21st century cardiology on display at new perinatal centre

21st century cardiology on display at new perinatal centre
In the perinatal cardiac centre doctors will not only monitor the condition of their patients and deliver babies but also nurse them to health and, if need be, perform fetal surgery. The centre will have the latest equipment – scanners, ultrasonic devices, heart and lung machines, as well as surgical and endoscopic instruments – which will help diagnose diseases at an early stage, saving the lives of patients.

Large-scale construction has been going on for several years on tree-lined Salyama Adila Street, which connects the noisy Marshala Zhukova Prospekt with Karamyshevskaya Embankment. Now it is nearing completion. The future building will occupy 52,000 square metres. Its importance is hard to overestimate. In 2017, the building will host a perinatal cardiac centre of Leonid Vorokhobov Clinic Hospital No. 67 at 2/44 Salyama Adila Street.

While Moscow has 27 obstetric in-patient facilities – with some designed for patients suffering from diseases of the heart, the endocrine system, kidneys, blood, respiratory organs and rhesus incompatibility – this will be one of the most advanced centres in Europe in terms of the quality and amount of equipment available. Russia does not have perinatal facilities that specialise in cardiac pathology. The centre will also have a diagnostic department for all kinds of conditions.

Latest technology: ultrasonic scanners, incubator

The new building (from three to seven stories high) will have 450 obstetric and pediatric beds. It will also have labour, post-natal and surgery wards, units for treating medical conditions of expectant mothers, as well as resuscitation and intensive care units. It will also have cardiac units for newborns (up to one month and up to one year), a special care nursery, cardiac x-ray surgery wards with heart and lung machines and a modular surgery unit.

There will be two diagnostic departments – one will receive 200 pregnant women a shift and the other one will be designed for the dynamic monitoring of babies.

Patients will be tested with ultrasonic scanners. Newborns will be kept in a modern incubator. The department will be fitted out with computer and MR-imaging units, an angiograph, top-level ultrasonic scanners, a mobile x-ray system and heart and lung machines. Before this year is out, it will be equipped with medical furniture, lung motors, inhalation, surgical and endoscopic devices. This modern equipment will help catch diseases early.

The centre will provide outpatient aid to 17,000 pregnant women with cardio-vascular diseases, deliver babies of 13,000 patients and operate on up to 3,500 mothers and children a year. It will also have a mobile resuscitation team and a telehealth centre for consultations with the best Russian and foreign clinics.

Quality, timely care saves lives

According to statistics, 12-14 newborns per a thousand have a congenital heart defect. The death rate is high – 29 percent die by the end of the first week, 42 percent by the end of the first month, and 87 percent by the end of the first year – but only if untreated. Quality, timely care addresses their heart problems in 97 percent of all cases.

It is very important to detect pathology in the first days of life. Perinatal diagnostics help to promptly transfer a baby to a cardiac surgery unit if its defect is critical or to a specialised cardiac unit for dynamic monitoring and treatment.

Modern medicine allows women with serious somatic and gynecological problems to nurse a child but patients with congenital heart defects or arrhythmias require monitoring by experts during pregnancy, labour and the post-natal period.

The new centre’s specialists and high-tech equipment, used in unique fetal operations, will save lives of mothers and babies with serious diseases of the heart.

Pneumatic tube system and telehealth service for surgeons and paramedics

Vorokhobov Clinic Hospital No. 67 employs 2,010 people, including 514 doctors, 967 paramedics and 312 nurses. Its specialists use the world’s latest equipment. For instance, specialists working at the spinal neurosurgery centre have at their disposal a unique mobile device for computer scanning during spinal operations, a robotic station that helps plan future surgeries and insert implants, and microscopes with a 3D video feed.

The diagnostic and microbiological laboratories process biomaterial automatically and provide results to doctors virtually instantaneously. It takes one or two minutes to send biomaterial to them via a pneumatic tube system. Containers with biomaterial can move quickly through the pneumatic tube system. This process ensures the safety of biomaterial, speeds up its processing and improves the quality of both diagnosis and treatment.

The telehealth service is used for teleconferences and professional development courses. In 2014 and 2015, neurosurgeons from Russian regions, Germany and Belgium took part in an international training conferences. The service also allows patients to speak to a doctor remotely and can be used to send off tests, such as MRT, СT and x-rays, for interpretation.

Providing healthcare for Muscovites for 57 years

Clinic Hospital No. 67 was founded in January 1959. The children’s clinic with 150 beds began to receive patients in March of the same year. The hospital opened a maternity home for patients with heart problems in 1962 and launched a trauma unit in 1968.

The hospital’s perinatal centre was opened in 1989. At that time it consisted of a maternity home and a children’s unit with 250 beds. It was built in the 1950s and has not been repaired since then. In 2010, officials decided to demolish the dilapidated building and build a modern medical institution in its place. The maternity home was removed two years after and the children’s unit was shut down in 2014.

The cornerstone of the future perinatal cardiac centre was laid in September 2014. Until it is opened, patients are being sent to the Zoya Bashlyayeva Children’s Clinical Hospital (formerly the Tushinskaya Children’s City Hospital).

The new centre is based in Hospital No. 67 with good reason – doctors there have helped mothers and babies with heart disorders for several decades. The hospital’s highly professional team developed a new area of specialised health – perinatal cardiac pathology.

Clinic Hospital No. 67 is one of the largest medical institutions in the north-west of Moscow. It has 43 departments with 1,316 beds for patients requiring surgery and neurosurgery, and treatment for trauma as well as endocrine, neurologic, therapeutic, cardiac and gynaecological diseases. In the six months of this year, its doctors treated over 40,500 patients and conducted more than 16,500 surgeries.

At the Formula of Life City Festival in 2012, the hospital’s doctors were recognised as the best specialists, and in 2014 the hospital won the festival’s award in the nomination for innovations and progress. The hospital has also won the Mission Prize twice – for conducting a unique operation in 2009 and for developing a new area in medicine in 2010.

Moscow healthcare in figures

In 2010–2015, Moscow authorities repaired 1,101 medical facilities, built 12 outpatient clinics, five hospitals and two ambulance substations, and purchased 6,500 units of equipment for city children’s hospitals.

Maternity homes also have all the required equipment: resuscitation and intensive care beds, incubators for newborns in serious condition, lung machines, digital x-ray and anaesthesia breathing systems and devices for ultrasonic diagnostics. In five years, maternity homes and female counselling centres received 5,700 units of medical equipment.

Owing to new technology, doctors have increased the survival rate of babies with low and extremely low birth weights from 38 percent in 2010 to 84 percent in 2015. Endoscopic methods allows them to treat many congenital malformations and pathological conditions. Last year the number of fetal operations increased to 31, compared to a mere 10 in 2010.

Specialised medical care for children has become more accessible and effective. The scale of high-tech aid to children almost doubled: from 5,065 patients in 2010 to 9,587 in 2015.

Children’s medical organisations have specialised centres for pediatric strokes, rheumatology, hematology, oncology, reproductive health, gastroenterology, endocrinology, the treatment of orphan and other rare deceases, children injured by heavy machinery and sports, as well as anaesthesiology, resuscitation and intensive care with extra-corporal support.

The palliative service is also making headway. The Valentin Voyno-Yasenetsky Research and Practical Centre for Specialised Medical Treatment for Children opened a palliative care unit for children with 30 beds in Moscow. Nil Filatov Children’s Clinical Hospital No. 13 has a similar unit with 10 beds, and the Morozovskaya Children’s Clinical Hospital has a unit with 30 beds. Two mobile teams of doctors render outpatient palliative care. Last year they visited patients at home more than 2,000 times.