Anesthesiology and intensive therapy

Anesthesiology

At the «Medical Club» Clinic the various up-to-date safe anesthetic methods are employed:

• General inhalation anesthesia
• Mask anesthesia
• Intravenous anesthesia
• Intravenous regional anesthesia
• Spinal traditional and selective anesthesia
• Epidural anesthesia
• Epidural spinal anesthesia
• Combined anesthesia

Specificities of performing anesthesia:

• Comprehensive multimodal intraoperative and postoperative anesthesia.
• The use of progressive low-flow pulmonary ventilation method through the Drager Fabius GS light devices.
• All-round monitoring of patient condition and condition of anesthetic-respiratory equipment.
• The use of today’s techniques and means of controlling airways to increase anesthesia safety.
• The use of today’s inhalation anesthetics Foran, Sevoran, and intravenous anesthetics Diprivan, Midazolam.
• Creation of the most comfortable conditions for patients in the operative room and postoperative ward.
• Comprehensive prophylaxis of postoperative nausea and vomiting.
• Ensuring painless venipunctures and venous catheterization.

Brief description of the advantages of narcotizing apparatus Drager Fabius GS in pulmonary ventilation:

• The apparatus is designed to perform all types of the up-to-date inhalation anesthesia, including low – and small-flow anesthesia in adults and children.
• The provides for an effective patient protection against hypoxia: the control system secures minimum 23% of oxygen in the fresh gas flow; in case of oxygen supply failure, nitrogen monoxide supply stops; in case of the inlet oxygen pressure drop to less than 1, 38 bar, the sound and light signal switches on; an emergency oxygen supply comes to 75l/min.
• Built-in monitor enables all ventilation parameters to be assessed.
• Ventilation parameters are controlled via the adjustable alarm margins.
• In case of the outer supply source failure, the apparatus continuous work is secured by the built-in batteries during within minimum 45 min.
• The use of bacterial filters prevents airway infections.

Advantages of using today’s inhalation anesthetics Foran and Sevoran:

• High safety
• Rapid narcotizing effect
• Quick and predictable consciousness recovery after inhalation discontinuance
• Dose-dependent blood pressure drop
• Possibility of being used at all anesthesia steps
• Decrease in the need for anesthetic agents (opioids, hypnotics, myorelaxants)

Creation of comfortable conditions for patient at the operating room and at the early postoperative period includes:

• Body temperature control
• Patient warming (thermo-blanket, thermo-rugs)
• Decease of moisture and heat losses at the background of a low-flow anesthesia
• Postoperative rigor prophylaxis
• Prevention of positional tissue compressions

Intensive therapy

To provide a permanent patient monitoring at the early postoperative period, as well as the treatment of various emergent and critical states, the Intensive Therapy Unit has been established at the «Medical Club» Clinic. The Unit is supplied with modern expert class medical equipment: near-the–bed observation monitors Drager «Infinity Gamma», super-comfort functional beds «Futura Nova» and the necessary set of today’s pharmacological preparations. All necessary conditions for patient treatment and personnel effective work have been created here.