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Hospital Universitario La Moraleja Madrid

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ADULT AND PAEDIATRIC MEDICAL SPECIALISMS

Anaesthesiology and Recovery

This medical department is made up of 27 anaesthesiologists trained in the best hospitals and boasting multiple accreditations, with the capacity to perform any type of anaesthesia:

General adult anaesthesia, general paediatric anaesthesia, regional adult anaesthesia and paediatric ultrasound-guided and neurostimulation anaesthesia.
Moderate and profound superficial sedation techniques (ansiolysis) in adults and children. Channelling of ultrasound-guided central lines and arterial lines.

We have the adult and paediatric Post-Operative Acute Pain Unit, which uses continuous intravenous techniques and PCA (patient-controlled analgesia) and regional analgesia techniques with ultrasound-guided puncture and catheters.
With the adult and paediatric Post-Anaesthetic Recovery and Readaptation Unit. Critical care.

The Anaesthesia department is d in the BUPA Sanitas Safety Network and also belongs to the SENSAR network (Spanish System of Notification in Anaesthesia and Recovery Safety). In addition, we collaborate in clinical hospital committees and with the undergraduate university teaching (students from the Faculty of Medicine at the Universidad Francisco de Vitoria) and postgraduate training (resident medical interns of the centre in paediatrics and gynaecology and obstetrics, and of public hospitals in a rotation system in anaesthesiology, recovery and pain management) programmes, as well as organising continuous training courses for doctors and nurses, such as the Inhalation Anaesthesia Course.


PORTFOLIO OF SERVICES

Daily, from Monday to Friday, in the mornings (slot must be requested in advance), in which the following is carried out:

  1. Comprehensive study of the patient and their vital s through:
    • Physical state (habits, allergies, medical, surgical and anaesthetic history both of the patient and family members)
    • Detailed examination
    • Analyses
    • Ultrasounds
    • X-rays
    • Electrocardiogram.
    • And other medical diagnostic tests d
  2. Detailed information on the anaesthetic technique to be used according to the patient's state and type of surgery. Risks and benefits
  3. General pre-operative regulations (fasting, prosthesis, metallic objects, etc.)
(In the pre-admissions room or the pre-anaesthesia room) to provide calmness and comfort.
(In the operating theatre) by means of monitoring, with cutting-edge technology, of the following parameters:

  • Oxygen level in the blood (pulse oximetry) and airways
  • Airways capnography (CO2 control)
  • Respiratory volume assessment
  • Haemodynamics (arterial and venous pressure)
  • Heart (ECG and cardiac output)
  • Muscle relaxation (electrostimulation)
  • Diuresis (hourly and total)
  • Anaesthetic gases (inhaled and exhaled)
  • Level of consciousness (entropy)
    1. Without loss of consciousness:
      • Local anaesthesia: (small anaesthetised area) with: • Superficial sedation • Profound sedation (without need for the patient)
      • Regional anaesthesia: (in a region of the body): • Nerve blocks (with a nerve stimulator) • Select peripheral nerves. • Nerve plexuses (upper and lower limbs)
      • Regional intravenous anaesthesia
      • Spinal anaesthesia:
        • Epidural or peridural, in the control of pain in labour using a continuous catheter and infusion pump, and in the surgeries that it.
        • Spinal anaesthesia or intradural block (according to indication)
    2. With loss of consciousness (general intravenous anaesthesia)
      • General Anaesthesia in Adults under rigorous and constant controls (monitoring).
All patients are admitted to this unit after any type of anaesthesia, and the following is performed:

    • Constant control of post-operative pain using analgesic techniques (nerve blocks, catheters, infusion pumps, etc.)
    • Constant control of monitoring of the vital signs and ventilation/oxygenation by specialist nurses and anaesthesiologists through different types of monitoring.
    • Discharge from the unit and transfer to the inpatients ward when the level of consciousness, oxygenation, diuresis, the vital signs and the pain management are maintained or permit it.
    • Readaptation room:
      • Final stop in the post-anaesthetic process in Major Outpatient Surgery and in short-stay surgery, through the outpatient clinic.
      • Use of adequate anaesthetic techniques so that the patient can go home in the most ideal conditions in a few hours (Andrete Score of 9-10).

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