Anaesthesiology. Intensive Medicine. Our Specialisations

Importance and areas of responsibility for anaesthetics

Modern anaesthetics. Intensive support and care.

Modern anaesthetics. Intensive support and care.

Modern anaesthetics are needed before surgery (pre-operative phase) and after surgery (post-operative phase). Anaesthetics incorporates more than one aspect nowadays, using modern drugs and interventions to control the state of unconsciousness and free patients from pain.

Anaesthetic interventions

  • General anaesthesia: Masks, laryngeal masks, intubation, the most modern of general anaesthetic gases, TIVA (total intravenous anaesthesia)
  • Regional anaesthesia: Spinal anaesthesia, epidural anaesthesia, plexus blocks (mostly post-operative as a continual, highly effective form of pain therapy with a low risk of side-effects)

Monitoring methods

  • Pulse oxymetry (continual monitoring of oxygen uptake)
  • Capnography (continual monitoring to check whether breathing is sufficient)
  • End expiratory general anaesthetic gas measurements (continual monitoring to check whether the general anaesthetic has been administered correctly)

Invasive interventions

  • Central venous line catheter (intermittent monitoring to check whether there is enough blood and fluids in the vessels, safe point of access in cases of sudden blood loss)
  • Arterial line catheter (to continually monitor blood pressure)
  • Bronchoscopy (when intubation is difficult and to check the position of double-lumen endotracheal tubes)

Post-operative treatment of pain

  • Catheter for nerve blocks
  • Patient-controlled analgesia pain pumps

Donor blood saving measures

  • Pre-operative autologous blood donation
  • Pre-operative anticoagulation therapy
  • Cell saving