ANAESTHESIOLOGY - PAIN MEDECINE

ANAESTHESIOLOGY DEPARTMENT HEAD
Professor Marc Fischler

Appointments

 

Please contact the appointments service: 01 46 25 25 25

To contact one of the department's doctors, please contact the secretary, Mrs Martins: 01 46 25 24 33 or s.martins@hopital-foch.com.

anaesthesiology

 

What is anaesthesiology?

 

Anaesthesiology is a medical specialisation which removes the sensation of pain before a surgical procedure by either putting the patient to sleep or numbing the area to be operated on. The procedure aims to ensure that the surgeon can operate under the best conditions.
The anaesthesiologist and the nurse anaesthetist apply and monitor the anaesthetic. They use a number of monitoring devices and displays. The aim is to manage the patient's respiration, heart-rate, blood pressure and state of consciousness. Their role also involves ensuring that all of the organs of the body are correctly supplied with oxygen.

 

What are the department's missions?

 

The Hôpital Foch's anaesthesiology department provides treatment to all patients that undergo surgical procedures. The anaesthesiologists complete a pre-op evaluation (anaesthesiology consultation), the anaesthetic procedure itself and immediate post-up care for each patient that undergoes an operation at Hôpital Foch.

 

The anaesthesiology consultation

 

All patient's destined to undergo an operation will have an anaesthesiology consultation. This medical consultation is used to evaluate risk and inform the patient about the anaesthetic procedure. This appointment can be an opportunity to prescribe any specific tests and/or preparative procedures necessary before the surgical intervention.

Patients are also informed of the techniques that will be used to help them with any post-operative pain.
Additionally, all pregnant women who give birth at Foch systematically receive anaesthesiology consultations. An epidural analgesic will be proposed, this technique is commonly used for both natural birth and caesarean sections.

 

From the anaesthetic procedure to the Post-Anaesthesia Care Unit

 

At the time of their operation, patients are received by an anaesthesiology specialist and a state qualified nurse anaesthetist.

The anaesthetic can be general (the patient is "put to sleep"), local (only the area operated on is anaesthetised) or both, local anaesthetics (such as an epidural) are administered at the same time as the general anaesthetic to manage pain during and after the operation.

All patients are transferred to the Post-Anaesthesia Care Unit (PACU) after the operation, where monitoring and treatment is continued for at least an hour, until the patient can return to their ward in comfort and safety.

During this time any pain management treatment can be adjusted and prescribed for the post-operative period.

Useful information

 

Consultation hours


There are 4 or 5 anaesthesiology consultations per day, morning and afternoon from Monday to Friday. Three anaesthesiologists provide evaluation and pain medicine consultations (link).

Pain management consultations may be prescribed if you are hospitalised or receive treatment at Hôpital Foch. Your GP may also refer you for a pain management consultation as an external patient.

These consultations are destined for patients suffering from chronic pain (>3 months) which is not responding to standard treatment.

 

 

How to make an appointment...

 

Medical consultation appointments must be made in advance by mail or telephone:

By telephone between 10am and midday, only by calling this number: 01 46 25 24 26
By email: secretariat.clud@hopital-foch.com

You must present a referral letter from your doctor, stating your clinical conditions and specifying therapeutic measures already completed, before making an appointment.
An assessment questionnaire will be sent to you to assist treatment decisions; you must complete this and bring it along to your first appointment.
During this first appointment one of the unit's doctors will complete an examination and propose various treatment options. The rest of the treatment will be completed in collaboration with your referring doctor.

Different therapies will be completed by doctors, psychologists or nurses from the pain management unit: these may include technical interventions (spinal cord stimulation), medication as well as auxiliary therapies: transcutaneous electrical nerve stimulation (TENS), auriculotherapy, acupuncture, hypnosis, sophrology and relaxation.