You are here

Clinic of Toxicology and Sepsis

The Clinic of Toxicology and Sepsis is the only clinic in Latvia that specializes in the treatment of acute toxicology and sepsis patients, serves as a training base in toxicology and intensive care for new medical specialists, and provides 24 h consultative assistance to doctors and inhabitants. Over 2000 patients undergo treatment in the clinic every year.

What is sepsis?

An acute toxicological or poisoned patient – if foreign chemical substances appeared in the organism causing chemical damage of different degrees to the tissues of the organism or organ systems. Sepsis, which used to be known as “blood poisoning” in previous centuries, is now diagnosed and recognized, if organism’s response to inflammation is combined with proved infection (purulent complications, circulation of microorganisms in the blood).

The Clinic of Toxicology and Sepsis ensures the treatment of patients with serious sepsis – a life-threatening complication of different diseases and injuries, which is usually caused by generalized spreading of microorganisms and their toxins in the organism, damaging vital organ systems. Nowadays, sepsis has become one of the most frequent reasons of death across the world. Therefore, in order to update the problem of sepsis, its research, spread, treatment, and prevention, the World Sepsis Day is annually celebrated on September 13 by organizing conferences, symposiums and other activities in large clinics. The Clinic of Toxicology and Sepsis joined the Global Sepsis Alliance in 2012.

Clinic of Toxicology and Sepsis has:

  • 16 intensive care cots;
  • 12 clinical toxicology cots;
  • Centre of Poisoning and Drug Information;
  • Hyperbaric Oxygenation Room;

In the Clinic of Toxicology and Sepsis, patients are placed in 3 separate blocks of premises, in order to prevent spreading of intra-hospital infections to the extent possible. The clinic ensures a possibility of concentrating toxicological patients in a joint block, where they may be accommodated according to the seriousness of clinical condition and necessary amount of treatment activities and monitoring.

The Clinical Toxicology Block has 4 intensive care cots for patients who are unconscious and require replacement of organ systems, using special equipment, and 12 clinical toxicology cots for patients with poisoning, but who have preserved independent motor activity and are capable of participating in the treatment process.

Up to 1500 patients from Riga and Riga region, which are hospitalized due to poisoning, as well as serious patients from across Latvia, undergo treatment in the Clinic of Toxicology and Sepsis of Riga East Clinical University Hospital every year. The most frequent reason of poisoning is ethyl alcohol (over 50% of patients). The second place in terms of frequency is taken by sedative-hypnotic substances (sleeping pills) followed by other medicinal products, narcotic substances, corrosive substances, products of combustion, etc.

Diagnostics and treatment methods compliant with standards used across the world are applied in the treatment of toxicological patients. In order to ensure that, tight cooperation has been established with different units of the hospital: laboratory, Department of Radiology, Department of Endoscopy, Departments of Extracorporeal Detoxification, etc. Consultants of different specialities (neurologists, neurosurgeons, surgeons, microsurgeons, nephrologists, cardiologists, gynaecologists, traumatalogists, etc.) are available around the clock.

The treatment process is ensured to patients placed in the Clinical Toxicology Block by anaesthesiologists/reanimatologists, who have obtained their education in clinical toxicology, as well as by the responsible, precise, educated medium-level and junior medical personnel.

To ensure qualitative diagnostics, Riga East Clinical University Hospital has entered into an agreement with the State Centre for Forensic Medical Examination on performance of toxicological analyses in the forensic chemistry and toxicology laboratory within one business day and, in some cases, on days off and during the night.

The patients, in the treatment of which hospital’s internists, cardiologists or neurologists are involved, are placed and treated in a separate block, and after the condition has stabilized and the therapy has been adjusted, the patients are transferred to appropriate specialized clinics of internal medicine. These are the patients with serious pneumonia, purulent meningitis, diseases of kidneys and urinary tract, and other pathologies with sepsis as a complication. The Internal Medicine Block has 6 intensive care cots that are located in separate boxes with three patients and separate personnel each.

Surgery patients with sepsis are concentrated in a separate block, which has 6 intensive care cots, with a possibility of grouping patients according to the infection cause. Patients can be placed in single and double wards with proper monitoring of the respiratory and cardiovascular system, and personnel supervision 24/7.

Every morning, upon starting the work, highly professional specialists and heads and attending doctors of clinics of the relevant field visit the patients, while accompanied by professors, together with the head of the clinic and intensive care doctors of the Clinic of Toxicology and Sepsis on duty. During this visit, patient’s health condition is assessed; clinical, laboratory, radiological and other examinations are discussed; diagnosis is specified, and the decision is taken on further treatment tactics. Young medicine specialists participate in the visit as well, since the clinic is also a post-diploma education base, where 10 highly qualified doctors authorized to teach work.

Centre of Poisoning and Drug Information

The only specialized centre providing information on toxicology in Latvia that is operating 24/7, also on days off and holidays. Every inhabitant or medical person can receive information on how to act in situations in case of poisoning by phone 67043473.

