{"id":18364,"date":"2026-03-23T11:36:08","date_gmt":"2026-03-23T09:36:08","guid":{"rendered":"https:\/\/jurmed.ro\/medici\/?p=18364"},"modified":"2026-03-23T12:44:41","modified_gmt":"2026-03-23T10:44:41","slug":"provocarile-si-performanta-sectiei-orl-pediatrica-gestionarea-urgentelor-si-dezvoltarea-competentelor-clinice","status":"publish","type":"post","link":"https:\/\/jurmed.ro\/medici\/provocarile-si-performanta-sectiei-orl-pediatrica-gestionarea-urgentelor-si-dezvoltarea-competentelor-clinice\/","title":{"rendered":"Provoc\u0103rile \u0219i performan\u021ba sec\u021biei ORL pediatric\u0103: gestionarea urgen\u021belor \u0219i dezvoltarea competentelor clinice"},"content":{"rendered":"

Dr. Rizescu Manuela, \u015eef Sec\u0163ie ORL Spitalului Clinic de Urgen\u021b\u0103 pentru Copii ” Marie S. Curie\u201d<\/strong><\/p>\n

\u00centr-un sistem medical aflat \u00eentr-un permanent proces de adaptare la nevoile tot mai complexe ale pacien\u021bilor pediatrici, performan\u021ba clinic\u0103 devine un indicator esen\u021bial al calit\u0103\u021bii actului medical. Sec\u021bia ORL a Spitalul Clinic de Urgen\u021b\u0103 pentru Copii \u201eMarie Curie\u201d reprezint\u0103 un reper \u00een gestionarea patologiei ORL pediatrice, at\u00e2t prin volumul de cazuri, c\u00e2t \u0219i prin complexitatea interven\u021biilor realizate. Sub coordonarea doamnei Manuela Rizescu, medic primar ORL, activitatea sec\u021biei integreaz\u0103 rigoarea protocoalelor moderne, abordarea multidisciplinar\u0103 \u0219i implementarea tehnicilor chirurgicale minim invazive.<\/em><\/p>\n

\u00cen acest interviu, discut\u0103m despre indicatorii de performan\u021b\u0103 clinic\u0103, managementul cazurilor complexe, strategiile de optimizare a actului medical \u0219i direc\u021biile de dezvoltare ale unei sec\u021bii care func\u021bioneaz\u0103 \u00eentr-un spital pediatric de urgen\u021b\u0103 cu adresabilitate na\u021bional\u0103.<\/em><\/p>\n

Care sunt cele mai mari provoc\u0103ri \u00een coordonarea unei echipe ORL \u00eentr-un spital pediatric de urgen\u021b\u0103?<\/strong><\/p>\n

Cele mai mari provoc\u0103ri sunt adresabilitatea \u0219i complexitatea cazurilor. Avem o echip\u0103 format\u0103 din \u0219apte ORL-i\u0219ti \u0219i doi audiologi care trebuie s\u0103 se \u00eempart\u0103 \u00eentre UPU, ambulator, clinic\u0103, opera\u021bii \u0219i activit\u0103\u021bi administrative. Este o provocare s\u0103 fim peste tot \u0219i s\u0103 facem fa\u021b\u0103 cererii. Adresabilitatea este foarte mare, primim cazuri de la nivel na\u021bional, de la cele mai simple probleme care nu se mai trateaz\u0103 nic\u0103ieri p\u00e2n\u0103 la cele mai complicate, pentru care nu exist\u0103 alternative.<\/p>\n

Echipa noastr\u0103 este bine preg\u0103tit\u0103, cu competen\u021be variate, pentru a face fa\u021b\u0103 tuturor tipurilor de cazuri. Ne-am dezvoltat treptat, specializ\u00e2ndu-ne \u00een numeroase proceduri, de la implant cochlear, \u00eenceput \u00een 2009, p\u00e2n\u0103 la chirurgie endoscopic\u0103 nazal\u0103 \u0219i laringotraheal\u0103. Aproape toate trahatomile sunt efectuate de noi \u0219i de echipa de la Grigore Alexandrescu pentru \u00eentreaga \u021bar\u0103.<\/p>\n

Trebuie s\u0103 fim tot timpul preg\u0103ti\u021bi pentru aceast\u0103 adresabilitate ridicat\u0103. Organizarea activit\u0103\u021bii este o preocupare zilnic\u0103, iar \u00een timp am reu\u0219it s\u0103 facem program\u0103rile c\u00e2t mai transparente \u0219i online, pentru ca pacien\u021bii s\u0103 aib\u0103 acces rapid la consulta\u021bii. Listele de a\u0219teptare sunt gestionate astfel \u00eenc\u00e2t s\u0103 fie c\u00e2t mai scurte, at\u00e2t pentru ambulator, c\u00e2t \u0219i pentru opera\u021bii, ceea ce este un rezultat remarcabil comparativ cu alte \u021b\u0103ri europene.<\/p>\n

