Work at the Department
Work at the Department of Anesthesia is performed in 7 surgical operating theatres, 3 catheterization rooms and an anesthesia outpatient unit. The Department of Anesthesia consists of four divisions:
- Division for Cardiac Surgery Anesthesia
- Division for Vascular Anesthesia
- Division for Endovascular Anesthesia and X-ray imaging
- Anesthesia outpatient unit
More than 4500 anesthesia procedures are performed annually. ll operating theatres are equipped with the latest monitors and anesthesia machines. 8-10 cardiac surgery and 6-8 vascular surgery procedures are performed every weekday.
An extremely caring and profoundly committed group of anesthesiologists and anestheticians within the department is engaged in health, scientific and research activities.
Surgical, endovascular and electrophysiological procedures are performed under general, regional and combined anesthesia and analgosedation. We are particularly dedicated to the implementation of the early postoperative recovery program after cardiovascular surgery. Pre and postoperative pain therapy is administered both in the operating theatre and in all other organizational units of the Institute, especially in intensive care units, where anesthesiologists make a great contribution in all other types of modern intensive care of the most difficult patients.
We make sure that even the most complex surgical procedures are performed safely and with maximum patient comfort.
List of procedures
- Preoperative assessment and preparation of patients for anesthesia in case of cardiac surgery and vascular surgery (in regional, general or combined anesthesia) as well as surgery to treat cardiac insufficiency (left ventricular reconstructive surgery, implantation of various types of mechanically assisted circulation)
- Perioperative treatment with invasive hemodynamic and metabolic monitoring and drug circulation support during maintenance of anesthesia.
- Perioperative hemodynamic optimization of patients using contemporary monitoring methods (Swan Ganz catheter, transpulmonary and thermodilution method of measuring cardiac output, LIDCO technology, Flo track, EV 1000, continuous monitoring of cardiac output and venous blood saturation, transthoracic and transesophageal echocardiography…)
- Anesthesia and postoperative treatment of cardiac insufficiency using mechanical circulatory support using intraaortic balloon pump (IABP), extracorporeal membrane oxygenation (ECMO), mechanical support of the left or right ventricle (LVAD, RVAD), or both ventricles (BiVAD) and total artificial heart (TAH)
- Anesthesia for emergency and elective cardiac surgical procedures with or without extracorporeal blood flow
- Anesthesia for vascular surgical procedures such as internal carotid artery surgery (general anesthesia combined with local infiltration anesthesia), abdominal aortic surgery (general anesthesia or combined general / epidural anesthesia), anesthesia for lower extremity surgery (general, epidural, spinal anesthesia, or primary peripheral nerve block)
- Anesthesia for videothoracoscopic procedures of cardio-thoracic surgery using unilateral lung ventilation and transesophageal echocardiography
- Anesthesia for interventional cardiac procedures (EVAR, TEVAR, TAVI), primarily in patients with low functional and cardiac reserve and numerous concomitant diseases. Application of various methods of hemodynamic and cerebral monitoring with cerebrospinal fluid pressure measurement and its appropriate drainage for the purpose of spinal cord protection
- Anesthesia for interventional electrophysiological procedures, with emphasis on procedures in patients with low functional and cardiac reserve and numerous concomitant diseases who need careful hemodynamic monitoring, mechanical circulatory support and perioperative transesophageal echocardiography
- Anesthesia for thoracic and thoracoabdominal aortic surgery with unilateral lung ventilation, hypothermia and hypothermic circulatory arrest, transesophageal echocardiography, cerebrospinal fluid pressure measurement and adequate drainage thereof, neuro-cerebral monitoring (somatosensory and motor evoked potentials), brain perfusion and oxygenation, selective organ perfusion with a clear strategy and protocols for clinical transfusion and protection of the brain and other organs
- Perioperative clinical transfusion with a temporary blood conservation strategy. Instructions for patients
Instructions for patients
- Effective preparation of patients for surgical treatment and anesthesia at the outpatient unit in order to reduce the stress caused by surgical treatment
- Introducing the anesthesiologist to the patient and assessing his/her health condition and functional reserves
- Assessment of laboratory analyzes and, if necessary, prescribing additional laboratory and diagnostic procedures
- Selection of adequate anesthesia techniques and methods of postoperative pain control
Telephone: 011 3601 724