Anaesthesiology and Resuscitation

Introduction

Anaesthesiology is a speciality that includes basic training in Physiology, Pharmacology and Anatomy, with knowledge of Internal medicine, Paediatrics, Obstetrics, and Surgery in its different specialities.

The basic mission of the Anaesthesiology Department is to make surgery possible, caring for and protecting the patient’s life during surgery using the safest procedures. To ensure the comprehensive care of the patient during surgery, the anaesthesiologist begins with a pre-operative assessment, estimating the anaesthetic-surgical risk, pre-operative treatments and anaesthetic premedication. Using this prior knowledge of the patient, he or she will make a decision as to the most suitable type of anaesthesia, whether it be general, regional or local, combined, or sedation.

After surgery, the patient is taken to a post-anaesthesia recovery room. Sometimes, in the case of patients at risk or very significant surgeries, the patient is taken to a Post-operative Intensive Care Unit. The Anaesthesiology Intensive Care Unit also takes critical patients with other etiology; multiple trauma, bleeding, etc. Cardiopulmonary Resuscitation forms part of the speciality and knowledge of the critical patient is essential for the specialist’s training.

Another responsibility of the specialist is the treatment of acute and chronic pain that does not respond to conventional treatment and/or requires special knowledge and techniques. This is basically performed in the hospitalisation units and Pain clinics.

Relevant aspects
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Specialist Care

The physicians specialising in anaesthesiology in the department form part of multi-disciplinary teams for the diagnosis and treatment of complex surgical procedures: surgical procedures for intracranial vascular pathology, supra-aortic trunks, and aortic surgery, cardiac pathology corrections with and without extracorporeal circulation, oncological reconstructive microsurgery, pulmonary and tracheal resections, complex spinal osteosynthesis, treatment of osteoarticular infections; complex oncological abdominal surgery and transplants, among others.

  • Neurosurgery – Neuroangiography.
  • Heart Surgery.
  • Vascular Surgery.
  • Major Head and Neck Resections.
  • Thoracic Surgery.
  • Oncological Surgery.
  • Complex Spinal Surgery.
  • Prosthetic response Surgery.
  • Heart, Kidney and Liver Transplants.
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Outpatient Area

The Endoscopy Unit has several consultation rooms and a small operating room, where different diagnosis procedures (e.g. Gastroscopies, colonoscopies, etc.) and therapeutic procedures (e.g. polyp removal, fitting of biliary or oesophagus prostheses, lymph node puncture by echo-endoscopy, etc.) are performed under sedation, conscious or unconscious.

These procedures are normally not overly invasive. The degree of sedation required ranges between simple relaxation to deep sleep, depending on the patient’s tolerance and on the length of the procedure. The role of the anaesthesiologist is to provide the comfort and certainty required by patients subjected to these tests. The Major Outpatient Surgery Unit is made up of 7 operating rooms and a post-anaesthesia recovery unit with 12 cubicles and a post-surgical care area with 24 cubicles. The surgical procedures not requiring hospitalisation include all the specialities.

Consultations will be online for a percentage of patients. During the pre-operative consultation, focus will be placed on explaining the surgical procedure along with the pre-anaesthesia nursing team. Pain control in the patient’s home is particularly promoted.

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Paint Unit
  • Acute Post-operative Pain Interventional Procedures
  • Oncological Pain Interventional Procedures
  • Non-Oncological Pain Interventional Procedures
  • Ultrasonographic Pain Diagnosis Procedures
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Resuscitation Unit
  • This unit cares for multi-trauma patients and those in cardiorespiratory arrest.
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Others
  • Echo-endoscopy
  • Vascular Diagnosis and Treatment
  • Complex Digestive Endoscopy
  • Vertebroplasty
  • Radiofrequency
  • Brachytherapy
  • Psychiatric CET support
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Information Documents
  • You can refer to aspects relating to Pre-operative Preparation by following this link

Recerca

Lines of research

  • Haemostasis and Coagulation in Liver Transplantation
  • Handling haemoderivatives in non-hepatic surgery
  • Neuromuscular Block during Complex Laparoscopic surgery
  • Fluid therapy in surgical risk patients
  • Pathophysiology of the multi-trauma patient
  • Post-operative incisional analgesia
  • Therapies in Neuropathic Pain
  • The ultrasound scan as a tool for diagnosis and treatment in the management of chronic pain

Main publications

  • Bonet A, Madrazo Z, Koo M, Otero I, Mallol M, Macia I, Ramirez L, Sabaté A. Thromboelastometric Profile and Acute Coagulopathy of the Polytraumatized Patient: Clinical and Prognostic Implications. Cir Esp. 2018 Jan;96: 41-48.
  • Dalmau A1, Fustran N2, Camprubi I3, Sanzol R4, Redondo S2, Ramos E5, Torras J6, Sabaté A2. Analgesia with continuous wound infusion of local anesthetic versus saline: Double-blind randomized, controlled trial in hepatectomy. Am J Surg. 2018 Jan;215:138-143.
  • Colomina MJ1, Koo M2, Basora M3, Pizones J4, Mora L1, Bagó J5. Intraoperative tranexamic acid use in major spine surgery in adults: a multicentre, randomized, placebo-controlled trial†.  Br J Anaesth. 2017 Mar 1;118:380-390.
  • Sabate A1, Gutierrez R2, Beltran J3, Mellado P4, Blasi A3, Acosta F5, Costa M1, Reyes R1, Torres F6. Impact of Preemptive Fibrinogen Concentrate on Transfusion Requirements in LiverTransplantation: A Multicenter, Randomized, Double-Blind, Placebo-Controlled Trial. Am J Transplant. 2016 Aug;16:2421-9.
  • Llauradó S1, Sabaté A, Ferreres E, Camprubí I, Cabrera A. Sugammadex ideal body weight dose adjusted by level of neuromuscular blockade in laparoscopic bariatric surgery. Anesthesiology. 2012 Jul;117:93-8

Docència

Degree Education

Assistant Professor: Antoni Sabate Pes.

Associate Professors: Maria Jose Colomina Soler, Antonia Dalmau Llitjos, Maylin Magdalena Koo Gómez y Sandra Llauradó Paco.

Tutors: Javier Bocos Garcia, Marta Costa Reverte , Noelia Fustran Guerrero, Sandra Llauradó Paco, Laura Pariente Juste y Albert Pi López.

Master's degrees and accredited courses

  • The ultrsound in chronic pain course
  • Trauma-ATLS patient of course

Location

Main Building at Bellvitge University Hospital 

c/ Feixa Llarga, sn.

08907 L’Hospitalet de Llobregat. Barcelona

Floor 3

Telephone number 93 260 73 23