In their work, specialists of the centre use international database Micromedex, in which information is updated every 3 months.

Hyperbaric Oxygenation Room

Hyperbaric oxygenation is a widely used certified method of treatment, prophylaxis and rehabilitation. During the session, the patient is placed in a sealed room with high oxygen pressure. The main indications for use are the following: poisoning with carbon monoxide and exhaust gases, chronic non-healing ulcers, particularly in case of diabetes, gas gangrene, tissue compression syndrome, necrotizing soft tissue infections, blood circulation disorders in limbs, etc.

Two barochambers of the Clinic of Toxicology and Sepsis are maintained by a certified anaesthesiologist/reanimatologist, barotherapy specialist Dr. Viktors Saksons and a certified anaesthesia, intensive care and emergency care nurse Maija Kancāne. Over 1000 treatments are carried out each year. This treatment is free of charge for patients of Riga East Clinical University Hospital.

The treatment is recommended by an attending doctor, by consulting with hyperbaric oxygenation specialist. Treatments are available to out-patients either with or without doctor’s referral, also as a chargeable service. Average session duration is 60 minutes; the course comprises 5-12 treatments. Prior to the first session, each patient is consulted by the doctor.

Telephone for enquiries: 67042908

Specialists:

The staff of the Clinic of Toxicology and Sepsis includes 120 workers. They include 21 anaesthesiologists/reanimatologists, a psychiatrist, a physiotherapist, 21 doctor’s assistants, 39 medical nurses, 11 nursing assistants and 24 hospital attendants/patient carers, a household nurse, and support personnel. Medical staff certified by the clinic ensures the use of progressive and modern treatment methods for patients. The personnel have mastered the latest technologies. Regular further education of the personnel ensures successful treatment activities.

The head of the Clinic of Toxicology and Sepsis: Dr. Oļegs Šuba – anaesthesiologist/reanimatologist authorized to teach and consulting reanimatologist of the Operative Medicine Division of the Emergency Medical Assistance Service.

Doctors                                                                                                                

Dr. Roberts Stašinskis – anaesthesiologist/reanimatologist, doctor authorized to teach, toxicology lecturer at the Anaesthesiology Academic Department of P.Stradiņš University;

Dr. Jurijs Avdjukevičs – anaesthesiologist/reanimatologist authorized to teach, consulting reanimatologist of the Operative Medicine Division of Emergency Medical Assistance Service, president of the Association of Enteral and Parenteral Nutrition;

Dr. Ilze Jagmane – anaesthesiologist/reanimatologist authorized to teach, obtained European Diploma in Clinical Nutrition, practises also at the Wound Clinic;

Dr. Daiga Grundāne – anaesthesiologist/reanimatologist authorized to teach, consulting reanimatologist of the Operative Medicine Division of Emergency Medical Assistance Service;

Dr. Anita Bernharde – anaesthesiologist/reanimatologist authorized to teach, responsible secretary of the Association of Anaesthesiologists and Reanimatologists, hyperbaric therapy specialist;

Dr. Anda Piebalga – anaesthesiologist/reanimatologist authorized to teach;

Dr. Viktors Saksons – anaesthesiologist/reanimatologist authorized to teach, responsible secretary of the Association of Anaesthesiologists and Reanimatologists, hyperbaric therapy specialist;

Dr. Roberts Spručs – anaesthesiologist/reanimatologist authorized to teach, in-depth education and international diploma in hospital planning and design;

Dr. Aldis Zosēns – certified anaesthesiologist/reanimatologist;

Dr. Vladislavs Haduņkins – certified anaesthesiologist/reanimatologist;

Dr. Oksana Žukova – certified anaesthesiologist/reanimatologist;

Dr. Oksana Bace – certified anaesthesiologist/reanimatologist;

Dr. Vjačeslavs Gorovenko – certified anaesthesiologist/reanimatologist;

Dr. Alīna Sokolova – certified anaesthesiologist/reanimatologist;

Dr. Vladimirs Krasņiks – certified anaesthesiologist/reanimatologist;

Dr.Zanda Kripāne;

Dr.Anna Sondore-Pīlipa;

Dr.Valdis Skotelis;

Dr. Māra Eglīte – certified psychiatrist.


Contacts

Centre of Poisoning and Drug Information 67043473

Hyperbaric Oxygenation Room 67042908

  • Klīnikas kolektīvs
  • Klīnikas vaditājs Oļegs Šuba
  • Anesteziologs-reanimatologs Roberts Stašinskis
  • Anesteziologs-reanimatologs Viktors Saksons
  • Anesteziologs-reanimatologs Vladimirs Krasņiks
  • Psihiatre Māra Eglīte
  • Virsmāsa Lidija Ozoliņa
  • Anestezioloģe-reanimatoloģe Daiga Grundāne
  • Anestezioloģe-reanimatoloģe Anita Bernharde
View all images
Last update: 2016.03.29 - 12:08