Anesthesia and Operating Rooms

Unit Manager: Dr. Yulia Gdolov

Anesthesiologists take part in any surgery or medical procedure that is done under anesthetics. They perform an evaluation before the anesthetics, handle the anesthesia itself, and are present in the recovery room or the intensive care unit after the procedure.

Medical Units:
Pain unit
Recovery unit
Pediatric anesthesiology unit
Maternal anesthesiology unit
Cardiac surgeries anesthesiology unit
General intensive care unit
Surgical outpatient unit

Anesthesiology Methods
There are three types of anesthetics that are usually performed: local, regional and general anesthesia.

Local Anesthesia
Local anesthesia eases the local pain in the surgery by a drug prescribed locally and fit for small superficial surgeries in the skin or eyes. The anesthetic will be provided as an ointment, injection or spray.

Regional Anesthesia
Regional anesthesia is the anesthesia of the organ only to numbness and lack of movement of the organ (“block”). According to the surgery, the anesthesiologist and the patient will decide the length of the block, which can be between two hours and up to 48 hours or more.
After the effect of the regional anesthesia dissolves, the anesthesiologist and the staff will care for suitable pain medications for the patient.
This is an innovative method fit for most surgeries. Patients and doctors prefer it over general anesthesia.

Why prefer the regional anesthesia?
In regional anesthesia the pain lessens, there is no need for ventilation, there are less side effects and complications, the recovery is faster, and as a result the discharge is faster.
This does not mean that the patients stay awake and experience the entire surgery. A patient can feel to be sedated. Sedation can influence in various levels, according to the patient’s preference and does not entail intubation – as is required in general anesthesia.

Regional anesthesia is known from deliveries and caesarean sections – epidural and spinal anesthesia. The regional anesthesia allows the anesthesiologist to perform a caesarean section without prescribing intravenous anesthetics and without exposing the fetus to the anesthetics. Anesthetics of the abdominal wall, on top of the spinal anesthetics, eases the pain after surgery, without exposing the newborn baby to medicine.

It should be mentioned that the anesthesiologist is present during all stages of the process.

General Anesthesia
General anesthesia, also known as full anesthesia, is an anesthesia in which the patient is controllably unconscious, and because of the anesthetics he can’t move and does not suffer from any pains.

The anesthetics process is safe, planned and monitored, and it will be performed in surgeries that local or reginal anesthetics are not enough.

General anesthesia is performed by intravenous drugs or using inhaled gasses, which are controlled by the anesthesiologist.

The passing side effects of the anesthetics may occur after the surgery: nausea and vomiting, tremor, muscle pains, sore throat, harm of the teeth or lips because of inserting the anesthetic devices.

It should be mentioned that the anesthesiologist is present during all stages of the process, monitoring the status of the patient during the operation and after it, follows the awakening process and the recovery of the patient and cares for an appropriate pain medicine for him.

Operation Rooms
The Kaplan Medical Center has 9 operation rooms, 8 of them are in the central site in the hospitalization building on level 2. Another room is in the maternal ward, next to the delivery rooms.

The operating rooms provides service to all the units in the medical center and operates 24/7.

The operating room activity divides to elective (scheduled), urgent and second shift surgeries.

The operating room performs a wide variety of surgeries, including highly complex ones such as: liver and biliary surgeries, bariatric surgeries, cardio-thoracic surgeries, neck surgeries, complex plastic surgeries (post-imputation breast reconstructions), endoscopic blood vessels surgeries, bladder and kidney amputation laparoscopically, joint replacements, complex back surgeries, diverse trauma surgeries, eye surgeries, cochlear implant surgeries, pediatric surgeries etc.

In the maternal area there is an operation room that provides an answer for caesarean sections, laparoscopic surgeries of hysterectomy, bladder raising surgery, etc.

The operation room staff is professional and skilled and capable of providing an answer to all the surgeries mentioned above, around the clock, all year long.

Next to the recovery room on the second floor there is a waiting area for families, where the surgeons go and update the families after the surgery.