The Department of Emergency Medicine, Anesthesiology and Intensive Therapy of Kharkiv National Medical University was founded in 1974. The main activities of the department include: educational, scientific, methodological, medical-diagnostic and consulting work.
The department trains students in the following disciplines:
- EP “Medicine” second (master’s level) – for students of the 5th year studying “Anesthesiology and Intensive therapy”, “Anesthesiology and Intensive Care with childhood peculiarities”, “Emergency medical care”;
- EP “Nursing” first (bachelor’s) level – for students majoring in “Nursing” 1st year full-time and part-time education “Anesthesiology and Intensive Therapy “, “Irreversible conditions”; the second (master’s) level – for students majoring in “Nursing” 2nd year full-time and part-time education “Acute conditions and intensive care”;
- EP “Physical Therapy” first (bachelor’s) level – for students majoring in “Physical Therapy, Occupational Therapy” 3rd year studying “Pre-medical care”; the second (master’s) level – for students majoring in “Physical Therapy, Occupational Therapy” 2nd year of studying “Emergencies in the professional field”;
- Internship in “Anesthesiology and Intensive therapy”, “Emergency Medicine”;
- ESP “Medicine” third (educational and scientific) level – for applicants for higher education full-time and part-time degree of Doctor of Philosophy;
- Postgraduate education within the program of continuous professional development in the specialty “Emergency Medicine, Anesthesiology and Intensive Therapy”, in the field of “Simulation in Medical Education”.
The scientific direction of the department includes the development and implementation of modern aspects of diagnosis, treatment and prevention of complications in patients in the perioperative period. This patients are includ the elderly and senile patients, patients with obese, with multiple and combined trauma, combat trauma, and also the patients with comorbid conditions, infectious and mental disorders, as well as patients undergoing ERAS protocol determining the risks of postoperative cognitive dysfunction, multiorgan failure, long-term consequences of prolonged stay in the intensive care unit, including coronavirus disease COVID-19.
The department participates in international research to study the effectiveness and safety of drugs.
The clinical bases of the department are Hospital of Urgen and Emergency aid prof. O.I. Meshchaninov KhMR, KNP “OTSO” CHOIR, KNP “OKL” CHOIR, KNP “OKIL” CHOIR, SI “IMRO named after S.P. Grigoriev NAMSU”, State Institution “V.T. Zaitsev Institute of Medical Sciences” NAMSU, Kharkiv Military Medical Clinical Center of the Northern Region, “University Clinic” KhNMU.
The department staff conduct consultative work in the field of anesthesia and intensive therapy at all clinical bases, take an active part in the clinics, pathological conferences and works of the Association of Ukrainian Anesthesia.
Scientific and educational activities are closely related to methodological work – preparation and publication of monographs, textbooks, guidelines for emergency medicine, anesthesiology and intensive care, medical simulation.
- History of the department
- Educational process
- Scientific work
- Medical work
- International Activity
- Postgraduate education
The development of teaching anesthesiology and resuscitation at KhNMU as a discipline is closely linked with the history of the Department of Faculty Surgery, in the where the Department of Emergency Medicine, Anesthesiology and Intensive Therapy was born and was formed. This was significantly facilitated by professors T.V. Vanzetti, V.M. Shamov, О.Z. Ceitlin, O.O. Shalimov, I.S. Zorov, І.G. Mitasov, M.I. Obolentsev, M.F. Shevchenko.
It is known that T.L. Vanzetti was one of the first in Ukraine to use ether anesthesia for general anesthesia in Kharkiv on February 12-14, 1847.
At the initiative of the Department of Faculty Surgery and on the recommendation of Academician V.M. Shamov a group of anesthesiologists (M.I. Obolentsev, I.P. Pluzhnik, F.S. Tkach and 2 anesthesia nurses) was established at the surgical departments of the Kharkiv Regional Clinical Hospital (KRCH) in 1954. At the same time, KRCH acquired anesthesia devices such as the «Chervonogvardiec», which allowed anesthesiologists to use endotracheal anesthesia. For the first time in Kharkiv, surgeon M.I. Obolentsev used endotracheal anesthesia using muscle relaxants (diplacin).
In 1957, the anesthesiology group of the department was transformed into the anesthesiology and resuscitation department of KRCH.
