medalphabetМедицинский алфавитMedical alphabet2078-56312949-2807ООО «Альфмед»10.33667/2078-5631-2023-6-50-56medalphabet-3104Research ArticleСтатьиОпыт организации амбулаторной анестезиологической помощи в центре эндоскопии городской многопрофильной клиникиExperience of organizing outpatient anesthetic care at Endoscopy centre of Multidisciplinary city clinichttps://orcid.org/0000-0003-1865-2114МакаровО. В.MakarovO. V.

к.м.н., центр анестезиологии-реанимации, зав. отделением анестезиологии-реанимации № 23

Москва

Makarov O.V., PhD Med, Centre for Anesthesiology and Resuscitation, head of Dept of Anesthesiology and Intensive Care No. 23

Moscow

olemak.rex@gmail.comhttps://orcid.org/0000-0002-1865-2141ОсиповС. А.OsipovS. A.

к.м.н., доцент; центр анестезиологии-реанимации, врач –  анестезиолог-реаниматолог отделения анестезиологии-реанимации № 62

Москва

PhD Med, associate professor; Centre of AnesthesiologyResuscitation, anesthesiologist-resuscitator at Dept of Anesthesiology-Resuscitation No. 62

Moscow

serosip@mail.ruhttps://orcid.org/0000-0002-5984-5660РодионовЕ. П.RodionovE. P.

к.м.н., доцент, рук. центра анестезиологии-реанимации; зам. гл. врача по анестезиологии и реанимации

Москва

PhD Med, associate professor, head of Centre of Anesthesiology Resuscitation; deputy chief physician in anesthesiology and resuscitation

Moscow

dr.rodionov@gmail.comhttps://orcid.org/0000-0001-9191-6169МалышевА. А.MalyshevA. A.

к.м.н., центр анестезиологии-реанимации, зав. отделением анестезиологии-реанимации № 62

Москва

PhD Med, Centre for Anesthesiology and Resuscitation, head of Dept of Anesthesiology and Intensive Care No. 62

Moscow

malyshevaa@botkinmoscow.ruhttps://orcid.org/0000-0002-5984-5660КоржеваИ. Ю.KorzhevaI. Yu.

д.м.н., проф., рук. эндоскопического центра, зав. отделением эндоскопии; зав. кафедрой эндоскопии

Москва

DM Sci (habil.), professor, head of Endoscopic Centre, Dept of Endoscopy; head of Dept of Endoscopy

Moscow

korzhevaiyu@botkinmoscow.ruhttps://orcid.org/0000-0003-4809-458XАвраменкоЛ. М.AvramenkoL. M.

центр анестезиологии-реанимации, врач – анестезиологреаниматолог отделения анестезиологии-реанимации № 23

Москва

Avramenko L.M., Centre of Anesthesiology-Resuscitation, anesthesiologistresuscitator at Dept of Anesthesiology-Resuscitation No. 23

Moscow

lubchen@yandex.ruhttps://orcid.org/0000-0002-1805-5152ЛосеваЗ. З.LosevaZ. Z.

к.м.н., центр анестезиологии-реанимации, врач – анестезиологреаниматолог отделения анестезиологии-реанимации № 23

Москва

PhD Med, Centre of Anesthesiology-Resuscitation, anesthesiologistresuscitator at Dept of Anesthesiology-Resuscitation No. 23

Moscow

zamina_loseva@mail.ruhttps://orcid.org/0000-0002-2703-4783БалыковИ. В.BalykovI. V.

к.м.н., центр анестезиологии-реанимации, врач – анестезиологреаниматолог отделения анестезиологии-реанимации № 23

Москва

Balykov I.V., PhD Med, Centre of Anesthesiology-Resuscitation, anesthesiologistresuscitator at Dept of Anesthesiology-Resuscitation No. 23

Moscow

https://orcid.org/0000-0003-2963-363XБайчороваЛ. А.BaichorovaL. A.

врач – анестезиолог-реаниматолог отделения анестезиологии-реанимации № 23

Москва

anesthesiologist-resuscitator at Dept of Anesthesiology and Resuscitation No. 23

Moscow

baychora@yandex.ruhttps://orcid.org/0000-0002-1402-4236АлихановаЭ. И.AlikhanovaE. I.

