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Journal Biomedical Radioelectronics №2 for 2026 г.
Article in number:
Are all the possibilities of continuous instrumental monitoring of the state of hemodynamics during cardiac surgery exhausted?
Type of article: scientific article
DOI: https://doi.org/10.18127/j15604136-202602-05
UDC: 616.1: 089.8
Authors:

D.Sh. Gazizova1, S.N. Makoveev2, L.V. Sazykina3, G.V. Shevchenko4

1, 3 National Medical Research Center for Cardiovascular Surgery (NMSCLC) n.a. A.N. Bakulev of the Ministry of Health of the Russian Federation (Moscow, Russia)
2 Tambov Regional State Budgetary Institution "Computer Center" (Tambov, Russia)
4 AK Digital (Moscow, Russia)
1dgazizova@yandex.ru, 2portal68edu@mail.ru, 3sazykinalida@yandex.ru, 4gregx67@gmail.com

Abstract:

The surgical treatment protocols recommended by professional communities today do not include indicators of the duration of the stages of the operation and inter-stage intervals. However, they are very necessary to improve personnel coordination and reduce the number of errors, thereby increasing the safety and effectiveness of surgical treatment.

Purpose – compare the duration of operations, surgical stages and inter-stage intervals performed by the same surgeon (and different ones) during homogeneous and different operations to determine possible standards and estimates of time losses for preparatory stages (inter-stage intervals).

The duration of cardiac surgery stages was monitored during monitoring and computer observation of 3832 patients. It was established that the indicators of the average duration of the stages can be used as guidelines when drawing up protocols of operations, provided that the operation was successful and the perioperative period passed without complications. It is noted that protocols for the treatment of diseases of the cardiovascular system, both surgical and teratopoietic, should take into account the time spent on the stages and procedures of treatment, including the loss of time between stages.

The results of the studies can be used to improve the assessment of quality and prognostic capabilities both for individual stages and for operations in general.

Pages: 47-60
For citation

Gazizova D.Sh., Makoveev S.N., Sazykina L.V., Shevchenko G.V. Are all the possibilities of continuous instrumental monitoring of the state of hemodynamics during cardiac surgery exhausted? Biomedicine Radioengineering. 2026. V. 29. № 2. P. 47–60. DOI: https:// doi.org/10.18127/ j15604136-202602-05 (In Russian)