In 1959, the Department of Faculty Surgery of the KhMI received permission from the KhMI Rectorate to organize optional lectures on anesthesiology and resuscitation for 6th year students of the Medical Faculty.
In 1963, on the basis of the Department of Faculty Surgery and Anesthesiology and Resuscitation Department of KRCH, an associate professor’s course in anesthesiology and resuscitation, headed by Associate Professor M.I. Obolentsev was established.
In June 1974, on the basis of an associate professor’s course in anesthesiology, the Department of Anesthesiology and Intensive Care of the KhMI, which was headed by Associate Professor V.V. Zverev (1974-1977) was organized.
In 1977, Doctor of Medical Sciences, Professor M.I. Obolentsev was elected the head of the department. Taken into considaration the close connection of emergency medicine with intensive care, anesthesiology and resuscitation, in October 1997 the KSMU Rector decided to expand the department and change its name to the Department of Emergency Medicine and Anesthesiology, which was headed by Doctor of Medical Sciences I.A. Grigorova.
Since September 1999, the head of the Department of Emergency Medicine, Anesthesiology and Intensive Care of KhNMU was Doctor of Medical Sciences, Professor A.A .Khizhniak.
Since September 2016, the head of the Department of Emergency Medicine, Anesthesiology and Intensive Care of KhNMU is Doctor of Medical Sciences, Professor Yu.V. Volkova.
Educational and pedagogical work is carried out at 8 clinical bases of the department and in the Simulation Center of the Scientific and Educational institute of quality of education of KhNMU and include the preparation of 5th year students for EP “Medicine”, 1st and 2nd courses of full-time and part-time education for EP “Nursing”, 2 and 3 courses for EP “Physical Therapy”, students of education 4 and 5 courses for EP “Medicine”, who study the elective course “Simulation in Medical Education”, interns, applicants for higher education full-time and part-time degree of Doctor of Philosophy for ESP “Medicine” specialization “Anesthesiology and Intensive Therapy”. Within the program of Continuos Profecional Development Courses of thematic improvement “Toxic lesions in emergency medicine”, “Intensive care in neurology and neurosurgery”, “Basic resuscitation measures”, “Brain Death”, “School of Simulation Training”. Primary specialization in “Emergency Medicine” “Anesthesiology and Intensive Care” are carried out at the department.
Training is conducted according to the European credit transfer system. 80% of the teaching staff of the department have a second higher education in the specialty “Higher School Pedagogy”. Disciplines are taught in the state and English languages. The department has created about 300 guidelines, 2 textbooks, 8 monographs. Situational tasks for KROK-2, KROK-3 are constantly created and updated for testing, a number of curricula have being updated as well.
Since 2021, training of various groups of the population according to certified courses of the European Council of Resuscitation, training of scientific and pedagogical workers of simulation methodology in medicine, training on vaccination to prevent the spread of coronavirus COVID-19 are carried out.
During the last decade, the main areas of research are the study of:
-intensive care of multiple organ dysfunction in patients with sepsis,
-prevention of stress-induced organ damage,
-choice of analgesia and intensive care in patients with systemic inflammatory response,
-anesthesia and anesthesia, increased body mass index, in patients with damage to the oxygen transport system,
-the study of diagnosis, treatment and prevention of postoperative cognitive dysfunction, management of patients on the program of accelerated recovery ERAS.
Since 2012, the department has been participating in several international programs to study the impact of drugs on the course of disease in patients of intensive care units.
Since 2016, the training of doctors of philosophy for EP 222 “Medicine” has been introduced.
In recent years, the department has defended 6 doctoral dissertations and 28 PhD theses; 22 patents of Ukraine for inventions, utility models were received, 6 grants were received for participation in international scientific events. According to the results of research work, 8 monographs and 2 textbooks were published. Applicants for higher education of the degree of Candidate of Sciences, Doctor of Philosophy and Doctor of Medical Sciences are being trained.
The staff of the department actively cooperates with research institutions in Ukraine abroad and for a long time.
