The anaesthetist’s work is often little known but it is fundamental for the patient’s well-being. Indeed, before anything else, it is the anaesthetist who evaluates the patient’s state of health before, during and after the operation, the surgeon being primarily concerned with the organ to be operated on.
- Before the operation: the first evaluation is done during a pre-operative consultation, 10 to 15 days before the procedure, in order to be able, if necessary, to prescribe specific investigations. The patient is seen again the day before the procedure. Objective: to evaluate and “treat” any anxiety on his/her part, which is especially common in cancer cases, particularly the day before an operation!
- After the operation: the anaesthetist is also responsible for the post-operative treatment. In the case of a great deal of treatment being required, patients are managed in Intensive Care (RESI unit – 7 beds) under the responsibility of a permanent anaesthetist. The other patients go through the recovery room before returning to the ward.
- Pain management: during hospitalisation anaesthetists are involved daily with the analgesia of the patients operated on, but also of the patients hospitalised for medical treatment and who require analgesic treatment. This is generally done in consultation with the “pain” staff or in the supportive care unit.
General and locoregional anaesthesia is carried out in the context of:
• interventional endoscopy,
• certain diagnostic or therapeutic procedures outside the operating suite (scans, radiotherapy)
Some procedures and/or surgery may be carried out under hypnosis.
The insertion of central intravenous catheters and dialysis in cancer patients.
The responsibility of the RE.S.I. (recovery and surgical intensive care) intensive care unit.
Preoperative consultations (for the Day Hospital or complex cases with additional clarification)
Therapeutic advice (preoperative clarification, pain, etc.)
Completing the course approved by the ministry completes training in anaesthesiology and intensive care by the head of department of doctors who have chosen this speciality. The academic recognition of the department means that students can be taken on the masters in medicine programme of the ULB as part of their clinical training.
Project 1 (ongoing)
The DESIGN trial - A randomised, Double-blind, placebo-controlled study to assess the effectiveness of pectoral nerves block (Pecs) after breast surgery on piritramide consumption
- Project leader : Dr Kathleen Wiams
- Financing : CTSU
Project 2 (ongoing)
Un modèle K-Pd pour évaluer l’influence de la chimiothérapie néoadjuvante sur la pharmacologie du propofol.
- Project leader : Dr Amédée Ego
- Financing : Anaesthesiology Department
Effet de la modulation adrénergique et inflammatoire peropératoire sur l’immunité et le pronostic oncologique des patients.
- Project leader : Dr Imane Bachir
- Financing (probably) : Cancer Fund
Effect of alpha-2 adrenoreceptor activation on postoperative neuro-inflammation and cognitive decline.
- Project leader : Dr Sarah Saxena
- Financing : Belgian American Education Fondation.
- Collaboration : Dr Mervyn Maze of the UCSF
Deep Inferior Epigastric Perforator Flap (D.I.E.P) for Breast Reconstruction: Impact of Intraoperative Intrathecal Morphine on Outcome
Authors : Ben Aziz M, Halenarova K, Schroder E, Kamps V, Paesmans M, Khalife M, Urbain F, Sosnowski M
Year : 2018
Journal : The open access journal of science and technology
Volume : 5
Pages : 11 pages
Potential Benefit of Intra-operative Administration of Ketorolac on Breast Cancer Recurrence According to the Patient's Body Mass Index.
Authors : Desmedt C, Demicheli R, Fornili M, Bachir I, Duca M, Viglietti G, Berlière M, Piccart M, Sotiriou C, Sosnowski M, Forget P, Biganzoli E
Year : 2018
Journal : J Natl Cancer Inst
Effect of induced relative hypoxia on reticulocyte count in oncological abdominal surgery: a single-centre, controlled, randomized pilot study.
Authors : Khalife M, Wiams K, Ben Aziz M, Balestra C, Sosnowski M
Year : 2018
Journal : International journal of scientific research
Volume : 7(4)
Pages : 12-16
Does the type of anesthesia influence the outcome after modular proximal mega prosthesis for bone metastases of the femur?
Authors : Ben Aziz M, Kamps V, Gebhart M, Shumelinsky F, Khalife M, Sosnowski M
Year : 2018
Journal : Acta Anaesthesiol Belg
Volume : 69
Pages : 45-53
Thoracoscopic Talc Pleurodesis in Malignant Pleural Effusions: impact of high frequency jet ventilation on outcome
Authors : Ben Aziz M, Ego A, Digonnet A, Khalife M, Hontoir S, Sosnowski M
Year : 2017
Journal : SDRP Journal of Anesthesia and Surgery
Volume : -
Pages : -