Perioperative medicine in Russian Federation

1. Please choose one of the following three definitions of perioperative medicine that you
consider to be the most appropriate to your country:

A. Comprehensive perioperative model of care in which anaesthesiologists are involved

B. Perioperative model of care in which anaesthesiologists act as primary physicians
C. Perioperative model of care in which anaesthesiology further evolved toward a medical specialty
D. Free comment:……………………………………………

2. Is perioperative medicine recognized (training, certification, accreditation) in your country as

an activity distinct from surgery/anaesthesia/intensive care?

 Yes |  No

3. Is perioperative medicine financed specifically?

For several types of high-technology surgery, like cardiac surgery or joint replacement.

4. Has your National Society of Anaesthesiology/Anaesthesiologists published a model of

perioperative medicine (such as the ASA model of the Perioperative Surgical Home in the United
States)?

 Yes |  No

4a. If yes, has your National Society of Anaesthesiology/Anaesthesiologists published specific models on
the ways:
A. perioperative medicine should be organized
B. perioperative medicine should be financed
C. anaesthesiology medical resources are allocated

4b. In the absence of a model endorsed by the National Society of Anaesthesiology/Anaesthesiologists,

what is the current most frequent model of organization of perioperative medicine in your country?
There is no established model at this moment.
5. Has your National Society of Anaesthesiology/Anaesthesiologists formulated specific
recommendations for patient safety and quality related to perioperative medicine?

Yes, the Federation of Anesthesiologists and Reanimatologists has recommendations for the perioperative
management of different categories of patients.

6. Does your National Society of Anaesthesiology/Anaesthesiologists provide or endorse a

system that allows its members/practitioners to collect data on perioperative structures,
processes, and patient outcomes?

The Federation of Anesthesiologists and Reanimatologists (FAR) coordinates the participation of FAR
members both in national and international studies on perioperative medicine and publishing of these
studies in the FAR journals.

7. Is perioperative medicine the object of dedicated lectures/modules, and practical activities,

during the residence training and continuous medical education?

Yes, both during the national system of training and CME and during the CEEA courses.

8. What are in your country the three main challenges to develop/organize perioperative
medicine?

1. Coordination of patient management with other specialists

2. Necessity to prepare the national standards of perioperative management and to integrate these
standards into clinical practice
3. Development of the model of perioperative medicine

9. Would you like the ESA to propose a model for development/organization of perioperative
medicine?

 Yes |  No

10. Please provide free comments and suggestions on perioperative medicine if you consider
them constructive:

This is an important part of the education and work of anesthesiologists and intensivists requiring further
development and preparation of standards improving the clinical outcomes.