Алиханова Э.И., центр анестезиологии-реанимации, врач – анестезиологреаниматолог отделения анестезиологии-реанимации № 23

Москва

Centre of Anesthesiology-Resuscitation, anesthesiologistresuscitator at Dept of Anesthesiology-Resuscitation No. 23

Moscow

elina_vip93@mail.ruhttps://orcid.org/0000-0003-4535-2563ВласенкоА. В.VlasenkoA. V.

д.м.н., проф., центр анестезиологии-реанимации, зав. отделением анестезиологии-реанимации № 32; зав. кафедрой

Москва

Vlasenko A.V., DM Sci (habil.), professor, Centre for Anesthesiology and Reanimation, head of Dept of Anesthesiology and Resuscitation No. 32; head of Dept

Moscow

dr.vlasenko67@mail.ruhttps://orcid.org/0000-0002-7263-0058ЕвдокимовЕ. А.EvdokimovE. A.

д.м.н., проф. кафедры

Москва

DM Sci (habil.), professor at Dept

Moscow

ea_evdokimov@mail.ruhttps://orcid.org/0000-0002-7320-3322МаковейВ. И.MakoveyV. I.

к.м.н., доцент

Москва

PhD Med, associate professor, head of Educational Dept

Moscow

nika-m-med@yandex.ruhttps://orcid.org/0000-0002-7263-0058ЕрофеевВ. В.ErofeevV. V.

к.м.н., доцент, зав. учебной частью

Москва

PhD Med, associate professo

Moscow

erofeevvv@rmapo.ruГБУЗ г. Москвы «Городская клиническая больница имени С.П. Боткина Департамента здравоохранения Москвы»РоссияCity Clinical Hospital n.a. S.P. BotkinRussian FederationГБУЗ г. Москвы «Городская клиническая больница имени С.П. Боткина Департамента здравоохранения Москвы»; Кафедра анестезиологии и неотложной медицины ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава РоссииРоссияCity Clinical Hospital n.a. S.P. Botkin; Department of Anesthesiology and Emergency Medicineof the Russian Medical Academy of Continuing Professional EducationRussian FederationГБУЗ г. Москвы «Городская клиническая больница имени С.П. Боткина Департамента здравоохранения Москвы»; Кафедра эндоскопии ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава РоссииРоссияCity Clinical Hospital n.a. S.P. Botkin; Department of Endoscopy of the Russian Medical Academy of Continuing Professional EducationRussian FederationКафедра анестезиологии и неотложной медицины ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава РоссииРоссияDepartment of Anesthesiology and Emergency Medicineof the Russian Medical Academy of Continuing Professional EducationRussian Federation20230806202306Кардиология. Неотложная медицина» (1)5056Copyright © Макаров О.В., Осипов С.А., Родионов Е.П., Малышев А.А., Коржева И.Ю., Авраменко Л.М., Лосева З.З., Балыков И.В., Байчорова Л.А., Алиханова Э.И., Власенко А.В., Евдокимов Е.А., Маковей В.И., Ерофеев В.В., 20232023Макаров О.В., Осипов С.А., Родионов Е.П., Малышев А.А., Коржева И.Ю., Авраменко Л.М., Лосева З.З., Балыков И.В., Байчорова Л.А., Алиханова Э.И., Власенко А.В., Евдокимов Е.А., Маковей В.И., Ерофеев В.В.Makarov O.V., Osipov S.A., Rodionov E.P., Malyshev A.A., Korzheva I.Y., Avramenko L.M., Loseva Z.Z., Balykov I.V., Baichorova L.A., Alikhanova E.I., Vlasenko A.V., Evdokimov E.A., Makovey V.I., Erofeev V.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-alphabet.com/jour/article/view/3104

Представлен опыт организации анестезиологического обеспечения в потоковом амбулаторном эндоскопическом центре на примере 16956 анестезий. Проведена стратификация пациентов по степени риска, осложнениям и неблагоприятным исходам. Проанализирована предоперационная и послеоперационная логистика. Представлены спорные моменты и перспективы анестезиологической практики при амбулаторных внутрипросветных эндоскопических процедурах.