Therapeutic work is carried out at 8 clinical bases in the departments of anesthesiology and intensive care, in particular «City Clinical Hospital of Urgent and Emergency aid», KNP “OTSO” CHOIR, KNP “OKL” CHOIR, KNP “OKIL” CHOIR, Institute of Medical Radiology named after S.P. Grigorieva National Academy of Medical Sciences of Ukraine, Institute of General and Emergency Surgery named after V.N. Zaitsev, Kharkiv Military Medical Clinical Center of the Northern Region, “University Clinic” KhNMU.
Each of the clinical bases has a curator and a department team who work together they provide medical and advisory care to patients in intensive care units of various profiles, provide anesthesia during planned and urgent surgical interventions, solve clinical and diagnostic problems in a “severe clinical cases”. They are on duty several times a month, and have CES (Qualified Electronic Signature).
The head of the department, Professor Yulia Volkova, is the deputy head of a separate subdivision of the Association of Anesthesiologists of Ukraine. Every month during the specialist’s day the most controversial issues and the most interesting clinical cases are submitted for discussion with further resolution and its implementation in medical institutions of Kharkiv and Kharkiv region.
The staff of the department actively promotes the development of transplantology in Ukraine. Professor Yulia Volkova is an active transplant coordinator, Professor Svitlana Dubivska and Associate Professor, Maryna Dolzhenko work in a mobile team for the diagnosis and statement of human brain death.
All employees of the department take an active part in improving the professional skills of medical staff within the CPD by holding joint conferences, seminars, consultations, workshops, including the use of stimulation technologies in medicine.
The most popular master classes are “FAST (Focused Assessment with Sonography for Trauma) – ultrasound examination protocol in emergency practice”, “BLUE (Bedside Lung Ultrasound in Emergency) – ultrasound examination protocol in emergency practice”, “Complex airways”, which are held for students in the Simulation Center of the National Research Institute of KhNMU.
The staff of the department take an active part in international cooperation with foreign countries, including Cukurova University (Adana, Turkey), LMU Klinikum, Campus Großhadern (Munich, Germany), Center of Integrative Pain Medicine, Franziskus-Krankenhaus (Berlin, Germany).
Representatives of the teaching staff of the department paticipate in the Ukrainian-Swiss project “Development of Medical Education” and are the members of the following international organizations and academies: ESRA Academy, EAMA (European Academy for Medicine of Aging), AME (Academy of Medical Education), (AGHE) Academy for Gerontology in Higher Education, NEW OMA (Obesity Medicine Academy) Academy, European Society of Anaesthesiology and Intensive Care (ESAIC), ISTH (International Society of Thrombosis and Haemostasis, (ASA) American Society of Anesthesiologists, Open Medical Institute, American Austrian Foundation.
Professors Yulia Volkova and Kostiantyn Mykhnevych give lecturers of the Committee on European Education in Anesthesiology (CEEA).
In recent years, the staff of the Department of Emergency Medicine, Anesthesiology and Intensive Care has participated in more than 100 foreign forums, including oral and poster presentations, 11 members of the department have undergone internships abroad.
The department trains interns in the specialties “Emergency Medicine”, “Anesthesiology and Intensive Care” and other related specialties (“General Practice-Family Medicine”, “Surgery”, “Urology”, “Traumatology” of Conditions) and others).
To improve the skills of doctors within the CPD, the department conducts thematic improvement courses “Toxic lesions in emergency medicine”, “Intensive care in neurology and neurosurgery”, “Basic resuscitation measures. Brain Death “, primary specialization in” Emergency Medicine “, in” Anesthesiology and Intensive Care”, “School of Simulation Training”, certified ERS course “BLS”. According to the Order of the Ministry of Health of Ukraine dated 22.02.2019 №446 “Some issues of continuous professional development of doctors”, advanced training of the thematic improvement including mixed (full-time and distance) education are provided at the department. As the result the applicantsis get a certificate with the appropriate number of points, depending on the duration of the course.
Head of the Students Scietific Society: Candidate of Medical Sciences, Associate Professor Dolzhenko M.O.
SSS members: students of 4-6 courses, the members of the society are changed annually.
Format: SSS meetings are traditionally held once a month at the clinical base of the department, located at Emergency hospital on the second Saturday. During the pandemic COVID-19 month meeting are condacted in the remote format Zoom.
The results of the work are presented at student scientific conferences. The best SSS members are selected to participate in the Olympiad in infusion therapy and the competition of EM teams.