Pentru a face fa\u021b\u0103 cererii crescute, am extins blocul operator, \u00een special odat\u0103 cu intrarea \u00een programul na\u021bional de implant cochlear, de la dou\u0103 s\u0103li de opera\u021bii la trei. Am beneficiat de o sec\u021bie de trezire ATI la standarde \u00eenalte, care asigur\u0103 calitatea opera\u021biilor \u0219i urm\u0103rirea post-operatorie. \u00cen fiecare zi intr\u0103 \u0219i ies aproximativ 30 de pacien\u021bi, iar hospitalizarea de zi ne ajut\u0103 foarte mult pentru opera\u021biile scurte \u0219i procedurile complexe, inclusiv cele care necesit\u0103 anestezie general\u0103, cum este evaluarea auzului la copii.<\/p>\n

De la preluarea conducerii sec\u021biei, care considera\u021bi c\u0103 sunt transform\u0103rile structurale sau clinice cu impact real asupra performan\u021bei serviciului ORL pediatric?<\/strong><\/p>\n

O transformare esen\u021bial\u0103 a fost extinderea blocului operator. Am ad\u0103ugat \u00eenc\u0103 o sal\u0103 de opera\u021bii \u0219i o sal\u0103 de trezire la standarde ATI, cu sprijinul compartimentului de ATI al spitalului. Importan\u021ba \u0219i multitudinea opera\u021biilor pe care le desf\u0103\u0219ur\u0103m necesit\u0103 implicarea a trei anestezi\u0219ti, iar sprijinul spitalului este esen\u021bial pentru buna func\u021bionare a sec\u021biei.<\/p>\n

Activitatea noastr\u0103 include \u0219i investiga\u021bii complexe, cum sunt RMN sau CT, iar compartimentul se extinde constant pentru a sus\u021bine cre\u0219terea adresabilit\u0103\u021bii \u0219i a calit\u0103\u021bii actului medical.<\/p>\n

Care sunt obiectivele strategice ale sec\u021biei pentru urm\u0103torii ani \u00een ceea ce prive\u0219te performan\u021ba clinic\u0103?<\/strong><\/p>\n

Performan\u021ba sec\u021biei este deja ridicat\u0103, datorit\u0103 sponsoriz\u0103rilor \u0219i echipamentelor de \u00eenalt nivel. Avem microscopie chirurgical\u0103 3D, iar blocul operator este foarte bine utilat. \u00cen urm\u0103torii ani, ne propunem s\u0103 achizi\u021bion\u0103m echipamente noi pentru chirurgia endoscopic\u0103 \u0219i otologic\u0103, pentru a sus\u021bine activitatea \u0219i pentru a men\u021bine standardele \u00eenalte. De asemenea, ne vom muta \u00een noua cl\u0103dire construit\u0103 de Darui\u0219te Via\u021ba, unde exist\u0103 oportunit\u0103\u021bi suplimentare de dotare \u0219i dezvoltare a compartimentelor noastre.<\/p>\n

Care sunt principale tendin\u021be epidemiologice pe care le observa\u021bi \u00een patologia ORL pediatric\u0103 \u00een ultimii ani?<\/strong><\/p>\n

O tendin\u021b\u0103 pozitiv\u0103 este c\u0103 p\u0103rin\u021bii adreseaz\u0103 copiii pentru opera\u021bii din timp, prevenind complica\u021biile otice, supura\u021biile sau sinusitele. Din p\u0103cate, exist\u0103 \u0219i o tendin\u021b\u0103 de evitare a vaccin\u0103rii la mul\u021bi copii, \u00eencurajat\u0103 uneori de anumi\u021bi pediatri, ceea ce poate genera probleme epidemiologice \u00een viitor. Sus\u021bin \u00een continuare vaccinarea, consider\u00e2nd c\u0103 este esen\u021bial\u0103 pentru prevenirea bolilor periculoase precum rujeola sau poliomielita.<\/p>\n

Preg\u0103tirea p\u0103rin\u021bilor \u0219i profilaxia timpurie ajut\u0103 la identificarea \u0219i tratarea focarelor de infec\u021bie, asigur\u00e2nd o bun\u0103 coordonare \u00eentre clinici \u0219i familie.<\/p>\n

