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Cardiothoracic Anesthesiology in Spain

Hospitals, clinics and medical centers in Spain performing Cardiothoracic Anesthesiology.
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Hospital Quirónsalud Malaga

With more than 36 medical specialties, 200 physicians and surgeons of the highest level, Quironsalud Hospital Malaga is one of the most pertinent hospitals in Spain.

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Cardiothoracic Anesthesiology is available at Hospital Quirónsalud Malaga

Grupo Hospitalario Quirónsalud

Quirón has an internationally prestigious medical staff, the largest in the sector, and is also the principal hospital network in terms of patient numbers and care facility area. The group administers 47 healthcare centers, more than 4.000 hospital beds and 8.000 doctors

Availability:

Cardiothoracic Anesthesiology is available at Grupo Quirónsalud

Hospital Universitario HM Montepríncipe

The department of Anesthesiology is deeply committed to helping the community, both locally and globally.

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Cardiothoracic Anesthesiology is available at Hospital Universitario HM Montepríncipe

Hospital Quirónsalud Barcelona

Quirónsalud Hospital Barcelona is the benchmark for private healthcare in southern Europe, providing world-class service for the past seventy years.

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Cardiothoracic Anesthesiology is available at Hospital Quirónsalud Barcelona

Hospital Quirónsalud Valencia

Hospital Quirónsalud Valencia is ranked as one of the best private schools in Spain, winning nine times in the TOP 20 award in recognition of its management and quality of care.

Availability:

Cardiothoracic Anesthesiology is available at Hospital Quirónsalud Valencia

Medical centers for Anesthesiology in Spain (Page 1 of 1)

About Cardiothoracic Anesthesiology

This information is intended for general information only and should not be considered as medical advice on the part of Health-Tourism.com. Any decision on medical treatments, after-care or recovery should be done solely upon proper consultation and advice of a qualified physician.


What is cardiothoracic anesthesiology?

This is a subspecialty of anesthesiology that focuses on the care of patients undergoing cardiothoracic surgery and other related procedures. The care is provided before, during and after the surgery.

Cardiothoracic anesthesiology deals with the anesthesia care related to surgical procedures such as lung surgery, open heart surgery, and other procedures on the human chest. It involves perioperative care and expert manipulation of the cardiopulmonary physiology through the advanced and precise application of anesthesia, sedation and pain medication. It also involves resuscitative techniques, critical care medicine. Management of the heart-lung (cardiopulmonary bypass) machine is also undertaken by cardiothoracic anesthesiologists. This is done while the heart undergoes surgery.


Training

Cardiothoracic anesthesiologists are medical doctors who have at least 4 years of medical school, internship for one year, at least 3 years residency in all subspecialties of anesthesiology and additional training in cardiothoracic anesthesiology.


Role of cardiothoracic anesthesiologists in non-cardiac surgery

Cardiothoracic anesthesiologists provide consultations and recommendations for patients with cardiothoracic pathology but who present for non-cardiothoracic surgery. This is because such patients have an increased danger of perioperative complications. They evaluate heart function with the help of TEE.


Procedures that cardiothoracic anesthesiologist assists in include:

Cardiac procedures

coronary artery bypass surgery (CABG) both on a beating heart and on a cardiopulmonary bypass, heart valve surgery, aortic reconstruction needing deep hypothermic arrest, aortic dissection repair, mechanical ventricular assist device (VAD) placement, heart/lung transplants, lung transplants, heart transplants, thoracic aortic aneurysm repair, automatic implantable cardiac defibrillator placement, adult congenital heart surgery, cardiac pacemaker, surgical treatment of cardiac arrhythmias, complete gamut of invasive cardiologic (catheter-based).

Cardiothoracic anesthesiologists also assist in the anesthetic management of cardiac patients including ventricular assist devices (VAD), blood transfusion medicine, management of intra-aortic balloon pumps (IABP), postoperative ICU care, transthoracic echocardiography, and electrophysiology.


Thoracic surgical procedures

In addition to assisting in cardiac surgical procedures, they also assist in thoracic and vascular surgical procedures. They help manage all type of thoracic surgeries and have expertise in different techniques of lung isolation and ventilation. These include open thoracotomy, video-assisted thoracoscopic surgery (VATS), advanced airway procedures involving the trachea, bronchial blockers, advanced jet ventilation, double-lumen endotracheal tubes and univent tubes under the guidance of fiber optic bronchoscopy.


Advanced monitoring and invasive techniques

Cardiothoracic surgery is of a complex nature and therefore requires a cardiothoracic anesthesiologist. A cardiothoracic anesthesiologist has expertise in advanced monitoring techniques including cardiac output monitoring, Transcranial doppler (TCD), cerebral oximetry, Bispectral Index (BIS), invasive blood pressure, arterial blood gas analysis, jugular venous oxygen saturation, Near-infrared spectroscopy (NIRS).

Invasive procedures completed by the cardiothoracic anesthesiologists include: Echocardiography (TTE and TEE), intraspinal drainage placement, central venous cannulation (femoral, internal juggular, subclavian), arterial line placement (brachial, radial-femoral, axillary), 2D/3D transesophageal echocardiography, thoracic epidural analgesia, transvenous pacemaker placement, pulmonary artery catheter placement, fiberoptic endotracheal tube placement and advanced ultrasound guidance of vascular access.


Cardiopulmonary bypass

Cardiopulmonary bypass (CPB) is a technique used during surgery whereby a heart-lung machine temporarily takes over the function of the lungs and the heart. The CPB is usually operated by a perfusionist. During surgery, the perfusionist takes over the heart function and works closely with the anesthesiologist and the surgeon. After the surgery, the patient t is separated from the CPB. The CPB can complicate the separation. Other factors that can cause complications are the patient's inherent pathology/physiology, surgical correction, and also the dynamic interaction of all three. This technique has effects on the patient's hematology, immunology and physiology and the cardiothoracic anesthesiologist must acutely manage these to ensure effective separation from CPB.

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