The Department of Anesthesiology and Reanimation is responsible for medical
evaluation before the intervention, pain relief during and after the
intervention, as well as anesthesia for any surgical intervention within the
hospital’s entire patient care and treatment service.

Anesthesia service includes pre-intervention medical evaluation by experienced
anesthesiologists, pain relief during and after the intervention, and follow-up
of all vital functions. It includes analgesia and sedation in diagnosis
and therapeutic interventions, outpatient surgical anesthesia, painless birth,
anesthesia in infants and children, and anesthesia in all surgical branches.

Equipped with world-class technological infrastructure and high scientific
qualifications, our experienced team performs anesthesia applications in
cardiac surgery, neurosurgery, pediatric surgery, obstetrics, orthopedics,
thoracic surgery, vascular surgery, ear-nose-throat, urology and eye
departments.

General anesthesia, regional anesthesia methods such as epidural anesthesia, spinal anesthesia,
combined spinal epidural anesthesia, anesthesia methods in which only the vaven
(extremity) is applied in upper and lower extremity surgery, and pain pumps
that provide a patient-controlled method used to prevent the patients from
feeling pain after surgery It is among the services they have successfully
implemented.

Types of anesthesia

When necessary, the types of anesthesia applied to facilitate the intervention and
to reduce or eliminate pain can be grouped under several headings. Depending
on the type and length of the intervention to be performed by other physicians
and surgeons, the anesthesiologist; chooses from general, regional, local
anesthesia and sedation applications. Applies the anesthesia procedures
deemed necessary to the patient. Sedation, which is among the types of
anesthesia and is a part of general anesthesia, is generally applied to relieve
the patient and to create a light sleep state.

General anesthesia

The patient, who is welcomed by the anesthesiologist in
the operating room, is first connected by the anesthesiologist to the necessary
devices such as a heart monitor, a pulse oximeter that measures the oxygen in
the blood. With these devices, the vital functions of the patient are
constantly monitored throughout the operation. Then, special medicines are
given to cause muscle relaxation and sleep through the vascular access. Then,
inhalation anesthetics, in other words, different anesthetic gases, are given
with oxygen from the respiratory tract by the anesthesiologist. Thus, the
consciousness of the patient is closed in a controlled manner.

After the continuity of respiration is ensured, surgical intervention begins and
these gases continue to be given as long as the operation continues. Throughout
the operation, the anesthesiologist is always with the patient. Anesthetist; It
constantly monitors all vital functions such as pulse, oxygen concentration in
tissues, blood pressure, body temperature and respiration and does not leave
the operating room. Modern anesthesia devices and anesthesiologists
constantly observe the depth of sleep, so that situations such as waking up and
awakening are not encountered during surgery. The duration of general
anesthesia is completely variable depending on the type and duration of the
surgery.

When the surgery is completed, all inhalation anesthetics are turned off by the
anesthesiologist and the tubes in the respiratory tract are removed. The
patient is taken to the wake-up room to slowly wake up and recover and his
general condition is checked. Painkillers are applied when necessary to
reduce existing pain. When the patient is fully conscious, the patient is
switched to controlled analgesic administration. Here, if the pain
increases while the patient is resting, he presses a button in his hand to
transfer some painkillers in addition to the serum that goes into the vascular
access. Thanks to the pre-programmed device, overdose of painkillers is
prevented and the comfort of the patient is increased.

Regional anesthesia

It is a type of regional anesthesia that is frequently
used in some surgeries and especially in childbirth. Combined spinal
epidural anesthesia can also be applied in addition to the types of spinal and
epidural anesthesia applied for both normal and cesarean sections. Thanks
to these methods applied locally, although the patient is conscious, he does
not feel pain during the operation.

Spinal anesthesia can be performed before waist level,
surgical operations performed at or below this level, cesarean section or
normal birth. It is the type of anesthesia that does not feel any pain
during cesarean delivery and allows the mother to take her baby in her arms
right after the birth.

While anesthesia is applied, the patient is seated, after
the lumbar region is sterilized, the spinal cord and nerves in the
cerebrospinal fluid are injected into the spinal sac called the dura. In a
short time, numbness of the feet and legs begins. There is numbness from
the bottom of the chest to the feet. The application of spinal anesthesia,
which has a quicker effect with a lower dose of anesthesia compared to epidural
anesthesia, is thus completed. The anesthesiologist stays in the operating
room during the entire operation and makes the necessary controls. It is
normal for the numb feeling to continue for 2-3 more hours after the cesarean
is completed. The advantages of spinalanesthesia are listed as follows:

Anesthesia takes effect quickly.

Although the consciousness is open, no pain is felt.

There is no feeling of nausea or vomiting.

Postoperative eating and drinking is possible.

Epidural anesthesia, just like the spinal anesthesia
method, is a type of regional anesthesia that stops pain transmission in a
specific area. In addition to many surgical interventions, it is also
applied during normal and cesarean delivery to control birth
pain. Although the method of administration is similar to
spinalanesthesia, here the injection is made through the thin tube called a
catheter, into the epidural space, that is, outside the spinal sac located in
the cerebrospinal fluid. Pain sensation is suppressed approximately 15
minutes after anesthesia is applied. The advantages of epidural anesthesia
are listed as follows:

It is effective in relieving labor pains.

Consciousness is clear, but no pain is felt during the operation.

When applied at the appropriate time, it speeds up the birth.

The patient can stand up and walk after the procedure.

Combined Spinal Epidural Anesthesia is a form of
anesthesia in which spinal and epidural anesthesia methods are applied
together. First, anesthesia is applied by spinal injection and immediately
afterwards, epidural anesthesia is performed with the help of a
catheter. Although there is no pain sensation with epidural anesthesia,
the patient can feel the touch and pulling of the tissues during the operation,
but this feeling disappears when applied in combination with spinal
anesthesia. Other advantages are as follows:

Drugs given for general anesthesia do not reach the baby.

Recovery and recovery is faster than general anesthesia.

Thanks to being conscious, it is possible for the mother
to take the baby in her arms at the first moment.

There is no pain and no pain sensation.

Local anesthesia

Local anesthesia, which should not be confused with regional anesthesia, is applied
for minor surgical procedures in limited areas. Local anesthesia, which is
frequently used in procedures such as abscess drainage, mole removal, tooth
extraction, circumcision, dermatological and aesthetic procedures; It is
applied by injection, spraying or rubbing on the skin. With this type of
anesthesia, which takes effect in about 15 minutes, only the area where the
procedure is performed is anesthetized without loss of consciousness and
sensation.