Risk assessment for surgery and opinion on fitness for anesthesia

Taking into account modern medical doctrine, planned anesthesia is safe and is carried out according to the most modern professional guidelines. In recent years, we have had access to newer anesthetics, technologically advanced anesthesia machines, newer, precise equipment for monitoring or controlling patients' vital functions, and well-trained anesthesiologists (six years of specialization after completing medical studies), all of which contribute to the safe implementation of anesthesia.

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However, anesthesia is sometimes associated with a certain risk, which according to world statistics is very small. The risk is higher in people whose general health is poor than in young, otherwise healthy people. The occurrence of complications is mainly influenced by the patient's poor health and the complexity of the surgical procedure. Complications are therefore more common in patients with overweight, diabetes, heart and lung diseases, uncontrolled blood pressure, smokers, patients with neurological diseases, etc. Complications also occur more often in patients who have recently had a cold or are not completely fasting. Certain complications are not directly related to anesthesia and can also occur due to the surgery itself and the procedures related to it, such as complications related to the patient's position on the operating table. In older people, complications (for example, confusion after waking up) can be influenced by the change in environment itself.
Most complications are mild, but more serious complications occur very rarely. Possible complications of both general and regional anesthesia are listed on the anesthesia consent form, which the patient receives by mail at the same time as the invitation to the examination.

Before anesthesia, each patient will have the opportunity to talk to the anesthesiologist and get answers to all possible questions and concerns regarding anesthesia and possible complications or risks. The anesthesiologist will learn about the patient's associated diseases and their regular therapy in the clinic, review the results that the patient will bring with them to the examination and, based on everything, individually decide on the safest anesthesia for the planned surgery and also give the patient all explanations and instructions, especially regarding taking medications.
If the anesthesiologist finds any abnormalities during the anesthesia check-up that could significantly affect the course of anesthesia, he will refer the patient for additional tests (for example, to a cardiologist, for an ultrasound examination of the heart, carotid arteries, for a thyroid examination, etc.) for safety reasons and to reduce the possibility of complications. If necessary, he will also ask the personal physician to correct laboratory results (anemia, low potassium, etc.) or to regulate blood pressure. In this case, the surgery will need to be postponed until the diagnostics are performed and the patient obtains the necessary results or the health problem is resolved. In this way, the possibility of complications can be greatly reduced.
However, when, during an examination in the anesthesiology clinic, the anesthesiologist determines that the patient's health condition is very poor and anticipates that the patient may need intensive postoperative treatment with a machine for artificial ventilation and heart support after surgery, the patient is recommended to have the surgery performed in one of the hospitals that have an intensive care unit. The anesthesiologist also refers a patient who will need dialysis after surgery to another institution; this option is not available at MD medicina.

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Anesthesiology clinics

Opinions of satisfied customers

Our patients' opinions testify to the trust, professionalism, and personal approach that we implement in our work every day.
MD Medicina has friendly and, above all, professional staff. The anesthesiologists make sure you feel really safe. The surgeon gives you all the information and does his job professionally, taking care of you until you leave and of course afterwards. The nurses, physiotherapist and others make sure you don't miss anything, even if you really can't do anything at that time. Professionalism, friendliness, homeliness. This is probably all that we as patients want and deserve when we need surgery. And that's how I felt too, because everything, from the preparation for the procedure, the surgery and the postoperative care, was carried out superbly. Thank you to the entire team and all the best!
Katarina Sinkovec
Thank you to all of you who use the latest medical devices, methods and forms of work in your medical work. At the same time, you are training a new generation of doctors because you are personally convinced that a collaborative approach with the patient is not only beneficial for you, but also for us. This makes us feel "important".
Alenka Čurin Janžekovič & Marijan Janžekovič
When you enter the MD medicine building, you feel more comfortable than not, because you don't immediately have that familiar and unpleasant feeling and smell of a hospital. You are greeted by a friendly nurse who greets you kindly and explains everything you are interested in. Everything has a relaxing effect, so that that last feeling of anxiety before a doctor's examination or surgery really goes away. The doctor you visit is a top expert who devotes himself entirely to you, really listens to you, has time for you and, in the end, gives you professional advice. I always leave the premises of MD medicine calm and with a clear picture that there are people here who will always take care of you. Therefore, a sincere thank you to all of you.
Neda Fabrizio
I have had a personal doctor at MD medicine since 2017. From the very first visit, I entered the above-standard world of the health concession: a polite reception at the clearly arranged main entrance, a bright waiting room without crowds, an examination time at the agreed time in a modern and pleasantly equipped clinic, a friendly nurse who knows me by name, a relaxed and highly professional doctor who has time both to listen and to treat me. In the same building, I can also have a laboratory and many other health services performed. I can arrange orders, referrals, prescriptions, advice via email or by phone, which someone always answers... The high-quality system of MD medicine works not only for the benefit of the patient's health, but also dignity.
Maja Ivanic

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