Care sunt provoc\u0103rile managementului sinusitelor acute \u0219i cronice la copii, mai ales \u00een contextul rezisten\u021bei crescute la antibiotice?<\/strong><\/p>\n

Provoc\u0103rile nu se leag\u0103 \u00eentotdeauna de rezisten\u021ba la antibiotice, ci adesea de defecte anatomice. Exist\u0103 copii foarte mici care necesit\u0103 tratament chirurgical pentru a deschide sinusurile \u0219i a corecta complica\u021biile, inclusiv la nivel ocular sau cerebral. Utilizarea excesiv\u0103 a antibioticelor poate contribui la complica\u021biile rhinosinuzale.<\/p>\n

La copiii mai mari, problemele stomatologice pot duce la complica\u021bii care necesit\u0103 corec\u021bie chirurgical\u0103, iar colaborarea cu chirurgii BMF este esen\u021bial\u0103 pentru tratamentul complet al focarelor de infec\u021bie.<\/p>\n

Care sunt urgen\u021bele ORL mai rare, dar critice, pe care le \u00eent\u00e2lni\u021bi \u00een practica pediatric\u0103?<\/strong><\/p>\n

Cele mai critice urgen\u021be sunt corpii str\u0103ini traheobronsici. Ace\u0219tia sunt vitali \u0219i pot fi chiar mortali dac\u0103 nu sunt extra\u0219i la timp. Echipa noastr\u0103 este preg\u0103tit\u0103 permanent pentru astfel de cazuri, inclusiv pentru transporturile cu elicopterul ale pacien\u021bilor.<\/p>\n

Corpii str\u0103ini \u00een urechi sau nas sunt, de asemenea, periculo\u0219i, iar extragerea lor rapid\u0103 este esen\u021bial\u0103. Noi suntem singurii care gestion\u0103m aceste cazuri la nivel na\u021bional, ceea ce genereaz\u0103 o presiune mare asupra echipei.<\/p>\n

Ce sfaturi a\u021bi oferit medicilor tineri pentru a dezvolta competen\u021bele \u00een patologia pediatric\u0103 ORL \u0219i pentru a face fa\u021b\u0103 presiunii urgen\u021belor?<\/strong><\/p>\n

Beneficiem de un num\u0103r mare de reziden\u021bi, pentru c\u0103 suntem clinic\u0103 universitar\u0103. Dintre cei \u0219apte colegi, patru sunt cadre didactice \u0219i implicarea lor face ca tinerii s\u0103 se ata\u0219eze de pediatrie \u0219i s\u0103 \u00eenve\u021be foarte mult.<\/p>\n

Cei care stau \u0219i lucreaz\u0103 \u00een clinic\u0103 revin de obicei dup\u0103 reziden\u021biat \u0219i contribuie semnificativ la activitatea sec\u021biei. Tinerii pasiona\u021bi \u00eenva\u021b\u0103 toate opera\u021biile specifice ORL pediatric \u0219i devin sprijin valoros \u00een garda \u0219i linia a doua. Cei care nu se implic\u0103 pierd multe oportunit\u0103\u021bi de \u00eenv\u0103\u021bare. F\u0103r\u0103 colaborarea \u0219i implicarea tinerilor, clinica nu ar putea func\u021biona la nivelul actual.<\/p>\n

Adresabilitatea ridicat\u0103 \u0219i implicarea \u00een proceduri complexe, precum implanturile cochleare, fac parte din provoc\u0103rile zilnice ale sec\u021biei.<\/p>\n","protected":false},"excerpt":{"rendered":"

Dr. Rizescu Manuela, \u015eef Sec\u0163ie ORL Spitalului Clinic de Urgen\u021b\u0103 pentru Copii ” Marie S. Curie\u201d \u00centr-un sistem medical aflat \u00eentr-un permanent proces de adaptare la nevoile tot mai complexe […]<\/p>\n","protected":false},"author":1,"featured_media":18365,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[276],"tags":[],"class_list":["post-18364","post","type-post","status-publish","format-standard","has-post-thumbnail","category-interviu"],"yoast_head":"\nProvoc\u0103rile \u0219i performan\u021ba sec\u021biei ORL pediatric\u0103: gestionarea urgen\u021belor \u0219i dezvoltarea competentelor clinice - Jurmed - Medici<\/title>\n<meta name=\"description\" content=\"Dr. Rizescu Manuela este \u015eef Sec\u0163ie ORL Spitalului Clinic de Urgen\u021b\u0103 pentru Copii " Marie S. 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