The First Successful Implementation of Family-Centered Health Care in Pediatric Intensive Care Unit in Republic of Kazakhstan (Report)

Saparov, Askhat; Sazonov, Vasilisa; Тобылбаева, З. С.; Карина, Г. Б.; Курочкин, М. Н.; Беремжанова, Д. К.; Мұстафа, А. З.

doi:10.15360/1813-9779-2019-6-21-25

Cited by 2 publications

(1 citation statement)

References 4 publications

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“…Many hospitals’ policies restrict the prolonged stay of visitors or do not allow any at all. However, if implemented wisely, both parties can benefit from improved quality of pain management and have less burden associated with untreated pain ( 86 ).…”

Section: Resultsmentioning

confidence: 99%

Regional anesthesia for pain control in children with solid tumors—a review of case reports

Baizhanova,

Zhailauova,

Sazonov

2024

Front. Pediatr.

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IntroductionAround seventy percent of all childhood cancer patients suffer from severe pain. This pain can arise from various sources, including tumors themselves, pain caused by metastasizing tumor cells or as the outcome of therapy meant to deal with tumors. If managed inadequately, such pain can lead to many hazardous sequelae. However, there are extreme cases when pain does not respond to standard treatment. For such cases, regional anesthesia or nerve blocks are utilized as the utmost pain control measure. Blocks are used to treat pain in patients who no longer respond to conventional opioid-based treatment or whose worsened condition makes it impossible to receive any other therapy. The data regarding the use of regional anesthesia for such cases in the children population is limited.MethodsFor this review we searched for case reports in Scopus and PubMed from inception to 2023. The descriptive search items included terms related to childhood cancer and the description of each block. The inclusion criteria for review include children (0-18 years old) receiving oncology-related surgical procedures or palliative care. The data collection was limited to solid tumor-related cases only. We analyzed a total of 38 studies that included case reports and one retrospective study.Results and discussionIt was concluded that nerve blocks, although rarely performed, are a safe and efficient way of pain control in children with solid tumors. The major settings for block performance are postoperative pain control and palliative care. We observed that block indication and its outcomes depend on unique health circumstances in which they should be performed. Patients with similar diagnoses had differing outcomes while receiving the same block treatment.

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Section: Resultsmentioning

confidence: 99%

Regional anesthesia for pain control in children with solid tumors—a review of case reports

Baizhanova,

Zhailauova,

Sazonov

2024

Front. Pediatr.

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Brain Infarction in Botulism (Clinical Case)

Калинин

Баринов

Сундуков

2020

Obŝaâ reanimatologiâ

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Professional activity of intensivists consistently ranks high among the most «risky» areas of medicine. In 6 out of 89 criminal «iatrogenic» cases initiated by investigative authorities in the Moscow region in 2016–2018 anesthesiological or intensive care in the ICU was the subject of investigation. In 4 of these 6 cases, iatrogenic complications were detected during the forensic examination. Intensivist is considered an attending doctor and therefore holds responsibility for defects in the provision of medical care and its adverse outcome.The purpose of the study is to outline the professional risks in the work of an intensivist and identify ways to reduce them by using a case study with a fatal outcome, which led to criminal proceedings.Materials and methods. We studied and analyzed the criminal case files which included the complaint of the patient’s relatives with the prosecutor’s office, the explanations and interrogation records of the patient’s relatives (4) and healthcare workers (6), the minutes of the Morbidity and Mortality conference, the expert report on patient care quality issued by health insurance company, the final report of sanitary and epidemiological examination, autopsy protocol, emergency call files (3), the inpatient medical records, outpatient records and the final report of Commission of forensic medical examination.Results. Defects in the provision of medical care were not identified. The differential diagnosis was performed correctly. The severity of the patient's condition was due to brain infarction and associated abnormalities. Underdiagnosis of botulism did not affect the outcome of the disease and was not the cause of death of the patient.Conclusion. The reasons for filing a complaint with the Prosecutor's office and initiating a criminal case were organizational shortcomings and ethical and deontological aspects.

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The First Successful Implementation of Family-Centered Health Care in Pediatric Intensive Care Unit in Republic of Kazakhstan (Report)

Cited by 2 publications

References 4 publications

Regional anesthesia for pain control in children with solid tumors—a review of case reports

Regional anesthesia for pain control in children with solid tumors—a review of case reports

Brain Infarction in Botulism (Clinical Case)

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