Organization of Specialized Medical Care for Patients with the New Coronavirus Infection COVID-19 on the Basis of a Multidisciplinary Hospital

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Abstract

The first experience of organizing specialized care for patients with the novel coronavirus infection COVID-19 on the basis of the leading multidisciplinary hospital of the Ministry of Defense of Russia — FSBI «3rd Central Military Clinical Hospital named after A. A. Vishnevsky». Aims: to scientifically substantiate and develop organizational and methodological recommendations for re-profiling a multidisciplinary hospital to create a multifunctional medical center for the treatment of the new coronavirus infection COVID-19. Based on the regulatory and organizational and methodological documents (Orders and Resolutions of the Government of the Russian Federation, orders of the Ministry of Health of the Russian Federation, directives and orders of the Main Military Medical Directorate of the Ministry of Defense of the Russian Federation), a set of measures was taken to create a multifunctional medical center for the treatment of the new coronavirus infection COVID-19. Algorithms for organizational, diagnostic and therapeutic resource-saving technologies, as well as standard operating procedures for assisting patients with the novel coronavirus infection COVID-19, have been developed and tested. Within the framework of the «medical association» of the Federal State Budgetary Institution «3 CVKG im. A. A. Vishnevsky», the Ministry of Defense of Russia created a system for the provision of specialized medical care to patients with the new coronavirus infection COVID-19 with the established routing and provision of specialized medical care with elements of high-tech medical care, including extracorporeal membrane oxygenation, biological anti-cytokine therapy. Conclusion. The accumulated experience in the work of the newly created center for the treatment of patients with the new coronavirus infection COVID-19 can be used for further medical activities of medical organizations of military and civilian health care.

About the authors

Aleksandr V. Esipov

Federal State Budgetary Institution 3 Central Military Clinical Hospital of a Name of A.A. Vishnevsky Ministries of Defence of the Russian Federation

Email: doctor-pavlov@mail.ru
SPIN-code: 2800-8540

Dr. Sci. (Med.), Associate Professor

Russian Federation, 1, Novy settlement, 143420, Moscow region, Krasnogorsky district

Aleksandr I. Pavlov

Federal State Budgetary Institution 3 Central Military Clinical Hospital of a Name of A.A. Vishnevsky Ministries of Defence of the Russian Federation; Moscow State University of Food Production

Author for correspondence.
Email: doctor-pavlov@mail.ru
ORCID iD: 0000-0003-1836-7946
SPIN-code: 5966-7080

Dr. Sci. (Med.), Associate Professor

Russian Federation, 1, Novy settlement, 143420, Moscow region, Krasnogorsky district; Moscow

Yuri V. Nemytin

Federal State Budgetary Institution 3 Central Military Clinical Hospital of a Name of A.A. Vishnevsky Ministries of Defence of the Russian Federation

Email: yurij.nemitin@yandex.ru

Dr. Sci. (Med.), Professor

Russian Federation, 1, Novy settlement, 143420, Moscow region, Krasnogorsky district

Aleksey V. Solovov

Federal State Budgetary Institution 3 Central Military Clinical Hospital of a Name of A.A. Vishnevsky Ministries of Defence of the Russian Federation

Email: zolovoff@yandex.ru
Russian Federation, 1, Novy settlement, 143420, Moscow region, Krasnogorsky district

Alexandr V. Khaev

Federal State Budgetary Institution 3 Central Military Clinical Hospital of a Name of A.A. Vishnevsky Ministries of Defence of the Russian Federation

Email: khaev@bk.ru
SPIN-code: 5278-6915

Cand. Sci. (Med.)

Russian Federation, 1, Novy settlement, 143420, Moscow region, Krasnogorsky district