The experience of management anesthetic support in a streaming outpatient endoscopic center is presented on the example of 16,956 anesthesia. Patients were stratified according to the degree of risk, complications and adverse outcomes. Analyzed preoperative and postoperative logistics. Controversial moments and prospects of anesthetic practice in outpatient intraluminal endoscopic procedures are presented.

эндоскопияанестезияпроцедурная седацияамбулаторная внутри просветная эндоскопияамбулаторный потоковый центрendoscopyanesthesiaprocedural sedationoutpatient intraluminal endoscopyoutpatient flow centreReferencesAnne F. Peery, Seth D. Crockett, Caitlin C. Murphy, Elizabeth T. Jensen, et al. Burden and Cost of Gastrointestinal, Liver, and Pancreatic Diseases in the United States: Update 2021. Gastroenterology. 2022 Feb, 162 (2): p. 621–644.Anne F. Peery, Seth D. Crockett, Caitlin C. Murphy, Elizabeth T. Jensen, et al. Burden and Cost of Gastrointestinal, Liver, and Pancreatic Diseases in the United States: Update 2021. Gastroenterology. 2022 Feb, 162 (2): p. 621–644.Коржева И.Ю. Первый опыт и первые результаты работы эндоскопического центра Боткинской больницы в рамках программы скрининга колоректального рака. Доклад. Онкофорум МКНЦ 08.02.22. Korzheva I. Yu. The first experience and the first results of the work of the endoscopic center of the Botkin hospital as part of the colorectal cancer screening program. Report. Oncoforum Multidisciplinary Clinical Medical Centre. 08.02.22.Коржева И.Ю. Первый опыт и первые результаты работы эндоскопического центра Боткинской больницы в рамках программы скрининга колоректального рака. Доклад. Онкофорум МКНЦ 08.02.22. Korzheva I. Yu. The first experience and the first results of the work of the endoscopic center of the Botkin hospital as part of the colorectal cancer screening program. Report. Oncoforum Multidisciplinary Clinical Medical Centre. 08.02.22.Hong Jun Park, Buyng-Wook Kim, Jun Kyu Lee et al. Korean Society of Gastrointestinal Endoscopy Clinical Practice Guidelines for Endoscopic Sedation. Clin. Endosc. 2022 Mar; 55 (2). 167–182.Hong Jun Park, Buyng-Wook Kim, Jun Kyu Lee et al. Korean Society of Gastrointestinal Endoscopy Clinical Practice Guidelines for Endoscopic Sedation. Clin. Endosc. 2022 Mar; 55 (2). 167–182.American Society of Anesthesiologists Task Force on Sedation and Analgesia by Non-Anesthesiologists, author. Practice guidelines for sedation and analgesia by non-anesthesiologists. Anesthesiology. 2002; 96: 1004–1017.American Society of Anesthesiologists Task Force on Sedation and Analgesia by Non-Anesthesiologists, author. Practice guidelines for sedation and analgesia by non-anesthesiologists. Anesthesiology. 2002; 96: 1004–1017.Практическая амбулаторная анестезиология. Под ред. Йохана Редера, Ричарда Д. Урмана; пер с англ. Под ред. К.М. Лебединского. М.: ГЭОТАР-Медиа, 2018. 336 с. Practical ambulatory anesthesiology. Ed. Johan Raeder, Richard D. Urman; translation from English. Ed. K. M. Lebedinsky. M.: GEOTAR-Media, 2018. 336 p.Практическая амбулаторная анестезиология. Под ред. Йохана Редера, Ричарда Д. Урмана; пер с англ. Под ред. К.М. Лебединского. М.: ГЭОТАР-Медиа, 2018. 336 с. Practical ambulatory anesthesiology. Ed. Johan Raeder, Richard D. Urman; translation from English. Ed. K. M. Lebedinsky. M.: GEOTAR-Media, 2018. 