Anesthesiology and Intensive Care

The clinical activity of the Anesthesiology and Intensive Care Service focuses on:

• Preoperative assessment in wards and in the dedicated outpatient clinic
• General and loco-regional anesthesia for patients undergoing surgery
• Sedation and analgesia for day-surgery patients
• Postoperative pain management using various techniques (elastomeric pumps, patient-controlled analgesia, epidural analgesia), coordinated by the Acute Pain Team
• Anesthesiology support for invasive procedures outside operating rooms
• Sedation/anesthesia for pediatric patients undergoing painful procedures
• Placement of central venous catheters (temporary or fully/partially implanted) in adults and children
• Consultation and management of critically ill patients, including emergency interventions in hospital wards (Intensive Care Unit)
• Organization and coordination in case of major hospital emergencies (Intensive Care Unit)
• Training courses for hospital staff in BLS-D, pain therapy, and vascular access management

09/08
Methadone for postoperative analgesia after balanced anesthesia integrated with low-dose S(+)-ketamine (Principal Investigator: Dr. E. Tognoli).

11/66
Postoperative residual paralysis: reliability of accelerometric neuromuscular monitoring (Principal Investigator: Dr. F. Piccioni).

81/12
“Monocentric, randomized, blinded study aimed at evaluating the incidence of wound infections in breast surgery after skin preparation with chlorhexidine 2% in 70% alcohol (ChloraPrep) versus povidone-iodine 10%” (Principal Investigator: Prof. M. Langer).

“Improvement of acute and chronic pain management at the ‘Fondazione IRCCS Istituto Nazionale dei Tumori’ of Milan; research on the organization and implementation:
a) institution of an ‘acute, postoperative and procedure-related pain team’;
b) implementation of invasive procedures such as neural blockade or implementation of specialized devices for drug delivery in patients with severe pain difficult to control with systemic drug administration;
c) implementation of chronic pain and symptom control: multidisciplinary hospital team”
funded by the Italian Ministry of Health (5‰ / year 2005) (Principal Investigator: Prof. M. Langer).

“Building a Vascular Access Service – research-intervention and training pathways in support of oncological disease” funded by the Italian Ministry of Health (5‰ / year 2007) (Principal Investigator: Prof. M. Langer).
Collaboration in the GiViTI project.

“Margherita – Prosafe”, Network of Italian intensive care units (Intensive Care Units) (Coordinators: Dr. Valerio Costagli, Dr. Myriam Favaro, Prof. Martin Langer).

Educational and training activities are mainly focused on postgraduate education (Residency School in Anesthesiology and Intensive Care), with the continuous presence of 4–7 residents.

Residents are typically assigned to the unit for 1 to 1.5 years, during which they are involved in all clinical and training activities, with responsibilities tailored to their level of experience. Many prepare their final thesis based on clinical and research work conducted at the Institute.

Formal teaching for second-year residents and common seminars of the School are held at the Foundation.

In addition, several physicians from the unit are involved in teaching within the Nursing Degree Program, other specialty schools (Oncology, Surgery), and participate as speakers in national and international courses and conferences.