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Medical Journal Erebouni

Department of Intensive Care

General characteristics

Department of Intensive Care of Medical Center Erebouni is a leader in Armenia providing expanded scope of highly qualified intensive therapy. This is the department of general profile resuscitation, where patients in critical condition regardless of their diagnosis can receive appropriate treatment. Annually more than 3000 patients enter in to the Deaprtment, from which around 25% are the patients that transffered from other hospitals. We have also the the bigest amount of high qualified and specialized employee more than 90 high qualified specialists, including 14 doctors and 54 nurses.

 


Erebouni Medical Center. Department of Intensive Care The department had been equipped with high-tech medical equipment to monitor and maintain the vital functions of patients in severe critical condition ventilators; heart monitors multipurpose, modern devices for monitoring intracranial pressure, cerebral circulation, ultrasound machines and X-ray diagnostics, dialysis machine, etc. It has also own express laboratory that performs all tests required for rapid adoption of effective clinical decisions to save the patient's life.


The Department is the pioneer in implementing of the multiple clinical and organizational protocols of diagnostics and therapy for the doctors and for nurses as well. The examples of this sort of extremely important approaches, determining final results of the treatment are the followings:


Examples of such extremely important approach, that determine the final results of the treatment are:

 

  • Protocol of the disconnection of the patients from the artificial ventilation and transfer for independent breathing;
  • Assessment of the severity of the patient's condition and degree of consciousness,
  • Evaluation of sedation degree and sensation of pain,
  • Instructions for early enteral nutrition and inotropic support,
  • Protocol of prevention of nosocomial pneumonia,
  • Empiric antibacterial therapy of out-hospital pneumonia;
  • Protocol for the information transfer for the paramedic personnel

 

Equipping

В отделении имеются:

 

  • 8 аппаратов ИВЛ “Draeger Savina”
  • 26 многофункциональных кардиомониторов
  • 14 перфузоматов
  • Многофункционалньый монитор “Massimo Radical 7”
  • Аппарат сонографии
  • Аппарат транскраниальной доплерографии
  • Аппарат для инвазивного кнотроля внутричерепного давления “Codman”
  • Мобильная рентген установка
  • Диализный аппарат
  • Централизованная подача медицинских газов
  • Централизованная вакуумная система

 

Erebouni Medical Center. Department of Intensive Care

Main activities

The department provides the treatment of patients in critical states regardless etiology. The priority activity of the clinic are:

 

  • Obstetric sepsis, obstetric and gynecological bleeding complications;
  • Neurotrauma,
  • Acute cerebrovascular accident,
  • Post-hypoxemic brain damage,
  • Sepsis and poly-organ failure,
  • Nosocomial or severe out – hospital pneumonia;
  • Central nervous system infections,
  • Severe peritonitis and condition after relaparotomies.


Moreover, at the period of respiratory infection epidemics or in occurrence of new infections threats precisely here hospitalized the overwhelming majority of serious cases that need the polyvalent intensive therapy.

Innovative techniques implemented on the basis of the intensive care unit


Percutaneous dilatation tracheostomy
It was on the basis of our department that for the first time in the country the routine percutaneous tracheostomy was performed by a specialist in resuscitation and did not required the transfer of the patient to the operating room. About 4-5 of  such intervention per month are performed at the department. This significantly reduces the duration of respiratory support, incidence and severity of nosocomial infection.

Transcranial Doppler (TCD)
Despite to the long history of the method of Transcranial Doppler, just the ICU of Erebouni Medical Center has become a pioneer for routine monitoring transcranial hemodynamics. In order to correct the treatment of the patients with stroke or head injury the measurement and analyzes of TCD data are performed at the department by Dr. Mangoyan.

The protocol of antibiotic therapy
The ICU Department of MC Erebouni is the expert in the field of antibiotic therapy and provides training and consultation of specialists not only from various departments of EMC but from other hospitals either. The widespread theoretical and practical knowledge is the hallmark of ICU department. These traditions had been established by its founder honored doctor of the Republic of Armenia, Professor GG Mkhoyan

Erebouni Medical Center. Department of Intensive Care

 

Staff
Anatoliy Gnuni MD Anatoliy Gnuni MD Write a letter Head of the anesthesiology and intensive care therapy department anesthesiologist - reanimatologis
Haroutyun Mangoyan MD, Ph.D. Haroutyun Mangoyan MD, Ph.D. Write a letter Director of Emergency Medical Care and Ambulance Service Resuscitation specialist
Armen Muradyan MD Armen Muradyan MD Write a letter resuscitation specialist
Asatur Khachibabyan Write a letter cardiologist
Emil Yuzbashyan Write a letter cardio reanimatologist
Pargev Sarafyan Write a letter cardio reanimatologist
Education

The Department is the basis for the chair of postgraduate and continuous medical education in specialty of anesthesiology and resuscitation science of Yerevan State Medical University after M.Heratsi, where pass their training most of clinical residents in anesthesiology and resuscitation science specialty, and also the doctors from various clinics of regions of Armenia.

Chair of Postgraduate and continuous medical education in anestheology and resuscitation science of Yerevan State Medical University

Assistent Professor - Mangoyan Harutyun

Research projects
Publications
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