The Department of Anesthesiology and Reanimation is responsible for the pre-operative medical evaluation, intra- and post-operative pain management and anesthesia administrations for all surgical procedures in all age groups of inpatients who stay in all patient care and treatment units of the hospital. Anesthesia is a discipline of VIGILANCE. Anesthesiologists are the most important member of the operating room team, or even they are secret heroes. It is not possible to perform surgery without administering anesthesia. Anesthesiologists are doctors who are not only make patients fall into a deep sleep, but who also play a major role in management of pain, maintenance of anesthesia and ensuring a safe surgery. The most important responsibility of anesthesiologist also include minimizing the adverse effects of anesthetic agents on the human body and ensuring recovery of the patient with compromising the vital signs after the operation.
The limited time reserved for patient-physician interaction is the major challenge that anesthesiologist face. Considering anesthesiologist who appear suddenly and involves in the patient care, although most patients do not know what an anesthesiologist does, on the contrary to the common belief that they are irrelevant to patients and they only monitor physiological changes, these medical doctors can proficiently “read” different types of patients in stressful times and can establish a trust-based relationship in a short period of time. They play the primary role in relieving concerns of patients in the preoperative period. Anesthesiologist should think about all the possibilities and predict what will happen several steps onwards, just as if playing chess.
GENERAL ANETHESIA is characterized with transient loss of consciousness and hypoactive reflexes, although there is no alteration in vital functions. Induction of general anesthesia leads to loss of consciousness, and thus, the patient cannot recognize what is done in a surgery; the pain is eliminated and intraoperative comfort of the patient is maximized; surgical intervention is facilitated as the reflexes are suppressed and the muscles are relaxed. All these effects of the general anesthesia aim to arrange appropriate surgical circumstances. However, it is also the duty of the anesthesiologist to maintain the health and the safety of the patient throughout the operation. Patients are given a drug by mouth, also called “premedication”, to make them feel comfortable while they are transferred to the operating room. An intravenous access is obtained after the patient is admitted to the operating room. Next, the patient is monitored to supervise the vital signs, such as heart rate, respiratory rate and blood pressure. After all preparations are completed, specific medications that only anesthesiologists are authorized to use are intravenously infused to induce general anesthesia. A tube is inserted into the tracheal lumen to sustain patency and safety of the respiratory tract. Once safe depth of anesthesia is achieved, surgery can be started upon the permission of the anesthesiologist. The anesthetic state is maintained using respiratory and intravenous drugs that are administered alone or in combination. After the surgery is completed, administration of anesthetic drugs is ceases and the patient is recovered and transferred to the reanimation room under supervision of the anesthesiologist. The patient is warmed here; the pain is relieved. Measures are taken against nausea and vomiting and the patient is transferred to the room in a comfortable manner.
Anesthesia can be administered by doctors who have completed residency training and education on anesthesia and reanimation following completion of the medical education. Anesthesia technicians are also important members of the anesthesia team, who have been trained to assist anesthesiologists in a surgery.
Our experienced team with high scientific qualifications administers general and regional anesthesia for procedures carried out by departments of general surgery, gynecology and obstetrics, orthopedics, Otorhinolaryngology and ophthalmology with its world-class technological infrastructure. Our services rendered by specialists of our hospital include general anesthesia, regional anesthesia (epidural anesthesia, spinal anesthesia, combined spinal and epidural anesthesia), anesthesia methods that numb only the surgical site for upper limb surgeries, and patient-controlled pain management, where pain pumps are used in order to avoid postoperative pain.
It also includes anesthesia administrations in all surgical branches, anesthesia in infants and pediatrics, pain-free births, day case surgery anesthesia and analgesics and sedation in all diagnostic and therapeutic procedures.