MEDICAL SERVICES

ANESTHESIA

Center for Pain

The Center for Pain in the “Zan Mitrev” Clinical Hospital is a specialized healthcare providing modern and multidisciplinary treatment. This center can improve the quality of life of the patients suffering from acute, chronic pain, or pain caused by a malignant disease.

Conditions most frequently treated in the Cener for Pain in our hospital:

Migraine

Migraine is a frequent occurrence and almost an integral part of the painful sensations of the modern human. This pain can be manifested as a pulsating pain, pressure in the temples, or it can be a result of a hormone disbalance.

Migraine attacks can be treated with certain antirheumatic or analgetic medications, but often, they require special migraine medications. They are efficient mainly if used at the beginning of the attack.

Neuralgias

Trigeminal neuralgia is manifested with a very strong pain along one side of the face. Postherpetic neuralgia and neuropathy are painful conditions resolved in our center with non-invasive methods using intravenous analgetic therapy.

Spinal pain

The most severe pain occurs in discus hernia. This type of pain is most frequently manifested in the lumbar part of the spine and in rarer cases, in the neck area, and it can also occur due to spondylosis of the spine. The therapy is non-invasive, usually with medications, but ultrasound therapy is also used.

Arthrosis

This is a progressive, chronic, degenerative disease. During onset, the treatment is based on intravenous application of medications. The joint blockages are highly effective, and the physical therapy enables better mobility of the joint.

Rheumatoid arthritis

Rheumatoid arthritis is a chronic rheumatic disease which usually impacts the hand and feet joints. Due to damage of the peripheral nerves, neurological pain medications as applied. Ultrasound therapy and blockage are indicated for this disease.

Pain caused by malignant diseases

Pain caused by malignant diseases can be treated and mitigated. A combination of various analgesics and co-analgesics is usually prescribed. This therapy starts when the pain has low intensity. From the array of pain therapies, an epidural catheter can be placed. Our center for treatment of pain can provide psychological support for patients with malignant pain.

 

 

Center for Pain

Anesthesiologic procedures in the surgery block

General endotracheal anesthesia

Spinal anesthesia

Epidural anesthesia for intraoperative and postoperative treatment of pain

Regional blocks – cervical block, femoral block, axillary block and other

Anesthesiologic procedures in the surgery block

Anesthesiologic procedures in intensive and semi-intensive care

  • Postoperative care and treatment of patients after surgery
  • Intensive care of severely critical patients, patients with acute stroke, acute myocardial infarction, lung thromboembolism, polytrauma, acute respiratory distress, cardiogenic shock, renal failure, septic patients, etc.
  • Placement of invasive lines

  • Хемодијализа, хемофилтрација
  • Интрааортна балон пумпа
  • ЕКМО – екстракорпорална мембранска оксигенација
  • Пласирање торакални и абдоминални дренови
  • Перкутано пласирање трахеостома, гастростома и цистостома
  • Плеврални, перикардни и перитонеални пункции
  • Системска озон терапија

Одделите за интензивна и полуинтензивна нега се опремени со инвазивен и неинвазивен мониторинг, респиратори и вакууми на секој болнички кревет. Во двата оддела е обезбеден негативен притисок, на располагање се и соби за изолација кои се наменети за пациенти со докажани или суспектни инфекции.

Anesthesiology outpatient facility

Anesthesiology outpatient facility includes anesthesiology examination of the patients planned for surgery, anesthesiologic support of outpatient interventions such as gastroscopy, colonoscopy, cystoscopy, placement of JJ probes, angiographic interventions that require analgosedation  and treatment of chronic pain.

Pediatric intensive care

The pediatric intensive care and treatment unit includes cardiosurgical intensive care of pediatric patients (pediatric patients from infancy to 16 years of age after a cardiosurgical correction of a congenital heart defects) as well as neonatal intensive care (neonates from the first day).

Other doctor’s from this department

Emil Stoicovski 

MD Emil Stoicovski 

Spec. in anesthesiology and resuscitation

emil.stoicovski@zmc.mk

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Dragica Vezenkova Vuchkova MD

Dragica Vezenkova Vuchkova MD

Spec. in intensive care anesthesiology

dragica.vuckova@zmc.mk

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Tanja Gramosli MD

Tanja Gramosli MD

Spec. in anesthesiology and resuscitation

tanja.gramosli@zmc.mk

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Simona Despotovska MD

Simona Despotovska MD

Doctor of medicine

simona.despotovska@zmc.mk

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Marko Gjorgon MD

Marko Gjorgon MD

Spec. in intensive care anesthesiology

marko.gjorgon@zmc.mk

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Slagjana Joshevska – Jovanovska MD

Slagjana Joshevska – Jovanovska MD

Spec. in anesthesiology and resuscitation

slagjana.jovanovska@zmc.mk

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Sanja Marinkovikj Bojadzievska MD

Sanja Marinkovikj Bojadzievska MD

Spec. in anesthesiology and resuscitation

sanja.marinkovic@zmc.mk

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Jovana Stojmenovikj MD

Jovana Stojmenovikj MD

Doctor of medicine

jovana.stojmenovik@zmc.mk

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