- To improve and to achieve a Center of Clinical Excellence for Rashid Hospital in Anesthesia and Pain Management
- To provide pain-free centers for interventional and surgical procedures in Dubai and the UAE that also offer educational programs.
- To obtain international recognition by publishing papers and studies in high impact scientific journals.
Clinical Excellence; to improve the existing setup, in anaesthesiology, in pain management for post-operative period, in interventional pain therapies, and in chronic pain with a multimodal and multidisciplinary approaches.
To achieve clinical excellence by using multimodal and multidisciplinary approaches to improve the existing set-up in the different fields of anesthesiology, such as in post-operative pain management, in interventional pain therapies and in chronic pain.
• Education; To create an educational and post-graduate training program for the anesthesiologists and nurses of Rashid Hospital and DHA, with a view towards expanding this program to include the anesthesiologists of the UAE and the whole region.
- To closely collaborate with European universities in the development of clinical studies, educational exchanges and scientific meetings. Collaboration has already started with both the Department of Anesthesiology of the University of Montpellier France headed by Professor Xavier Capdevila, and with the French Scientific Foundation or ALR Francophone headed by Olivier Choquet.
• Research and publication; There is no recognition of excellence without any publication. Beginning 2010, experiments and studies will be proposed by the anesthesia department to the ethical committee. Abstracts will be sent to the main international annual meetings.
This clinical excellence and educational program will be founded on evidence-based medicine and on the guidelines of the European, Asian, Australian and American societies of anesthesia.
The team includes anesthesiologists and anesthetic nurses or technicians
Doctor Mansour Youssef Naddhari, a graduate of the University of Berlin, is the Head of the Department of Anesthesiology and Pain Management.
• The anesthesiologists:
Up until the 29th of October there were a total of 38 anesthesiologists working in Rashid Hospital. These include the following three consultants:
• Dr Mohamed Berrer – head of the department of anesthesia, organization of chronic pain and difficult intubation.
• Dr Mansour Nadhari – head of the department of ventilation modes, target controlled infusion drugs and difficult intubation.
• Dr Philippe Macaire – head of the department of regional anesthesia, interventional pain procedures and difficult intubation
• 7 Senior Anesthesiologists
• 28 registered anesthesiologist
• 1 Senior HO, a resident
• 3 Interns
• 40 anesthetic nurses or technicians, recovery nurses and a secretary also work in the department. (04 219 10 42)
• Recovery nurses
• The secretary of the department 04 219 10 42
- Role of the anesthesia department in Rashid Hospital and the Trauma Center:
Anesthesiologists work closely with surgeons and other theatre staff.
The role of the anesthesiologist is to provide comprehensive medical care to the patient undergoing surgical and diagnostic procedures. The anesthesiologist also has an important role in the emergency department of the Trauma Center.
The anesthesiologist is responsible for the overall care of the patient from the time the anesthetic is administered, during the recovery period and, if necessary, for the management of post-operative pain. If, after surgery, the patient is in need of intensive care, the responsibility will be handed over to the intensivist who is the specialist in charge of the intensive care units.
In the Trauma Center of Rashid Hospital, the anesthesiologist is in charge of only one patient at a time.
• Regional anesthesia and analgesia is one of the gold standards of the anesthetic team. All anesthesiologists receive special training in these advanced techniques. The peripheral nerve blocks are performed under ultrasound and nerve stimulation guidance.
Before the operation can begin, the anesthesiologist evaluates the patient’s medical history and performs a physical examination that focuses on his medical needs. This examination concentrates on the organ systems that are challenged during operations. The aim of this pre-operative evaluation is to discover risk factors that must be taken into account.
These risk factors include allergies, chronic lung disease, heart disease, diabetes, thyroid disease, problems related to obesity, difficult access to the circulation or airway, and inherited traits that might cause problems such as malignant hyperthermia or increased sensitivity to muscle relaxants.
Because of the variety of disorders that can have an impact on the safety of anesthesia, it is important to provide the anesthesiologist with an accurate report of allergies, past hospitalizations, surgical procedures, family-related problems with anesthesia, diagnostic tests, medications being taken and any concerns that may have been raised regarding previous anesthetics.
The pre-operative evaluation also provides the anesthesiologist with the opportunity to let the patient know what to expect and to review the risks and benefits of available treatment options. This conversation is known as “informed consent.” It is an opportunity to discuss what the likely challenges will be and how they will be addressed. Informed consent for anesthesia can only be obtained by a person who is trained to provide anesthesia and is not just a signed consent form.
In the resuscitation room of the Trauma Centre, the anesthesiologist will work as a member of the emergency department team and if necessary, will start the anesthesia of the trauma patient before arriving in the operating room.
To ensure the safety of patients, 6 specialized registered anesthesiologists, 2 senior anesthesiologists and one consultant in anesthesiology are on call 24 hours a day, seven days a week.