336 p.ASGE Standards of Practice Committee: Dayna S. Early, Jenifer R. Lightdale, John J. Vargo et al., Guidelines for sedation and anesthesia in GI endoscopy. Gastrointestinal Endoscopy Volume 87, Issue 2, February 2018, Pages 327–337.ASGE Standards of Practice Committee: Dayna S. Early, Jenifer R. Lightdale, John J. Vargo et al., Guidelines for sedation and anesthesia in GI endoscopy. Gastrointestinal Endoscopy Volume 87, Issue 2, February 2018, Pages 327–337.Анестезиология национальное руководство. Под ред. А. Г. Яворовского, Ю.С. Полушина. М.: ГЭОТАР-Медиа, 2023. 808 с. Anesthesiology national guide. Ed. A.G. Yavorovsky, Yu. S. Polushin. M.: GEOTAR-Media, 2023. 808 p.Анестезиология национальное руководство. Под ред. А. Г. Яворовского, Ю.С. Полушина. М.: ГЭОТАР-Медиа, 2023. 808 с. Anesthesiology national guide. Ed. A.G. Yavorovsky, Yu. S. Polushin. M.: GEOTAR-Media, 2023. 808 p.Reena Sidhu, David Turnbull, Mary Newton et al. Deep sedation and anesthesia in complex gastrointestinal endoscopy: a joint position statement endorsed by the British Society of Gastroenterology (BSG), Joint Advisory Group (JAG) and Royal College of Anaesthetists (RCoA)//Frontline Gastroenterology. 2019 Apr; 10 (2). 141–147.Reena Sidhu, David Turnbull, Mary Newton et al. Deep sedation and anesthesia in complex gastrointestinal endoscopy: a joint position statement endorsed by the British Society of Gastroenterology (BSG), Joint Advisory Group (JAG) and Royal College of Anaesthetists (RCoA)//Frontline Gastroenterology. 2019 Apr; 10 (2). 141–147.Gustavo Andrea de Paulo, Fernanda P.B. Martins, Erika P. Mactdo, et al. Sedation in gastrointestinal endoscopy: A prospective study comparing non-anesthesiologist-administered propofol and monitored anesthesia care. Endosc Int. Open. 2015 Feb; 3(1) 7–13.Gustavo Andrea de Paulo, Fernanda P.B. Martins, Erika P. Mactdo, et al. Sedation in gastrointestinal endoscopy: A prospective study comparing non-anesthesiologist-administered propofol and monitored anesthesia care. Endosc Int. Open. 2015 Feb; 3(1) 7–13.Jun-Liang Teh, Asim Shabbir, Soon Yuen, Jimmy Bok-Yan So. Recent advances in diagnostic upper endoscopy. World J Gastroenterology 2020 Jan 28; 26 (4): 433–447.Jun-Liang Teh, Asim Shabbir, Soon Yuen, Jimmy Bok-Yan So. Recent advances in diagnostic upper endoscopy. World J Gastroenterology 2020 Jan 28; 26 (4): 433–447.Daniela Godoroja-Diarto, Alina Constantin, Cosmin Moldovan, et al., Efficacy and Safety of Deep Sedation and Anaesthesia for Complex Endoscopic Procedures. A Narrative Review. Diagnostic’s (Basel). 2022 Jul; 12(7): 1523.Daniela Godoroja-Diarto, Alina Constantin, Cosmin Moldovan, et al., Efficacy and Safety of Deep Sedation and Anaesthesia for Complex Endoscopic Procedures. A Narrative Review. Diagnostic’s (Basel). 2022 Jul; 12(7): 1523.Kate Leslie, James Sgroi Sedation for gastrointestinal endoscopy in Australia: What is the same and what is different. Curr Opin Anaesthesiol. 2018 Aug; 31 (4): 481–485.Kate Leslie, James Sgroi Sedation for gastrointestinal endoscopy in Australia: What is the same and what is different. Curr Opin Anaesthesiol. 