ANESTHESIOLOGY AND THERAPEUTICS OF PAIN

The Department of Anesthesiology, Resuscitation and Pain Therapy is made up of anesthesiologists and anesthesiology nurses, responsible for carrying out the care work in the pre-anesthetic consultation, in the operating room and in the postoperative care of patients.

Anesthesiologists are responsible for sleeping the patient before a surgical intervention, maintaining stable hemodynamic parameters of the patient during the operation and treating the patient in the phases before and after the surgery until his arrival at the unit. Post anesthesia resuscitation.

“A very important part of the activity of ALAI anesthesiologists is the management and control of postoperative pain.

To do this we perform a multimodal and super specialized approach to pain, this being the combination of two or more drugs and / or analgesic methods, in order to enhance analgesia and reduce side effects: peripheral nerve blocks, adjusted intravenous and oral analgesia protocols to each surgical procedure.

This is complemented by state-of-the-art cryotherapy systems. ”

The anesthesiologist responsible for each patient will follow the same during their hospital admission and once discharged.

LOCAL ANESTHESIA

  It is the procedure by which only the area where the surgical procedure is performed is numbed, without altering the level of consciousness.

There are several forms of local anesthesia. It is usually administered by an injection, practically painless, for hand and foot surgeries, biopsies, epicondylitis, ganglions, etc. .

REGIONAL ANESTHESIA

It consists of the application of anesthetic drugs that block groups of nerves or an area of ​​the spinal cord, with the aim of canceling the pain in a specific part of the body (both legs, lower abdominal area, a forearm, etc).

A good example is shoulder surgery in which the brachial plexus infiltrates the cervical region to fully anesthetize the upper extremity. This technique is performed under ultrasound and conscious sedation of the patient.

[showhide]
Another type of regional anesthesia in spinal anesthesia, in its two variants, intradural or spinal and epidural, allowing us to anesthetize larger areas of the body as the entire lower hemibody.
We use it in surgeries of the lower extremity, hip or knee prosthesis.[/showhide]

GENERAL ANESTHESIA

Get a state of total unconsciousness, using a combination of intravenous drugs and anesthetic gases, which produce a blockage of all manifestations of pain and muscle relaxation.

Our most common daily practice is the use of combined techniques, such as ultrasound-guided interscalene block plus general anesthesia for shoulder surgeries or blockade of the inner saphenous nerve in the adductor canal and general anesthesia for knee ligament surgery.

THE TEAM

Dr. Jesús Tercero López

 Medical Anesthesiologist since January 1997

He has been working since 1997 at the Ramón y Cajal University Hospital in Madrid as a consultant adjunct to the Anesthesiology Service in the areas of:

  • Neuroanesthesia, ten years’ experience
  • Anesthesia in Traumatology and Orthopedics, 20 years’ experience
  • Anesthesia in Ophthalmology, 20 years’ experience
  • ICU of Neuroanesthesia and guards in the aforementioned areas, experience of thirteen years
  • Anesthesia for Interventional Neuroradiology. Guards for ICTUS Code
  • Anesthesia in Plastic Surgery
  • Anesthesia for Kidney Transplant


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Dra. Sara Martín Burcio

Medical Anesthesiologist and Resuscitation

  • Anesthesiologist at the Ramón y Cajal Hospital, where I serve since the completion of my training. Currently, and during the last 10 years, I work in the area of ​​Traumatology.
  • Anaesthesiologist at Alai SMC since 2016.
  • Mortality commission H. Ramon y Cajal. 2008-2010.
  • Anesthesiologist at the San Francisco de Asís Hospital 2000-2017.
  • Anesthesiologist at Clínica Rementeria and Institute of Advanced Ophthalmology from 2008 to the present
  • International cooperation. Rementeria Foundation. Thiès Senegal. 2016 and 2017.


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