Anaesthetist provides anaesthesia or narcosis and the maintenance of patient’s vital processes during surgeries and other medical manipulations. They also remove the pain during surgery and help to reduce it after surgery.
The doctor will examine the patient’s medical condition, results of other examinations and analysis, medical history, planned surgeries or types of medical manipulations. After that the doctor will assess whether an anaesthesia is possible and permissible for this particular patient. The anaesthesiologist will also assess any potential risks of anaesthesia, choose an appropriate and acceptable type of anaesthesia for each person and develop an anaesthesia plan for every individual patient. Relevant issues are discussed with patients and other professionals.
For the surgery to run smoothly:
- We will help you choose the most suitable type of anaesthesia for your intended surgery;
- We will prepare you before surgery and provide you with post-operative treatment;
- We will provide you with general information about the types of anaesthesia and personalized advice on your choice of anaesthesia, therefore reducing psychological distress before surgery;
- Before and after the surgery you will be monitored and taken care of by our staff.
For day-patient surgical operations the ARS Medcial company provides two types of analgesia – general anaesthesia or spinal anaesthesia.
General anaesthesia is a set of measures that, when the medication is administered(intravenously and by inhalation), achieves the loss of consciousness and painful sensations, as well as relaxing muscles, creating the conditions necessary for surgery. Before anaesthesia a cannula is always administered intravenously. It allows medication to be administered uninterrupted during the operation.
Through administering anaesthetic substances, consciousness is cut off and sleep-like state is maintained throughout the duration of the surgery. Using a mask or inhalation tube to access deeper airways the air is supplied in addition to oxygen and, if necessary, provide full ventilatory support. Tubes entered into airways (especially the trachea) fully protect the airways from the inhalation of saliva or stomach contents. At the end of the surgery anaesthetics are not supplied, their effect diminishes, conciousness returns, breathing and other vital function paramenters stabilise. At the end of the surgery you will be awoken, monitored and taken care of by our staff until you are ready to go home.
Spinal anaesthesia or regional anaesthesia provides pain relief in that specific part of the body on which the surgery will be performed – one or both of the legs/ posterior area. A local anaesthetic is administered around nerves which transport sensations from this region. This substance blocks nerve impulse transmission achieving insensitivity in the required area, meaning that the patient can stay awake during the surgery. During the operation only sedatives are administered, which reduce the potential psychological discomfort.
The most suitable type of anesthesia
The anaesthetist will select and recommend the most suitable type of anaesthesia, depending on the part of the body where the surgery will be performed. For example:
- For urology or proctology surgeries the most appropriate type of anaethesia is spinal anaesthesia, also known as a sciatic nerve block. Sciatic nerve block gives numbness to the buttocks, keeping leg movement.
- For trauma surgeries (arthroscopies) the most suitable is spinal anaesthesia where numbness occurs in only one of the legs, leaving the other leg free to move. Patients do not experience psychological discomfort as they do not feel paralyzed.
Numbness in the relevant part of the body will disappear after a few hours and the patient will be ready to return home. Spinal anaesthesia has a lesser effect on breathing and blood circulation, therefore it is more suitable for outpatient surgery.
At the ARS Medical Company day surgery anaesthesia services are provided by a physician anaesthesiologist – reanimatologist Dr. Aelita MEDJĀNE.
Anaesthesia services for lithotripsy procedures are provided by a physician anaethesiologist – reanimatologist Dr. Irēna Leite.