References
  1. ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. 2021. European Heart Journal. 42: 3599-3726. https://doi: 10.1093/eurheartj/ehab368.
  2. Lishchuk V.A., Gazizova D.Sh., Sazykina L.V., Shevchenko G.V. Mnogoletnie oshibki lecheniya kriticheskoj serdechnoj nedostatochnosti i aktual'nye mery po ih preduprezhdeniyu. M.: Kim L.A. 2017. 188 s. (In Russian).
  3. Costa Jr. A.D.S. Assessment of operative times of multiple surgical specialties in a public university hospital. Einstein (São Paulo). 2017. V. 15(2). P. 200–205. https://doi:10.1590/S1679-45082017GS3902.
  4. Hancock H.C., Maier R.H., Kasim A., Mason J., Murphy G., Goodwin A, Owens W. A., Akowuah E. Mini-sternotomy versus conventional sternotomy for aortic valve replacement: a randomized controlled trial. 2021. BMJ Open.11. P. e041398. https://doi:10.1136/bmjopen-2020-041398.
  5. Osipova O. A., Shevcov R.Yu., Plaksina K. G., Mezencev Yu.A. Vliyanie prodolzhitel'nosti operacii koronarnogo shuntirovaniya na formirovanie posleoperacionnoj kognitivnoj disfunkcii u pacientov pozhilogo vozrasta. Sovremennye problemy zdravoohraneniya i medicinskoj statistiki. 2023. № 1. S. 252–264. https://doi:10.24412/2312-2935-2023-1-252-264 (In Russian).
  6. Vladu A., Ghitea T.C., Daina L.G., Tîrt D.P.; Daina M.D. Enhancing Operating Room Efficiency: The Impact of Computational Algorithms on Surgical Scheduling and Team Dynamics. Healthcare. 2024. V. 12. P. 1906. https://doi: 10.3390/healthcare12191906.
  7. Kelly P.D., Fanning J.B., Drolet B. Operating room time as a limited resource: ethical considerations for allocation. Journal of Medical Ethics. 2020. V. 48(2). P. medethics-2020-106519. DOI: 10.1136/medethics-2020-106519.
  8. Abbou B., Tal O., Frenkel G., Rubin R., Rappoport N. Optimizing Operation Room Utilization. A Prediction Model. Big Data and Cognitive Computing. 2022. V. 6. P. 76. https://doi.org/10.3390/ bdcc6030076.
  9. Aljaffary A., AlAnsari F., Alatassi A., AlSuhaibani M., Alomran A. Assessing the Precision of Surgery Duration Estimation: A Retrospective Study. Journal of Multidisciplinary Healthcare. 2023. V. 16. P. 1565–1576. https://doi:10.2147/JMDH.S403756.
  10. Ilcheva L., Risteski P., Tudorache I., Häussler A., Papadopoulos N., Odavic D., Rodriguez Cetina Biefer H., Dzemali O. Beyond Conventional Operations: Embracing the Era of Contemporary Minimally Invasive Cardiac Surgery. Journal of Clinical Medicine. 2023. V. 12. P. 7210. https://doi.org/10.3390/jcm12237210.
  11. Riahil V., Hassanzadeh H., Khanna S., Boyle J., Syed F., Biki B., Borkwood E., Sweeney L. Improving preoperative prediction of surgery duration. BMC Health Services Research. 2023. V. 23. P. 1343. https://doi.org/10.1186/s12913-023-10264-6.
  12. Gazizova D.Sh., Makoveev S.N., Sazykina L.V., Shevchenko G.V. Monitornyj kontrol' etapov operacii na serdce. HKHXI Vserossijskij s"ezd serdechno-sosudistyh hirurgov, 16–19 noyabrya 2025 g. Moskva. Byulleten' NCSSKH im. A.N. Bakuleva RAMN. Serdechno-sosudistye zabolevaniya. 2025. № 26(6). S. 186 (In Russian).
  13. Oliveira M., Bélanger V., Santos D. A systematic literature review on the utilization of extended operating room hours to reduce surgical backlogs. Front Public Health. 2023. V. 11. P. 1118072. https://doi: 10.3389/fpubh.2023.1118072.
  14. Lishchuk V.A., Gazizova D.Sh. (red.). Tekhnologiya individual'noj terapii. M: OOO «PrintPro». 2016. 249 s. (In Russian)
  15. Gazizova D.Sh., Sazykina L.V., Makoveev S.N., Kofranek I., Leonov B.I. Primenenie cifrovyh tekhnologij dlya personificirovannyh rekomendacij po lecheniyu serdechnoj nedostatochnosti// Biomedicinskaya radioelektronika. 2019. №7. S. 75-86. https://doi:10.18127/j15604136-201907-06 (In Russian).
  16. Chernega V.S., Eremenko A.N. Metody modelirovaniya i prognozirovaniya dlitel'nosti hirurgicheskih operacij. Vrach i informacionnye tekhnologii. 2020. № 1. S. 63–74. https://doi: 10/37690/1811-0193-2020-1-63-74 (In Russian).
  17. Babayoff O., Shehory O., Shahoha M., Sasportas R., Weiss-Meilik A. Surgery duration: Optimized prediction and causality analysis. PLoS ONE. 2022. V. 17(8). P. e0273831. https://doi.org/10.1371/journal.pone.0273831.
  18. Stupakov I.N., Gazizova D.Sh., Lishchuk V.A., Sazykina L.V., Dobryshina N.V. Tekhnologicheskie osnovy organizacii lechebnogo processa. V kn.: Fizika i radioelektronika v medicine i ekologii: Trudy 11-j Mezhdunar. nauch.-tekhn. konf. s elem. nauchn. molod. shkoly. Vladimir. 2014. Kn.1. S. 45–9 (In Russian).
  19. Zaubitzer L., Affolter A., Büttner S., Ludwig S., Rotter N., Scherl C., Wihl S., Weiß C., Lammert A. Zeitmanagement im OP – eine Querschnittstudie zur Bewertung der subjektiven und objektiven Dauer chirurgischer Prozeduren im HNO-Bereich. HNO. 2022. 70: 436–444. https://doi.org/10.1007/s00106-021-01119-9.
  20. Gazizova D.Sh., Makoveev S.N., Sazykina L.V. Cifrovaya tekhnologiya dlya ocenki kachestva lecheniya bol'nyh s ostroj serdechnoj nedostatochnost'yu. Materialy Pyatogo Vserossijskogo nauchno-obrazovatel'nogo foruma s mezhdunarodnym uchastiem: Kardiologiya XXI veka: al'yansy i potencial. Tomsk 24–26 aprelya 2024. S. 89 (In Russian).
  21. Merbah J., Caré B.R., Gorce P., Gadea F., Prince F. A New Approach to Quantifying Muscular Fatigue Using Wearable EMG Sensors during Surgery: An Ergonomic Case Study. Sensors. 2023. V. 23(3). P. 1686. https://doi: 10.3390/s23031686.
Date of receipt: 20.08.2025
Approved after review: 02.09.2025
Accepted for publication: 16.02.2026