The Department of Anesthesiology and Resuscitation is one of the most important for any inpatient healthcare institution. This is due to the fact that it provides intensive medical care to patients who are in extremely serious and serious condition.
What is it like?
The Department of Anesthesiology and Resuscitation is a part of the inpatient healthcare institution, where patients with serious pathology that directly threaten their life are treated. It consists of technical rooms, wards (their number can vary significantly depending on the size of the hospital), a resident room, office of the head, senior nurse, and nursing staff. Often an operating unit is associated with the Department of Anesthesiology and Intensive Care. This is due to the fact that with almost any surgical intervention, the patient is injected into anesthesia, and after the end of the operation he is under the supervision of resuscitators for some time.
Department Head
Usually he is the most experienced resuscitator anesthetist. However, in most departments of this type, the head also treats a certain number of patients. In addition, he is responsible for the training of internship doctors. The head of the department of anesthesiology and intensive care is responsible for checking the quality of medical care for the specialists under his supervision.
Senior nurse
She is involved in the organization of work of middle and junior medical workers, in the provision of medicines for the department. In addition, it controls the sanitary condition of the chambers and all other rooms.
The senior nurse of the anesthesiology and intensive care unit assesses the quality of work of her subordinates. She, along with the head, is among the administrative employees.
The main functions of the department
It provides medical assistance to patients in serious and extremely serious condition. If possible, patients may also be hospitalized here, whose condition may worsen in the near future. Most often there are people with the following diagnoses:
- myocardial infarction;
- acute cerebrovascular accident;
- pulmonary embolism ;
- pulmonary edema;
- burn disease;
- combined and combined injuries;
- severe poisoning;
- coma of various etiologies;
- soporous state ;
- bilateral pneumonia.
All of these conditions require intensive care. All patients are hospitalized in the department of anesthesiology and intensive care after surgical interventions, during which the person was anesthetized.
Equipment
These departments usually have the most modern and high-quality equipment. Here, the following devices are mandatory:
- Monitors continuous monitoring of electrocardiograms, heart rate, respiration and blood saturation.
- Devices of artificial ventilation.
- Pulse Oximeter
- Vacuum suction.
- Portable x-ray machine.
- Equipment for bronchial, colonic and esophagogastroduodenoscopy.
In addition, in this department there are many simpler diagnostic and therapeutic devices.
Drug Support
The Department of Anesthesiology, Intensive Care and Intensive Care is provided with medical drugs as a matter of priority. Here are the following groups of funds that are not characteristic of other departments:
- antibiotics of the reserve group (these drugs are used in exceptional cases, since most bacteria lack any resistance to them);
- preparations for thrombolysis therapy (these drugs, in addition to the department of anesthesiology and intensive care, should be at the disposal of the ambulance crews);
- high-quality neuroprotective drugs (such drugs are used in the case of the development of strokes and TIA in order to reduce the affected area);
- narcotic drugs.
Due to the availability of modern effective drugs, anesthetists-resuscitators have all the opportunities for intensive care.
Where are provided?
The Department of Anesthesiology and Resuscitation is mandatory in all inpatient-type healthcare facilities, with the exception of district hospitals and nursing hospitals. If necessary, patients from them are transported to larger clinics, where there is the possibility of providing intensive care.
Today, in each central district hospital there is a department where it is possible to provide resuscitation care and anesthetic benefits.
Complexity of work
Work here is considered perhaps the most difficult for employees. The work of the department of anesthesiology, resuscitation and intensive care involves constant monitoring of all patients being treated. Their condition is unstable and can deteriorate sharply, which requires the average medical staff and doctors to be in constant tension and willingness to provide highly qualified assistance.
It is also very difficult to work here because many patients cannot be saved. This leads to serious psychological problems in both doctors and nurses of the anesthesiology and resuscitation department. It is especially hard for young professionals who are just starting their career and have not yet got used to the idea that not in all cases a person can be saved.
The complexity of the work leads to a sufficiently high staff turnover, despite the relatively high salaries in this department.
Communication with other specialties
Resuscitation anesthetists are assisting the most problematic patients. It is not surprising that during the treatment process they attract doctors of other specialties for consultation. Most often they interact with the following doctors:
- therapists;
- surgeons
- neuropathologists;
- endocrinologists;
- cardiologists;
- gynecologists;
- nephrologists.
Thanks to the advice of these specialists, resuscitators have the opportunity to prescribe the most effective treatment regimen. In the most difficult cases, the so-called medical consultation is convened to develop tactics for helping the patient. Most often, it consists of department heads or the most experienced medical specialists. As part of the consultation, the patient's treatment regimen is carefully thought out.
How to become a resuscitation anesthetist?
Theoretically, almost any graduate of a higher medical educational institution can receive such a specialty. To do this, you will have to have a fairly high average score, since the selection of anesthesiologists and resuscitators into groups of doctors is on a competitive basis. Students with almost the highest score on the course get here.
In the future, a specialist who has already received a diploma will have to undergo an internship in one of the clinics, which has a department of resuscitation and anesthesiology. After its completion, he will be able to engage in independent medical activities in any inpatient healthcare institution.
Need for specialists
Such doctors are traditionally one of the most sought after specialists. If desired, a young doctor who has completed an internship can easily get a job even in large cities. In small healthcare facilities, one can often see open vacancies of the head of the department of anesthesiology, intensive care and intensive care. Moreover, the salaries of such specialists are offered one of the highest in the institution.
Such specialists are lacking not only in the domestic health care system, but also abroad. With knowledge of the language, resuscitation anesthetists from post-Soviet countries easily find highly paid jobs in European countries.