Anestesiologi

Semenjak tertubuhnya Jabatan Anestesiologi dan Rawatan Rapi di Hospital Selayang lebih dari sedekad yang lalu, ia telah mengalami pelbagai penstrukturan dan penambahbaikan sejajar dengan tuntutan dan perkembangan semasa perkhidmatannya. Kerjasama dan pemantauan yang berterusan ini bertujuan untuk memastikan skop dan mutu perkhidmatan berkembang seiring dengan kemajuan teknik teknik pembedahan terkini.

Jabatan ini diketuai oleh Ketua Jabatan Dr S.Sushila C.Sivasubramaniam dan dibantu oleh Pakar-Pakar Perunding Kanan Dr Haslinda binti Abd Hashim, Dr Norliza binti Mohd Nor dan Dr Laila Kamaliah binti Kamalul Bahrin. Ia diperkukuhkan lagi dengan 15 orang Pakar Anestesia, 41 orang Pegawai Perubatan serta 7 Penolong Pegawai Perubatan dan 13 orang Jururawat Anestesia (GOT) dan 29 orang (MOT). Tenaga kerja di Unit Rawatan Rapi pula mempunyai kekuatan staff seramai 103 orang termasuklah seorang Penyelia Jururawat, 5 Ketua Jururawat, 92 orang jururawat terlatih , Pembantu Perawatan Kesihatan 5 orang. Unit Acute Pain Service 1 orang Ketua Jururawat dan 2 orang Jururawat Terlatih. Obstetrics analgesic servive (OAS) pula diterajui oleh seorang jururawat terlatih.

Mission :
We are committed to the provision of safe and quality anaesthesia, intensive care and pain management services in partnership with the other departments and services in the hospital. We are guided by principles of providing quality and safe services in accordance with high standard of team work and professionalism

Vision :
To be the centre of excellence in various divisions including anesthesia and intensive care, intraabdominal transplant services, acute and chronic pain management fields, postgraduate medical studies and as well as a centre for medical research

Objective :
1- To provide anesthesia and high standard of critical care in a safe and professional manner
2- To provide related services within our expertise such as resuscitation and pain management and therefore, be an effective member of the health care team
3- To provide total clinical services in a patient-friendly environment
4- To ensure the continuing education of the staff of the department, so as to maintain our services at high standards; as well as continually improve our services
5- To encourage members of the department to strive for excellence and to provide the working environment that supports this
6- To promote good relations between staff and department
7- To encourage staff to carry out research projects in anesthesia and intensive care.

SERVICES

1. OPERATING THEATRE

1.1 ELECTIVE LIST

We provide anaesthesia services from 0800 to 1500 hours in General OT complex for a number of elective lists including General Surgery, Hepatobiliary, Obstetric & Gynaecology, Orthopaedic (including trauma), Urology, ENT, Dental Surgery and Paediatric Dental Surgery, Ophthalmology, Hand & Microsurgery, Monitored Anesthesia Care (MAC) and Remote Anesthesia Service.

All elective or emergency cases for obstetric are carried out at Maternity OT complex from 0800 to 1700 hours and emergency cases are continued at General OT complex after 1700 hours.

1.2 EXTENDED ELECTIVE LIST

There is a provision for elective list to run from 0800 to 2000 hours for selective disciplines such as Urology, Orthopaedic, General Surgery and an extra list for Living Related Kidney Transplant on Thursday. 2 – 3 elective lists are scheduled on Saturday.

1.3 EMERGENCY SURGERY

We provide anaesthesia for emergency surgery for all the disciplines mentioned above including ECT for Psychiatric patients and also cadaveric liver & renal transplants. There are 2 emergency theatres running 24 hours. The theatres are designated as:

1st EOT : all disciplines except obstetric cases.
2nd EOT : obstetric cases.

However, in the event of dire emergency, any available theatres can be utilized.

2. INTENSIVE CARE

2.1 GENERAL ICU

The general ICU has 16 beds, which caters for all the departments in the hospital. The management of patient is always done in consultation with the primary physician or surgeon. During out-of-office hours, the intensivist or anaesthetist on-call would be physically present in the unit when the need arises. The unit is managed 24 hours by a resident medical officer, responsible in providing first line call during out-of-office hours. He/she will discuss all referrals and problems in the unit with the intensivist or anaesthetist on-call. 

 2.2 OTHER CRITICAL AREAS: HDW, CRW, NICU and CCU

Patients often have to be ventilated in these areas when there is high demand for ICU beds. The overall management of the patient comes under the primary physician or surgeon. We are mainly involved in the management of ventilation of these patients.

2.3 GENERAL WARDS

Patients are ventilated in the general wards only if there is no bed available in ICU or other critical areas. Patients with poor prognosis or who are clinically brain-dead will be ventilated in general ward.

3. PAIN MANAGEMENT SERVICES

3.1 ACUTE PAIN SERVICES

The Acute Pain Service provides effective management of acute pain for patient in the general wards, particularly post-operative patients.

3.2 OBSTETRIC EPIDURAL SERVICES

This service provides epidural analgesia to mothers during labour. Patient may either be those who personally request for epidural during labour or those where epidural analgesia is indicated, as determined by the OAS team or Obstetrician. Currently, epidurals are inserted during office hours only. After office hours, epidural may be inserted after special arrangements are made with the specialist on-call.

3.3 CHRONIC PAIN SERVICES

The Chronic Pain Clinic started in July 2000 and is run twice a week. This is a multidisciplinary clinic, with a physiotherapist and a Clinical Psychologist as integral members of the team who assess and manage patients in the clinic. In addition, the Pain team runs a cognitive behaviour therapy-based pain management program for patients with chronic pain, a group program that runs for two weeks, with two programs run per year.

4. ANAESTHETIC CLINIC

The anaesthetic clinic is an outpatient clinic which carries out pre-operative assessment of patients scheduled for elective surgery. It was established in May 2008.

The objectives of the Anaesthetic Clinic are:

- To ensure that patients are in optimal state of health preoperatively;
- To ensure anaesthesia management is planned appropriately;
- To make appropriate referrals to the relevant disciplines as and when necessary;
- To educate patients pertaining to anaesthesia and other related procedures; and
- To obtain informed consent for anaesthesia.

The Clinic is attended by a dedicated medical and nursing staff. A specialist is available for consultation at all times.