An outstanding surgeon with many years of experience behind him in this area, Vladimir Stefanov, in this article expresses his personal opinion about the surgical treatment of the disease.
Why are we reluctant to go to the hospital? What is any of us afraid of? The answer is obvious – pain and complications associated with the operation. The main task of the anesthesiology and resuscitation service is to ensure the patient’s safety during and after surgery. To accomplish this task, our department of anesthesiology and intensive care has all the necessary capabilities.
CHALLENGES AND OPPORTUNITIES
The key to the successful work of such a high-tech service as anesthesiology and resuscitation is equipping with modern anesthesia and respiratory equipment, monitoring systems, and automatic systems for administering drugs. This is exactly the kind of equipment that our multidisciplinary clinic has.
We use only the most modern and effective agents for general and local anesthesia, analgesics and antibiotics, agents for intravenous and natural therapeutic nutrition, and many other drugs with proven effectiveness registered in Russia.
But our main advantage is highly qualified anesthesiologists-resuscitators and nurses-anesthetists. After all, a person is saved not by equipment, but by a specialist.
An accurate preoperative assessment of the patient’s condition and possible risks allows you to choose the optimal method of pain relief during and after surgery. Our doctors are fluent in various methods of regional anesthesia, which, independently and in combination with general anesthesia, give the most acceptable result for the patient.
Today, thanks to the advances in anesthesiology, it is possible to operate on patients with various concomitant diseases, the number of which is progressively increasing with age. Age cannot be a contraindication to surgery.
GENERAL ANESTHESIA METHODS
One of the main causes of complications of anesthesia is prolonged mechanical ventilation and prolonged anesthesia. The techniques of general anesthesia used by CELT anesthesiologists are predictable, manageable and allow the patient to awaken within a few minutes after the completion of the operation of any duration.
Nausea and vomiting after surgery is very rare today, thanks to the use of both modern general anesthetics “Sevofluran” and “Propofol”, and special means.
Consumables (disposable only) are purchased from the most famous foreign and domestic manufacturers.
Many operations in urology, gynecology, proctology, vascular surgery, general surgery are successfully performed under neuraxial (spinal and epidural) anesthesia. These pain relief techniques are recognized as the safest and most effective.
Anesthesia of the spinal centers allows predictable pain relief, without suppression of consciousness. The local anesthetic “Ropivacaine” used in these anesthesia is the most common and safest drug in its group. If necessary, we continue epidural pain relief in the postoperative period for 2-5 days. This technique of postoperative pain relief is the most effective in traumatic operations, low pain threshold of patients. Local anesthetics are delivered to the epidural space continuously using an electronic dispenser or a disposable elastomeric “pump” that does not restrict patient mobility.