. Ershov |
| author_facet | V. I. Gorbachev N. N. Utkin E. S. Netesin K. G. Shapovalov S. M. Gorbacheva P. V. Dunts V. I. Ershov |
| author_sort | V. I. Gorbachev |
| collection | DOAJ |
| description | Background. A significant proportion of patients infected with the SARS-CoV-2 virus had a severe course of the disease required hospitalization and intensive care The objective was to analyze the defects allowed during intensive care of patients with SARS-CoV-2, and to assess the causes of their occurrence.Materials and methods. An analytical study was made on the basis of expert opinions on 60 case histories of deceased patients in the intensive care unit with the main diagnosis: “COVID-19. Community-acquired bilateral polysegmental viral pneumonia ARDS”. To identify the reasons that led to defects in the diagnosis and treatment of patients with NCI COVID-19 in intensive care units, an anonymous survey of 92 anesthesiologists-resuscitators who worked in the “red zone” during the COVID-19 pandemic was conducted.Results. The defects identified by experts can be divided into two main groups: diagnostic defects and treatment defects. ARDS in 25%, PE in 8% of cases were not diagnosed. There was no ECG control and cardiac monitoring in 22%, lung CT in 6.7%, echocardiography in 10% of cases. Consultations of specialized specialists were not held in 11.7% of patients. There were defects in the correction of EBV and ABS in 30%, unreasonable prescribing of drugs in 58%, defects in vasopressor support in 10%, defects associated with mechanical ventilation in 40% of cases. The survey of physicians showed that the defects were based on insufficient knowledge of the governing documents and the limited capabilities of medical organizations to implement the necessary research.Conclusion. The obtained results made it possible to demonstrate the limitations and subjectivity of the existing assessment of the quality of medical care, which sometimes does not take into account the existing conditions for treating patients and the material and technical capabilities of a medical organization. |
| format | Article |
| id | doaj-art-e96e06eb188244b1b4d51c15b7602aff |
| institution | DOAJ |
| issn | 2078-5658 2541-8653 |
| language | Russian |
| publishDate | 2023-07-01 |
| publisher | New Terra Publishing House |
| record_format | Article |
| series | Вестник анестезиологии и реаниматологии |
| spelling | doaj-art-e96e06eb188244b1b4d51c15b7602aff2025-08-20T03:18:55ZrusNew Terra Publishing HouseВестник анестезиологии и реаниматологии2078-56582541-86532023-07-01204616710.24884/2078-5658-2022-20-4-61-67619Defects of intensive care of patients with COVID-19. Expert doctors and opinionV. I. Gorbachev0N. N. Utkin1E. S. Netesin2K. G. Shapovalov3S. M. Gorbacheva4P. V. Dunts5V. I. Ershov6Irkutsk State Medical Academy of Postgraduate Education – branch of the Russian Medical Academy of Continuous Professional EducationIrkutsk State Medical Academy of Postgraduate Education – branch of the Russian Medical Academy of Continuous Professional EducationIrkutsk State Medical Academy of Postgraduate Education – branch of the Russian Medical Academy of Continuous Professional EducationChita State Medical AcademyIrkutsk State Medical Academy of Postgraduate Education – branch of the Russian Medical Academy of Continuous Professional EducationRegional Clinical Hospital № 2Orenburg State Medical UniversityBackground. A significant proportion of patients infected with the SARS-CoV-2 virus had a severe course of the disease required hospitalization and intensive care The objective was to analyze the defects allowed during intensive care of patients with SARS-CoV-2, and to assess the causes of their occurrence.Materials and methods. An analytical study was made on the basis of expert opinions on 60 case histories of deceased patients in the intensive care unit with the main diagnosis: “COVID-19. Community-acquired bilateral polysegmental viral pneumonia ARDS”. To identify the reasons that led to defects in the diagnosis and treatment of patients with NCI COVID-19 in intensive care units, an anonymous survey of 92 anesthesiologists-resuscitators who worked in the “red zone” during the COVID-19 pandemic was conducted.Results. The defects identified by experts can be divided into two main groups: diagnostic defects and treatment defects. ARDS in 25%, PE in 8% of cases were not diagnosed. There was no ECG control and cardiac monitoring in 22%, lung CT in 6.7%, echocardiography in 10% of cases. Consultations of specialized specialists were not held in 11.7% of patients. There were defects in the correction of EBV and ABS in 30%, unreasonable prescribing of drugs in 58%, defects in vasopressor support in 10%, defects associated with mechanical ventilation in 40% of cases. The survey of physicians showed that the defects were based on insufficient knowledge of the governing documents and the limited capabilities of medical organizations to implement the necessary research.Conclusion. The obtained results made it possible to demonstrate the limitations and subjectivity of the existing assessment of the quality of medical care, which sometimes does not take into account the existing conditions for treating patients and the material and technical capabilities of a medical organization.https://www.vair-journal.com/jour/article/view/834errors and defectscovid-19 intensive caretreatment expertise |
| spellingShingle | V. I. Gorbachev N. N. Utkin E. S. Netesin K. G. Shapovalov S. M. Gorbacheva P. V. Dunts V. I. Ershov Defects of intensive care of patients with COVID-19. Expert doctors and opinion Вестник анестезиологии и реаниматологии errors and defects covid-19 intensive care treatment expertise |
| title | Defects of intensive care of patients with COVID-19. Expert doctors and opinion |
| title_full | Defects of intensive care of patients with COVID-19. Expert doctors and opinion |
| title_fullStr | Defects of intensive care of patients with COVID-19. Expert doctors and opinion |
| title_full_unstemmed | Defects of intensive care of patients with COVID-19. Expert doctors and opinion |
| title_short | Defects of intensive care of patients with COVID-19. Expert doctors and opinion |
| title_sort | defects of intensive care of patients with covid 19 expert doctors and opinion |
| topic | errors and defects covid-19 intensive care treatment expertise |
| url | https://www.vair-journal.com/jour/article/view/834 |
| work_keys_str_mv | AT vigorbachev defectsofintensivecareofpatientswithcovid19expertdoctorsandopinion AT nnutkin defectsofintensivecareofpatientswithcovid19expertdoctorsandopinion AT esnetesin defectsofintensivecareofpatientswithcovid19expertdoctorsandopinion AT kgshapovalov defectsofintensivecareofpatientswithcovid19expertdoctorsandopinion AT smgorbacheva defectsofintensivecareofpatientswithcovid19expertdoctorsandopinion AT pvdunts defectsofintensivecareofpatientswithcovid19expertdoctorsandopinion AT viershov defectsofintensivecareofpatientswithcovid19expertdoctorsandopinion |