ANALYSIS OF THE ACTIVITIES OF THE DEPARTMENT OF ANESTHESIOLOGY AND INTENSIVE CARE OF KazIOR FOR 2021-2022

Abstract

Relevance: The Department of Anesthesiology and Intensive Care of the Kazakh Research Institute of Oncology and Radiology is an organized system for providing care to oncological patients, which consists of anesthetic support for all types of oncosurgical operations, postoperative intensive therapy, intensive care for patients in cases of life-threatening conditions during radiation and chemotherapy. High-quality care is possible only with an appropriate level of professional training of medical and nursing staff and a sufficient provision of life support and monitoring technologies, medicines, and medical products. The study aimed to analyze the work of the Department of Anesthesiology and Intensive Care in 2021-2022 to further improve the quality of specialized anesthetic and resuscitation care to oncological patients in KazIOR. Methods: The reporting documentation on clinical activities of the Department of Anesthesiology and Intensive Care for 2021 and 2022 was analyzed. Results: In 2021-2022, 5517 anesthesias were performed. While the number of anesthesias in 2022 increased by 9.2%, the structure of the types of anesthesia performed remains unchanged. Anesthetic complications were 0.27%, with no anesthetic mortality. The number of patients admitted to postoperative intensive care in 2022 decreased by 6%. The share of patients re-admitted to the Department of Anesthesiology and Intensive Care was 2.1% in 2021 and 2.7% in 2022. The proportion of elderly and senile patients accounted for more than 40% of the intensive care department patients. In 40% of cases, patients suffered from chronic diseases of the cardiovascular system. Mortality at the Department of Anesthesiology and Intensive Care for the analyzed period was 42 cases, of which postoperative were 25 cases, while postoperative mortality remains approximately at the same level, and in-hospital and general mortality has slightly increased. Conclusion: The reporting documentation analysis for 2021-2022 showed that the number of anesthesia performed and the total number of patients treated in the Department of Anesthesiology and Intensive Care increases annually, which requires further improvement and modernization of the anesthesiology and intensive care service in oncology.