Anesthesiology

The Anesthesiology and Reanimation Unit of the Türkiye Hospital is serving our patients round the clock.

You can have further information by phone: 0212 314 14 14

Anesthesiology has a unique place in both traditional and modern medicine. Anesthesiology is used in most of treatments and all kinds of surgical interventions.

Anesthesia means “absence of sensations” or loss of feelings.

It is defined as temporary absence of senses and some reflexes in addition with loss of consciousness, although there is no change in vital functions.

History of Anesthesia
Playing a substantial role in the medicine, anesthesia has a history of 5500 years. Data available shows that anesthesia was in use around 3500 B.C.

However, history of modern anesthesia begins in 1846, with Thomas Green Morton’s identification of anesthetic characteristic of ether.

It is followed by use of other anesthetic agents and anesthetics such as morphine. Thus, anesthesiology had developed rapidly.

Sadi Sun is the first known practitioner of anesthesiology in Turkey.

Types of Anesthesia
Generally, 3 types of anesthesia is applied.

1- General anesthesia: A total state of sleep, loss of conscious, and mostly muscle relaxation is achieved by using anesthetic agents, which are administered via intravenous or inhalation routes.
2- Regional anesthesia: Local anesthetic agents are injected to certain regions of body by using special equipment, and accordingly, nerve conduction and pain is temporarily blocked.  In this application, the patient is conscious and loss of sense is just local.

Different from local anesthesia, wider areas are anesthetized.For example; spinal anesthesia, epidural anesthesia, regional anesthesia etc..

Mobile painless delivery is a substantial area of regional anesthesia applications.

When labor pain becomes irresistible,  appropriate anesthetics are injected through a fine needle to spinal cord. If needed, fine catheters are inserted to prevent labor pains without additional medication Further birth pains are felt like distension or pressure. Thus, mother gives birth without suffering or exhausting.

3- Local anesthesia: It is provided by administering local anesthetics into the region where the intervention is performed.  Additionally, local anesthesia can be applied using drops, sprays and creams.

Areas of Application
The Anesthesiology and Reanimation Unit of the Türkiye Hospital is working at operating rooms that have advanced technology to ensure safety of the patient during anesthesia at our hospital where all kinds of surgeries are performed.

In the Türkiye Hospital, modern anesthetic methods are used, including sedation, general anesthesia, regional anesthesia, and monitored anesthesia.

Anesthetists play an active role in determining the preoperative medication based on preoperative assessments, and in intraoperative induction and maintenance of anesthesia and in postoperative pain management.

A group of patients can be discharged at the operation day even 1-2 hours after the operation by means of modern anesthetic medications used for general anesthesia.

In the Türkiye Hospital, all regional anesthetic methods are used, including combined spinal-epidural anesthesia, continuous spinal and epidural anesthesia and axillary anesthesia and block anesthesia.

Particularly, for pelvis and lower extremity surgeries, both comfortable intraoperative period and postoperative pain management is ensured, using appropriate anesthetic method.  Continuous spinal and epidural anesthesia are advised to be used in high risk and older patients,  and such methods are commonly used in appropriate patients.   Postoperative pain management is planned by anesthetist during operation, and if there is no contraindication, effective postoperative pain management is performed by using epidural or intravenous “Patient Controlled Analgesia” devices.

Preoperative preparations and postoperative period
Regardless of the reason, the preoperative patient must be assessed by anesthetist.

During preoperative visit, anesthetist identifies if the patient had surgery before, has any medical condition such as hepatitis, tuberculosis, or has any systemic disease and has regularly used medications and the medical history of the patient.

After such details are recorded, tests and analyses are started, such as blood count, blood tests, glucose, urea, liver functions, kidney tests, ECG and chest radiography. If needed, other departments are consulted.

In the last phase, the patient is informed by explaining anesthetic method to be applied, risks and procedures, and his/her questions are answered to the satisfaction of the patient.

Premedication is done for the patients, particularly for ones with anesthesia fear; premedication alleviates near and sedates the patient.

These sedatives are administered to children in fruit juices in order to avoid anxiety.

In postoperative period, some conditions can be observed, such as pain, cough, nausea and dizziness, although they are dependent to the type of surgery. However, these conditions are overcome through appropriate interventions.

What to consider before surgery?
The patient should meet following conditions, if the patient will be operated under anesthesia:

  • Patient should be fasting for a particular period, as advised by relevant healthcare practitioner, before patient is transferred to the operating room.
  • No blood thinners for two weeks before surgery
  • Stop or quit smoking
  • Inform the doctor about regularly used medications and medical history.