Ultrasound nerve block
Ultrasound guided nerve blocks are an effective new treatment option for patients undergoing a wide variety of surgical procedures such as hernia repairs and orthopedic surgical procedures. Using the precision of ultrasound, our anesthesiologists apply local anesthetics around the nerves that control pain and sensation to specific body parts. For example, a patient having surgery on their arm can choose to receive a nerve block pre-operatively and gentle sedation during an operation, forgoing the need for general anesthesia. Patients who undergo a total knee replacement surgery can receive blocks of the femoral and sciatic nerves, thereby minimizing the pain that patient will have postoperatively. For hernia surgery, the anesthesiologist can block the nerves of the abdominal wall and minimize the need for pain medications while keeping the patient totally comfortable with the long-acting local anesthetics.
Albany Med experts are constantly challenging themselves to be prepared for the unexpected that can sometimes occur during medical procedures. They use simulation training to practice techniques and strengthen their skills. This training also allows them to prepare for anything unexpected that might occur, and role play the best response for the best outcome for the patient.
Dr. Dennis Cirilla talks about simulation training at Albany Medical Center.
Trans-esophageal echocardiography (TEE)
Trans-esophageal echocardiography (TEE) is a critical diagnostic tool which is used for every cardiac operation and is often used in major vascular or abdominal surgery. During a procedure, a small ultrasound probe is inserted in through an anesthetized patient’s mouth, esophagus and eventually into the patient's stomach. The ultrasound allows the anesthesiologist to make critical assessments, such as:
- Heart function
- Motility of the individual heart valve leaflets
- Presence of fluid around the heart
- Amount of atherosclerotic plaque that may be present on the patient's aorta
- Presence of any aneurismal dilatation of the ascending aorta or aortic arch
This information can be relayed to the surgical team in real time during the operation, and appropriate interventions may be made.