Experience in the deployment and operation of an infectious hospital for patients with SARS-CoV-2 in extreme conditions
S. N. Perehodov,
N. A. Karpun,
D. A. Zelenin,
A. V. Snitsar,
N. I. Chaus,
S. N. Anisimov,
S. L. Brizhan,
A. N. Karpun,
A. A. Pankratov https://doi.org/10.17238/2072-3180-2021-3-89-96
Abstract
Introduction. The article describes the unique experience of creating an infection center in a short time.
Materials and methods. Since its opening on April 17, 2020 to March 2021, more than 12288 people have been successfully treated and more than 550 people continue treatment every day. To date, the center has deployed 500 infectious and 150 intensive care beds. In order to provide emergency care to patients with surgical pathology, an operating unit was equipped inside the hospital.
Discussion. During 12 months, 442 surgical procedures were performed. Of these: tracheostomies 304 (60 %), drainage of pleural cavities 38 (8,5 %), thoracocentesis 42 (9,5 %), diagnostic laparoscopies 10 (2,2 %) conversions and surgical interventions for perforation of the colon and small intestine, stomach, spleen abscesses 10 (2,2 %), vascular operations with the involvement of city services and specialists from the main base 8 (1,8 %), autopsies of phlegmon, soft tissue abscesses, necrectomies with extensive bedsores 26 (5,8 %), other surgical interventions 4 (0,9 %).
Conclusion. The design of infectious hospitals for the treatment of patients with a new coronavirus infection should include the possibility of placing an operating unit with an operating room to provide surgical care in emergency and urgent situations on the ground.
About the Authors
S. N. Perehodov
City Clinical Hospital named after V.P. Demihov of the Moscow City Health Department; Moscow clinical center infectious diseases
"Voronovskoe"
Russian Federation
Russian Federation
Perekhodov Sergey Nikolaevich – D.Sc., head doctor of the clinic
Shkuleva str., 4, Moscow, 109263
N. A. Karpun
City Clinical Hospital named after V.P. Demihov of the Moscow City Health Department; Moscow clinical center infectious diseases
"Voronovskoe"
Russian Federation
Russian Federation
Karpun Nikolay Alexandrovich – D.Sc., deputy chief physician
Shkuleva str., 4, Moscow, 109263
D. A. Zelenin
City Clinical Hospital named after V.P. Demihov of the Moscow City Health Department; Moscow clinical center infectious diseases
"Voronovskoe"
Russian Federation
Russian Federation
Zelenin Dmitriy Aleksandrovich – Ph.D., deputy chief physician
Shkuleva str., 4, Moscow, 109263
A. V. Snitsar
City Clinical Hospital named after V.P. Demihov of the Moscow City Health Department; Moscow clinical center infectious diseases
"Voronovskoe"
Russian Federation
Russian Federation
Snitsar Artem Vladimirovich – deputy chief physician
Shkuleva str., 4, Moscow, 109263
N. I. Chaus
City Clinical Hospital named after V.P. Demihov of the Moscow City Health Department; Moscow clinical center infectious diseases
"Voronovskoe"
Russian Federation
Russian Federation
Chaus Nikolai Ivanovich – Ph.D., deputy chief physician
Shkuleva str., 4, Moscow, 109263,
S. N. Anisimov
City Clinical Hospital named after V.P. Demihov of the Moscow City Health Department; Moscow clinical center infectious diseases
"Voronovskoe"
Russian Federation
Russian Federation
Anisimov Sergey Nikolaevich – surgeon
Shkuleva str., 4, Moscow, 109263
S. L. Brizhan
City Clinical Hospital named after V.P. Demihov of the Moscow City Health Department; Moscow clinical center infectious diseases
"Voronovskoe"
Russian Federation
Russian Federation
Brizhan Sergey Leonidovich – deputy chief physician
Shkuleva str., 4, Moscow, 109263
A. N. Karpun
City Clinical Hospital named after V.P. Demihov of the Moscow City Health Department; Moscow clinical center infectious diseases
"Voronovskoe"
Russian Federation
Russian Federation
Karpun Anna Nikolaevna
Shkuleva str., 4, Moscow, 109263
A. A. Pankratov
City Clinical Hospital named after V.P. Demihov of the Moscow City Health Department; Moscow clinical center infectious diseases
"Voronovskoe"
Russian Federation
Russian Federation
Рankratov Alexey Aleksandrovich – D.Sc., surgeon
Shkuleva str., 4, Moscow, 109263
References
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Review
For citations:
Perehodov S.N., Karpun N.A., Zelenin D.A., Snitsar A.V., Chaus N.I., Anisimov S.N., Brizhan S.L., Karpun A.N., Pankratov A.A. Experience in the deployment and operation of an infectious hospital for patients with SARS-CoV-2 in extreme conditions. Moscow Surgical Journal. 2021;(3):89-96. (In Russ.) https://doi.org/10.17238/2072-3180-2021-3-89-96
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