Doctors from Odesa Oblast Children’s Clinical Hospital cardio surgeon Sergey Varbanets and anesthesiologist Mykhaylo Levitsky have undergone a training at the Schnaider Children’s Medical Center, Israel, from February 15 till March 7, 2008. This event happened in pursuing the Memorandum on Cooperation between the Odesa Oblast Children’s Clinical Hospital and Schnaider Children’s Medical Center as part of the Hospital to Hospital program.
During their stay at the Schneider Center the Ukrainian professionals had a chance to adopt the best world experience. Here is what the doctors told about their trip:
“It’s hard to describe all the experience and knowledge we have obtained during our stay at the Shneider Center:
First class surgical interventions: Norwood and I Switch type surgeries (complete transplantation and reconstruction of great vessels) are performed on a daily basis, involving state-of-the-art equipment;
Using homografts (big aortal segments containing a valve), which makes possible most complicated and important aprts of great vessels replacement and increases the quality of anastomosis;
The one-day surgery department: over 80% of all planned surgeries is performed in this mode, which removes the need for a patient to stay overnight and, consequently, for duty nursing personnel; in general the term of a child’s stay at the hospital is three times shorter than at Ukrainian hospitals;
The post-surgical supervision deserves a special mention (detailed monitoring, the perciseness of lab data, individual approach to every patient);
We were surprised to see that antibiotics are used in the post-surgical period for one day as opposed to ten in our practice;
Organization and principles of work of the acute pain and chronical pain departments (long-term observation and treatment of the pain syndrome in patients with cancer and systemic diseases);
The methods of blocking peripheral nerves with neurostimulators and ultrasonic, which increases the efficiency of the conduction analgesia and, consequently, cut down expenses for anesthesia and post-surgical analgesia;
The peculiarities of anesthesiolgical supervision during endoscopic and endovascular interventions (endovascular valve replacement, removing cardial septum defects, endoscopic inteventions into the abdominal cavity and urogenital system);
The peculiarities in performing inhalational anesthesia with minimal gas flow, which reduces the costs of the manipulation.
The moral spirit at the Schneider Center differs from what we are used to. The time a child spends apart from the family is reduced to the minimum. At the reception ward the patients are shown a video, where the Center’s staff gives medical ssistance to cartoon birds and animals. The walls in the wards, halls, and even ICUs are decorated with bright pictures and toys. The staff members wear bright-colored PGs with bird, animal, and floral patterns (which prevents the so-called white coat symdrome). There is a clown on the staff who entertains children. Everything is aimed at preventin negative feelings in children.”
Recall that the Memorandum on Cooperation between the Odesa Oblast Children’s Clinical Hospital and Schnaider Children’s Medical Center was signed November 15, 2007. The document was signed, from the Israeli part, by the Center’s Director Marc Mimouni and Head of the Board of Directors of the Dunkner Group Holding, Guiles Dunkner, and on the Ukrainian part – by Head of the Medical Programs Department of the Ukraine 3000 Fund Vira Pavliuk and Head Physician of the the Odesa Oblast Children’s Clinical Hospital Oleksandr Liman.
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