MEF Program Summary

• Training itinerary for Anesthesiology and Resuscitation [Catalan] [Spanish]
• Schedule of rotations

The specialty

Anesthesiology and Resuscitation is the medical science that deals with and is responsible for the overall care and pain relief of the surgical patient before, during, and after surgery. Currently, the specialty includes many other areas of action, in addition to the operating room, among others: the treatment of chronic and acute pain, the management of critical conditions and emergency situations, the facilitation of performing diagnostic scans inside and outside the surgical area. It also includes the transportation of injured and critically ill patients.

Service description

The Anesthesiology and Resuscitation Service consists of 43 assistant anesthesiologists and 4 residents per year.

Service Structure

The Anesthesiology Service is structured in seven different areas:

1. Central Surgical Block

It is located on the 2nd floor of the Taulí building.

It consists of 10 operating rooms that operate morning and afternoon, one of which is dedicated to urgent surgery and an 11-box wake-up room. (with the following surgical specialties: COT, General Surgery, Thoracic Surgery, Neurosurgery, Urology, Vascular Surgery, Gynecology, Otolaryngology, Maxillofacial, Pediatric Surgery).

After surgery, patients go to the URPA (Post-Anesthesia Resuscitation Unit) until they stabilize, then move to the plant or the Critical Area.

2. Resuscitation

Our Service has the URPA open for up to 24 hours.

We have the Critical Area (a room for Semicritics with 15 beds and another for Intensive Care with 16 beds) to admit those postoperative patients who require it. In this Critical Area we share anesthetist and intensivist spaces.

In the field of resuscitation there are two anesthesiologists every day: one in regular hours and another on duty 24 hours a day. With an average admission of 6-8 patients / day.

The care of the polytrauma is carried out by a group of doctors formed by:

• 1 anesthesiologist (Team Leader)
• 1 intensivist
• 1 surgeon
• 1 traumatologist
• 1 radiologist
• 2 nurses

3. Pain Clinic

The Pain Clinic has an office (building VII Centenary) where you visit, from Monday to Friday in the morning. In addition, scheduled procedures are performed in the operating room (Surgical Block and CQA).

Interconsultations from other services are also carried out on a daily basis.

The Acute Pain Unit consists of a dedicated 8-hour-a-day nurse, Monday through Friday, and two responsible physicians. On public holidays it is the resident on duty who visits the patients that the nurse has left pending the previous day.

4. Preoperative

We have a doctor's office (VII Centenary building) where scheduled preoperative visits for non-admitted patients are carried out, in the mornings, from Monday to Friday.

5. Radiology and endoscopies

In the field of Radiology (1st floor of the Taulí building) there are 2 assistants, from Monday to Friday, during the mornings, to perform procedures that require sedation or anesthesia. (Interventional Radiology, Colonoscopy, Digestive Endoscopy, Echobronchoscopy, etc.).

Complementary tests with sedation are performed in the UDIAT building on Friday mornings. This task is carried out by an assistant from our service.

6. Outpatient Surgical Center

It consists of 4 operating rooms that operate morning and afternoon, from Monday to Friday, and a URPA that remains open until 22 pm, with the following surgical specialties: COT, General Surgery, Urology, Vascular Surgery, Gynecology, Otolaryngology, Maxi · facial, Pediatric Surgery and Ophthalmology).

We also have an office dedicated to scheduled preoperative low-risk surgery performed by nursing and a daily preoperative for anesthesia.

7. Guard equipment

It consists of 3 deputies and 1 or 2 residents. One of the deputies is located in the Critical Area, the 2nd in the Surgical Block and the 3rd in the Obstetrics Area.

The change of guard takes place at 8 am on weekdays and at 9 am on public holidays.

The guard is a priority, except on academy class days, on which he returns when he finishes.

All residents attend the SCARTD (Catalan Society of Anesthesia Resuscitation and Pain Therapy) congress. He returns after the end of the congress.

Professionals

The Anesthesiology and Resuscitation Service is made up of 43 assistant anesthesiologists, distributed in different areas of work.

• Surgical block
• Resuscitation
• Pain Clinic
• Preoperative
• Radiology
• Outpatient Surgical Center

The service is supported by two administrators.