References

  1. Есипов А.В., Алехнович А.В., Абушинов В.В. COVID-19: Первый опыт оказания медицинской помощи и возможные решения проблемных вопросов (обзор) // Москва: Госпитальная медицина: наука и практика. 2020. Т. 1, № 1. C. 5–8. [Esipov A.V., Alekhnovich A.V., Abushinov V.V. COVID-19: First experience in providing medical care and possible solutions to problems (review). Hospital Medicine: Science аnd Practice. 2020; 1(1): 5–8 (In Russ)].
  2. Новости Mail.ru. Коронавирус COVID-19. Режим доступа: https://news.mail.ru/story/incident/coronavirus/. Дата обращения: 15.02.2021 г.
  3. https://www.who.int/ru/emergencies/diseases/novel-coronavirus-2019/technical /Дата обращения: 11.03.2020 г.
  4. https://www.who.int/ru/emergencies/diseases/novelcoronavirus-2019. Дата обращения: 24.04.2020 г.
  5. http://government.ru/ Дата обращения: 27.01.2020 г.
  6. http://government.ru/ Дата обращения: 30.01.2020 г.
  7. Временные методические рекомендации «Профилактика, диагностика и лечение новой коронавирусной инфекции (COVID-19)». Версия 5 от 08.04.2020 г., утв. Минздравом России. [Vremennye metodicheskie rekomendatsii “Profilaktika, diagnostika i lechenie novoi koronavirusnoi infektsii (COVID-19)”. Versiya 5 08.04.2020, utv. Minzdravom Rossii. (In Russ).] Режим доступа: https://www.garant.ru/products/ipo/prime/doc/ 73753942/. Дата обращения: 15.02.2021г.
  8. Временные методические рекомендации. «Профилактика, диагностика и лечение новой коронавирусной инфекции (COVID-19)». Версия 6 от 28.04.2020 г., утв. Минздравом России. [Vremennye metodicheskie rekomendatsii “Profilaktika, diagnostika i lechenie novoi koronavirusnoi infektsii (COVID-19)”. Versiya 6 (28.04.2020), utv. Minzdravom Rossii (In Russ)].
  9. «Временные методические рекомендации. «Профилактика, диагностика и лечение новой коронавирусной инфекции (COVID-19)». Версия 7 от 03.06.2020 г., утв. Минздравом России. [Vremennye metodicheskie rekomendatsii “Profilaktika, diagnostika i lechenie novoi koronavirusnoi infektsii (COVID-19)”. Versiya 7 (03.06.2020), utv. Minzdravom Rossii. (In Russ)]
  10. Методические рекомендации для медицинского состава Вооруженных Сил России. «Диагностика, лечение и профилактика новой коронавирусной инфекции COVID-19», утвержденные начальником ГВМУ 26.03.2020 г. [Metodicheskiye rekomendatsii dlya meditsinskogo sostava Vooruzhennykh Sil Rossii. «Diagnostika, lecheniye i profilaktika novoy koronavirusnoy infektsii COVID-19», utverzhdennyye nachal’nikom GVMU 26.03.2020]
  11. Есипов А.В., Харитонов В.В., Кисленко А.М. Патогенетическое обоснование и первый опыт применения прямой высокообъёмной эндолимфатической терапии в лечении больных COVID-19 и двусторонней полисегментарной интерстециальной пневмонией // Военно-медицинский журнал. 2020. №12. C. 26–34. [Esipov AV, Kharitonov VV, Kislenko AM. Pathogenetic rationale and the first experience of using direct high-volume endolymphatic therapy in the treatment of patients with COVID-19 and bilateral polysegmental interstitial pneumonia. Voyenno-meditsinskiy zhurnal. 2020; 12: 26–34 (In Russ)]
  12. Ефименко Н.А., Чернеховская Н.Е., Выренков Ю.Е. Руководство по клинической лимфологии. Москва, 2001. 157 с. [Efimenko NA, Chernekhovskaya NE, Vyrenkov YuE. Guidelines for clinical lymphology. Moscow; 2001. 157 p. (In Russ)]
  13. Буянов В.М., Данилов К.Ю., Радзиховский А.П. Лекарственное насыщение лимфатической системы. Киев: Наук. думка, 1991. 133 с. [Buyanov VM, Danilov KYu, Radzikhovsky AP. Drug saturation of the lymphatic system. Kiev: Nauk. Dumka; 1991. 133 p. (In Russ).]

Supplementary files

Supplementary Files
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1. JATS XML
2. Fig. 1. Multifunctional center for 100 beds, branch No. 3 of the Federal State Budgetary Institution “3 Central Military Clinical Hospital named after A.A. Vishnevsky "of the Ministry of Defense of Russia.

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3. Fig. 2. Movement pattern of patients with severe NKVI COVID-19 diagnosis.

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Copyright (c) 2021 Esipov A.V., Pavlov A.I., Nemytin Y.V., Solovov A.V., Khaev A.V.

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