2018 Aug; 31 (4): 481–485.D. Stogiannou, Adonis Protopapas, Andreas Protopapas, K. Tziomalos. Is propofol the optimal sedative in gastrointestinal endoscopy? Acta Gastroenterology Belg. 2018 Oct-Dec; 81 (4): 520–524.D. Stogiannou, Adonis Protopapas, Andreas Protopapas, K. Tziomalos. Is propofol the optimal sedative in gastrointestinal endoscopy? Acta Gastroenterology Belg. 2018 Oct-Dec; 81 (4): 520–524.Joseph J Vicari. Sedation in the Ambulatory Endoscopy Center: Optimizing Safety, Expectations and Throughput. Review Gastrointestinal Endosc Clin N Am. 2016 Jul; 26 (3): 539–52.Joseph J Vicari. Sedation in the Ambulatory Endoscopy Center: Optimizing Safety, Expectations and Throughput. Review Gastrointestinal Endosc Clin N Am. 2016 Jul; 26 (3): 539–52.Basavana Goudra, Preet Mohinder Singh, Gary R. Lichtenstein Medical, Political and Economic Consideration for the Use of MAC for Endoscopic Sedation: Big Price, Little Justification? Dig Dis Sci. 2020; 65 (9) 2466–2472.Basavana Goudra, Preet Mohinder Singh, Gary R. Lichtenstein Medical, Political and Economic Consideration for the Use of MAC for Endoscopic Sedation: Big Price, Little Justification? Dig Dis Sci. 2020; 65 (9) 2466–2472.Basavana Goudra, Preet Mohinder Singh Oliceridine and its potential to revolutionize GI endoscopy sedation. Saudi J Anaesth. 2020 JulSep; 14 (3): 349–354.Basavana Goudra, Preet Mohinder Singh Oliceridine and its potential to revolutionize GI endoscopy sedation. Saudi J Anaesth. 2020 JulSep; 14 (3): 349–354.Susan J Keam Remimazolam: First Approval. Drugs. 2020 Apr; 80 (6): 625–633.Susan J Keam Remimazolam: First Approval. Drugs. 2020 Apr; 80 (6): 625–633.Lin Shen, Adam Wright, Linda S Lee, et al. Clinical decision support system, using expert consensus-derived logic end natural language processing, decreased sedation-the order errors for patients undergoing endoscopy. J Am Med Inform Assoc. 2021 Jan; 28 (1): 95–103.Lin Shen, Adam Wright, Linda S Lee, et al. Clinical decision support system, using expert consensus-derived logic end natural language processing, decreased sedation-the order errors for patients undergoing endoscopy. J Am Med Inform Assoc. 2021 Jan; 28 (1): 95–103.Yu-Xin Zhang, Xing-Xiang He, Yu-Ping Chen & Shuai Yang. The effectiveness of high-flow nasal cannula during sedated digestive endoscopy: A systematic review and meta-analysis. European Journal of Medical Research volume 27, Article number: 30 (2022).Yu-Xin Zhang, Xing-Xiang He, Yu-Ping Chen & Shuai Yang. The effectiveness of high-flow nasal cannula during sedated digestive endoscopy: A systematic review and meta-analysis. European Journal of Medical Research volume 27, Article number: 30 (2022).Monica Passi, Farial Rahman, Sandeep Gurram, et al., Identifying who best tolerates moderate sedation: Results from a national database of gastrointestinal endoscopic outcomes. World J Gastrointestinal Endosc. 2021 Apr 16; 13 (4): 97–110.Monica Passi, Farial Rahman, Sandeep Gurram, et al., Identifying who best tolerates moderate sedation: Results from a national database of gastrointestinal endoscopic outcomes. World J Gastrointestinal Endosc. 2021 Apr 16; 13 (4): 97–110.Fahima Dossa, Olivia Megetto, Mafo Yakubu, et al. Sedation practices for routine gastrointestinal endoscopy: a systematic review of recommendations. BMC Gastroenterol. 2021; 21: 22.Fahima Dossa, Olivia Megetto, Mafo Yakubu, et al. Sedation practices for routine gastrointestinal endoscopy: a systematic review of recommendations. BMC Gastroenterol. 2021; 21: 22.

The authors declare that there are no conflicts of interest present.