ABSTRACT
Urgency of the problem is defined by economical, regulatory and legislative acts, regional social and moral factors. There is critical situation in Russian Pediatric Healthcare system. This situation is due to inadequate funding, high medical technologies inaccessibility for some Russian children, their adverse health state. The article presents a retrospective analysis of intensive therapy and resuscitation outcomes with technical equipment and work environment assessment in the intensive care unit of Tushinskaya city pediatric clinic for the period from 2007 to 2011. Anaesthetic and emergency care quality and safety depend on several factors: permanent equipment improvement, comprehensive analysis of every fatal case and full implementation of "Anti-epidemic (prophylactic) actions plan" and "Program of monitoring compliance with the sanitary norms".
Subject(s)
Critical Care/methods , Intensive Care Units/organization & administration , Quality of Health Care , Resuscitation/methods , Anesthetics/administration & dosage , Biomedical Technology , Child , Critical Care/standards , Emergency Service, Hospital/organization & administration , Emergency Service, Hospital/standards , Guideline Adherence , Health Services Accessibility , Humans , Intensive Care Units/standards , Retrospective Studies , Russia , Treatment OutcomeSubject(s)
Asphyxia Neonatorum/complications , Central Nervous System Diseases/etiology , Myocardial Infarction/diagnosis , Acute Disease , Asphyxia Neonatorum/diagnosis , Atrophy/diagnosis , Atrophy/etiology , Brain/pathology , Central Nervous System Diseases/diagnosis , Diagnosis, Differential , Electrocardiography , Humans , Infant, Newborn , Male , Myocardial Infarction/etiologyABSTRACT
Total mortality decreased by 2.5 times in the wards for intensive care of the newborns in the Tushino Pediatric Hospital in 1996 and is now 7.6%. Such results are due to a complex of measures, one such measure being the development and introduction of an algorithm for the diagnosis and treatment of newborns hospitalized in intensive care wards. The algorithm facilitates the work of the staff, helps earlier diagnose a disease, and, hence, carry out timely scientifically based therapy.
Subject(s)
Algorithms , Infant, Newborn, Diseases/diagnosis , Intensive Care, Neonatal , Resuscitation , Diagnosis, Differential , Humans , Infant, Newborn , Infant, Newborn, Diseases/etiology , Infant, Newborn, Diseases/therapyABSTRACT
A study was made of the content of creatine kinase-BB (CK-BB) and lactate in cerebrospinal fluid (CSF) of 202 neonates and infants with perinatal CNS injuries. The relationship was found between the rise of the CK-BB content and the gravity of perinatal CNS injuries. The highest content of CK-BB in CSF was marked in neonates with cerebral disorders complicated by infectious and inflammatory diseases (pneumonia, sepsis). Within the first 5 days of life, the children of this group demonstrated the relationship between the content of CK-BB and lactate of CSF. The measurement of the content of CK-BB in CSF should be used for early diagnosis, assessment of the gravity and course of perinatal CNS injuries in neonates and in infants.
