Servei Assistencial

Presentació

Anesthesiology and Resuscitation service is responsible for the overall care and pain relief surgical patients before,during and after surgery .

Besides surgery, the specialty deals with other areas such as the treatment of chronic and acute pain, the management of cadres and critical emergency situations, facilitating the realization of diagnostic tests inside and outside the surgical area.
Secretary Phone: (0034) 972940226
Email: quirofans.girona.ics@gencat.cat
Location:

Second floor: Surgical area, CLAW (URPA), resuscitation and Secretariat.
First floor: Pain Unit.
Pavelion External Consultations (first floor): Consultations preoperativeanesthesia

Visiting hours for relatives of patients admited to recovery : Every day from 10:00 am and 19:00 pm.

Pain Unit Shedule: Monday,Tuesday,Wednesday and Friday from 9 am to 15 pm.

Shedule Preoperative in Outpatients: Tuesday,Wednesday and Thursday from 9 am to 15 pm (often extended to Monday and Friday)

Cartera de serveis

- Preoperative patients sheduled for ambulatory surgery with anesthesia.

- Interconsultations intrahospital of hospitalized patients who do not have preoperative or presenting problems related to anesthesia.

- Interconsultations extrahospital of surgical patients of other centers who require transfer to be operated in our hospital because is the hospital of reference .

- Unit of reception surgical patients (admission the same day of the intervention ) located in the CLAW.

- Anesthesia in operating rooms ,sheduled ambulatory surgery(CMA) and urgent.

- Analgesia (epidural) and anesthesia obstetrics.

- Anesthesia outside the operating room : MRI, CT, interventional radiology , cardiology, endoscopy...

- Resuscitation post-anesthesic (CLAW) ,short term and long term postoperative resuscitation

- Cooperation with politrauma team.

- Clinic of pain: study and treatment of patients with chronic pain

Equip

Head of service	Dr. Antoni Villalonga Morales
Clinical leaders	Dra. Carmen Hernández i Dra. Maria Teresa Metje
Obstetric analgesia and anesthesia	Dra. Fina Ros
Pain Unit	Dr. Josep Vilaplana, Dr. Joaquim Pujol, Dr. Antoni Arxer, Dr. Federico Bañuelos
Resuscitation	Dra. Maria Díaz
Emergency	Dra. Charo García, Dr. Gerard Viroles
Cardiac, Vascular and Thoracic	Dra. Fina Parramon, Dra. Núria Estanyol, Dra. Berta Pardina, Dr. Xavier March
General surgery	Dra. Sílvia Torres
Urology	Dra. Gemma Miró
Neurosurgery	Dr. Emílio León
ORL	Dr. José Salvador Sánchez
Pediatrics	Dr. A. Muñoz
Orthopedics and Traumatology	Dra. A. Costa, Dra. Ester Muliterno
Plastic Reconstructive	Dra. Nadejda Cuznetova
Ophtalmology	Dra. Isabel Castrillo
Supervisor of the surgical area	Sra. Marta Navarrete

Docència

The service is authorized by the formation of three MIR per year and there are three tutors (Dra. M. Teresa Metje, Dra. Fina Parramon, Dr. Aantoni Arxer)

The current program actual lasts 4 years. The first year they make emergency guards at the hospital and also specialty. It rotates to the Hospital de Sta. Caterina and Orthopedic and orthopedics surgery and urology . From the second year, there is a rotation in Cardiology, ICU, and beside several surgeries. It also rotate to the Hospital in Figueres i the Unit of pain . There is the possibility of a stay of one or two months in a national or foreign hospital.

Every first Monday of the month there are specialty classes for all residents of Catalonien in Barcelona. At the end of each cours is an examination test to asses the level of attaintment of knowledge.There are also weekly service session from 8 a 8:45 am Monday , bibliographic session Wendsday from 8 to 8:30 am and session ABP Thursday from 15:30 to 16:30 pm.

Three service members are professors from the University of Girona.

Additional training programa (MIR)

Recerca

Publication of books on specialty

E. Carrero, J. Castillo, A. Villalonga, C. Gomar, F. J. Tercero. Fisiología aplicada a la anestesiología. Ergon, Madrid 2012.
C. Gomar, A. Villalonga, J. Castillo, E. Carrero, F. J. Tercero. Formación Continuada en Anestesiología y Reanimación. Ergon, Madrid 2013. (2 toms 1189 pàgines)

Outsatanding Research since 2010.

Formen part de grups de treball de la SCARTD (ANESCAT, ANESCARDIOCAT, ARISCAT, SEVA, DOLCAT...) que ha produït múltiples publicacions:
Villalonga A. Como ahorrar en anestesia en tiempos de crisis. Rev Esp Anestesiol Reanim 2013;60(3):121-3.
Borràs R, Periñan R, Fernández C, Plaza A, Andreu E, Schmucker E, Añez C, Valero R; Grupo SEVA: Sección Vía Aérea de la Societat Catalana d’Anestesiologia, Reanimació i Terapèutica del Dolor (SCARTD). Algoritmo de manejo de la vía aérea en la paciente obstétrica. Rev Esp Anestesiol Reanim. 2012 Oct;59(8):436-43.
March X, Rios N, Parramon F, Marmol E, Bertone V, Villalonga A. Protective lung ventilation during thoracic surgery. Eur J Anaesthesiol 2012;29:Suppl 50:85.
Sabaté S, Gomar C, Canet J, Sierra P, Castillo J; ARISCAT. Factores de riesgo de insuficiencia renal aguda postoperatoria. Análisis en una cohorte de 2378 paciente de 59 hospitales. Rev Esp Anestesiol Reanim. 2011 Nov;58(9):548-55.
Samaniego C, Metje M, Villalonga A, Rubio M. Fuga de anestésico local de un bloqueo paravertebral al espacio interpleural Rev Esp Anestesiol Reanim. 2011 Oct;58(8):532.
Canet J, Gallart L, Gomar C, Paluzie G, Vallès J, Castillo J, Sabaté S, Mazo V, Briones Z, Sanchis J; ARISCAT Group. Prediction of postoperative pulmonary complications in a population-based surgical cohort. Anesthesiology. 2010 Dec;113(6):1338-50.
Sabaté S, Gomar C, Huguet J, Castillo J, Canet J, Villalonga A; ANESCAT Group.
Anesthesia for urological surgery in a European region with 6.7 million inhabitants (Catalonia, Spain). J Clin Anesth. 2009 Feb;21(1):30-7.

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