Profile of the anaesthesiology section of the ARO department
The anaesthesiology department provides comprehensive care for patients throughout the period before, during and after a surgical or diagnostic procedure requiring anaesthesia or analgosedation. A wide spectrum of general, local and general anaesthesia is performed at Hořovice Hospital. The ARO department deals with the treatment of acute and chronic pain. Currently, the department provides anaesthesia services to all surgical disciplines. To increase the comfort and safety of anaesthesia, pre-anaesthetic examination for elective surgical and diagnostic procedures is performed in the anaesthesia outpatient department.
Job description:
- Operation of the anaesthesiology outpatient clinic - comprehensive pre-operative preparation of patients for elective and acute procedures.
- Provision of all types of general and regional anaesthesia in central operating theatres.
- Provision of obstetric analgesia and anaesthesia for caesarean sections and other acute obstetric procedures.
- Provision of outpatient anaesthesia and anaesthesia for short procedures at detached departments.
- Ensuring the operation of the recovery room in the COS campus and necessary consular activities within the NH.
- Provision of acute post-operative pain management.
Resuscitation section
The Resuscitation Department deals with complex diagnostics and treatment of critically ill patients, i.e. such patients whose life is threatened due to impairment of basic life functions. In our hospital, the care of critically ill patients is integrated into a multidisciplinary intensive care unit (ICU), which includes, in addition to the ARO beds, intensive care units of the surgical specialties, internal medicine and neurology.
The ARO has 5 fully equipped beds where it provides care for patients:
- after all surgical procedures performed in the NH, in case of need for intensive postoperative monitoring, in case of complications of anaesthesia or surgical care, in case of need for specialised postoperative care, e.g. use of elimination methods
- patients hospitalised or treated in the NH (outpatient department, standard ward, ICU) with acute deterioration of general condition requiring resuscitation care, patients after successful cardiopulmonary resuscitation
- in the catchment area, brought to the ambulance, requiring resuscitation care or specialised ARO care (elimination methodologies)
- catchment, transferred by arrangement from other health care facilities, requiring resuscitation care
- non-catchment (in exceptional cases) and after prior agreement with the head of the ward or the head doctor of the inpatient ARO.
Structure of care and types of procedures performed in the ARO:
- cardiopulmonary resuscitation for the whole NH
- artificial pulmonary ventilation, including non-invasive pulmonary ventilation, with the possibility of monitoring lung mechanics parameters
- Comprehensive circulatory support and monitoring, including the use of all available pharmacological techniques, invasive monitoring with a pulmonary artery catheter and the transpulmonary thermodilution method (PiCCO). Temporary external and transvenous cardiac pacing (also performed for patients in the internal medicine department), now also with the possibility of insertion under the skiascopic control in the X-ray department.
- Care of patients with cerebral oedema or craniocerebral injury not requiring acute neurosurgery or intracranial sensor insertion
- Comprehensive care of the internal environment and nutrition, with the exception of insertion of enteral probes into the GIT
- replacement of renal function. Continuous elimination methodologies - CVVH, CVVHD, CVVHDF, the device also allows performing hemabsorption
- treatment of intoxications
- complex pharmacotherapy, targeted ATB therapy in cooperation with a microbiologist
Performing invasive procedures:
- tracheal intubation
- percutaneous dilatational tracheostomy
- insertion of central venous catheters, arterial catheters, dialysis catheters, pulmonary artery catheters, PiCCO catheters, transvenous pacing
- performing chest drains
- insertion of permanent urinary catheters and nasogastric probes
