The Chaim Sheba Medical Center is located on a square mile of grounds at Tel Hashomer, six miles east of Tel Aviv. The campus with its 1600 beds provides comprehensive and sophisticated medical care in all medical specialities, acute and rehabilitative. State of the art diagnostic equipment is available to a staff of more than 700 physicians. Numerous research institutes are present on site, in addition to the various pharmacological and clinical trials taking place.

The Department of Anesthesiology and Intensive Care is part of the Surgery Division operating in well over 20 operating rooms. The department is subdivided into Anesthesia A and Anesthesia B. The former is located on the ground floor of the main hospitalization tower, and consists of 17 operating rooms. Of those 2 are dedicated for cardiac Surgery, 2 for neurosurgery, 2 for orthopedic Surgery, 1 for vascular surgery, 1 for pediatric surgery, and 1 for ENT.

All complicated surgical procedures are performed within each surgical speciality including organ transplantations, namely, heart, renal and bone-marrow, complex cardiac surgery including left ventricular assist device (LVAD) support, complex congenital heart surgery correction and port-access cardiac surgery procedures.

The operating room (OR) complex is at present undergoing extensive modernization and redesign, within its infrastructure, each new OR suite is now connected to the hospital intranet, the internet, as well as providing digital X-Ray terminals and remote laboratory access, in addition to the highly sophisticated air-conditioning, lighting, surgical operating tables and anesthesia equipment (Datex AS/3 ADU).

Point-of-care information is available at all times in the OR and Intensive Care Unit (ICU), provided by the on-line electronic help (OLEH) system for anesthesiologists, developed by this department in association with the European Society of Anaesthesiologists.

This department is one of the few in Europe that uses the Datex-Ohmeda Automated Record Keeping system in the OR maintained by our own medical computer specialists.

The department also houses next to the OR a large (13 beds) Post Anesthesia Care Unit (PACU), and on the same OR level, a new dedicated 16 bed computerized state-of-the art general (medical-surgical) ICU, centrally networked using the recently implemented IMD Soft patient data management system. All physiological invasive and non-invasive monitor parameters, mechanical ventilators and drug infusers are networked and interlaced to the system. Documentation, both medical and nursing is directly entered into the computer, providing a paperless environment, with rapid access to patient information.

In addition, Anesthesia A provides a daily service for an active pain clinic with interventional (iMRI) where appropriate, for an in-patient acute pain service, ambulatory anesthesia for pediatric hemato-oncological procedures, pediatric ambulatory anesthesia for invasive non-surgical procedures, and anesthesia for pediatric cardiac catheterization in addition to general ambulatory anesthesia within the surgical day case department.

Anesthesia B is located within the Department of Obstetrics and Gynecology, providing all labor services for obstetrics and gynecological anesthesia, including outpatient procedures. The department also provides services for opthalmological anesthesia housed within the eye institute, anesthesia for psychiatric procedures, anesthesia for high risk pediatric dental procedures, and anesthesia for imaging (both CT and MRI).

The department has an active academic schedule, comprising of weekly lecture meetings (2-3 per week), a monthly journal club, residents meetings, an anesthesia forum (4 per academic semester), in addition to continuing medical education at Tel Aviv University to which it is affiliated. The department encourages active participation in clinical studies, research projects and the publication of articles in the relevant literature.

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©2006 The Department of Anesthesiology and Intensive Care, The Chaim Sheba Medical Center

Sackler School of Medicine, Tel Aviv University, Tel Hashomer, Israel, 52621.