Services

Our specialist

 

Internal Medicine Services

Comprehensive inpatient and outpatient services are provided in most medical specialties.

The staff physicians in the General Internal Medicine Services are board-certified general internists who specialize in the care of adult patients with various symptoms and medical issues.

 

  • Care for patients with undefined symptoms and complaints, such as shortness of breath, chest pain, and new occurrences of pain, to help in diagnosis and treatment recommendations
  • Coordination of patient care provided by surgeons and other specialists at Private Hospital.
  • Preventive screening services for health maintenance, for example, mammograms, Pap smears, routine colon cancer screening evaluations, cholesterol screening, and blood pressure screening
  • Collaborative care of patients with chronic medical illnesses, including high blood pressure, diabetes, heart disease, and emphysema, throughout the various stages of their illness
  • Comprehensive management of medical needs for hospitalized patients.
  • Preoperative evaluation of medical risks prior to surgery
  • Patients are seen for general health examinations as well as for consultation on complex medical problems.

 

 

Post Cardiac Arrest Service

NCC is dedicated to providing specialized care to these patients and to study the resuscitation and management of patients who survive cardiopulmonary resuscitation (CPR). An dedicated physician team helps to coordinate the care of prehospital, emergency department, intensive care unit, cardiology, neurology, Interventionists Cardiology and rehabilitation providers, to ensure a unique continuity of care to the patient and their families. Advanced neuroimaging and continuous electroencephalography help to guide the Neurocritical care of these patients.

 

 

Variety of physiological changes occurs after cardiac arrest. Individual patients can experience none, some, or all of these changes. Mortality most often relates to brain injury or multiple organ failure. Aggressive Neurocritical care, including the use of therapeutic hypothermia, usually begins immediately the patient is received by the team.

See Therapeutic Hypothermia and Thermomodulation in News.

"ZOLL Sponsors Latin America`s First Symposium on Therapeutic Temperature Management"
www.reuters.com

 

 

Neurocritical Care

Neurocritical Care is a unique discipline that provides critical care for patients with a wide range of neurological disorders, including stroke, subarachnoid hemorrhage, brain trauma, coma, intracerebral hemorrhage, seizures, spinal cord trauma, status epilepticus, encephalitis, myasthenia gravis, Guillain-Barre' syndrome, and neuromuscular disease. See Neurocritical Care Society for more details.

 

A focus on recognizing altered function in the brain and spinal cord and immediate intervention to prevent secondary injury improves outcomes and lowers hospitalization costs.

A state-of-the-art neurosurgical/neurological intensive care (ICU) physicians teamwork directed by a neurointensivist.

An elite team of neuroscience nurses, respiratory technologists, EEG technologists and nurse managers provides minute to minute ICU care.
Multimodality monitoring of the nervous system includes electroencephalography (EEG), evoked potentials (EP), transcranial doppler (TCD), cerebral blood flow, intracranial pressure monitoring, Brain oxygen , cerebral microdialysis and positron emission tomography (PET), Magnetic Resonace Difussion / Perfusion.

Continuous EEG Monitoring (cEEG) in the ICU detects silent seizures, which occur in 20 percent of comatose brain trauma patients and lead to worsening intracranial pressure (Vespa et al 2007).

Telemedicine Neurocritical Care Service


See Neurocritical Care Society
www.neurocriticalcare.org

 

 

 

Stroke Service & Endovascular Group Transient Ischemic Attack, Ischemic and Hemorrhagic Stroke

Up to 10% of strokes may occur in relatively young individuals (under 45 years of age) and represent a challenge in terms of diagnosis and treatment. Patients typically undergo a detailed evaluation including brain imaging, vascular studies, cardiac evaluations and hematologic assessment using the most advanced diagnostic techniques. The cerebrovascular team of Neuro & Critical Care has expertise in the diagnosis and management of a variety of uncommon conditions which may occur in young adults, such as arterial dissection, vasculitis, cerebral vein thrombosis and moya-moya syndrome.

 

Endovascular therapy is changing the way heart attacks, stroke and vascular conditions  that once required invasive surgery can now be fixed using minimally invasive procedures. Because endovascular procedures are less invasive, patients spend less time in the hospital and less time recovering. Some Disease where we offer Neuroendovascular procedure is:

  • Acute ischemic and hemorrhagic stroke
  • Cerebral aneurysm
  • Carotid artery angioplasty and stenting
  • Stent-assisted coil embolization (for wide-necked aneurysms)
  • Cerebral angioplasty and stenting
  • Treatment of arteriovenous malformations
  • Spine interventions
  • Vertebroplasty
  • Tumor embolization

 

Our surgical and endovascular services include:

  • Medical treatment options for acute ischemic stroke, including TPA administration, intra-arterial thrombolysis and mechanical revascularization through the use of Merci and Penumbra devices
  • Procedural-based treatment options for acute hemorrhagic stroke, including open surgical clipping, endovascular coiling using a wide array of commercially available embolic materials, endovascular liquid embolization through the use of the Onyx® HD-500 and stent and balloon devices to aid in endovascular therapy.
  • Stents (flexible tube of wire used to prop open vessels from within) for treatment of intracranial atherosclerosis, carotid stenoses or cerebrovascular dissections including the Wingspan™, Enterprise™, Neuroform™ and Acculink™ stents.
  • Multi-modality therapy of AVMs, including open microsurgery, stereotactic radiosurgery and endovascular embolization.

 

See Centro Novalis Panama
www.novalispanama.com

 

 

 

Trauma y Accidents

The faculty in Trauma Critical Care is an interdisciplinary team of experts in the management of critically ill and injured patients. Available 24 hours a day, these intensivists offer consultation and referral services to community physicians requiring support in the management of patients during severely illness.

 

Patients who require a high level of monitoring and intervention either after trauma or during critical illness can benefit from Shock Trauma's critical care healthcare providers. The critical care faculty has immediate access to a wide array of sophisticated diagnostic and therapeutic equipment. Patient care areas are staffed by nurses with specialized training in critical care.

See "Hypothermia in spinal cord injury"
www.ncbi.nlm.nih.gov

 

 

 

Infection and Sepsis

Sepsis is a potentially life-threatening complication of an infection that could affect all the vital sign quickly (Toxemia).  Sepsis triggers inflammation throughout the body. This inflammation can trigger a cascade of changes that can damage multiple organ systems, causing them to fail.

If sepsis progresses to septic shock, blood pressure drops dramatically, this may lead to death.

 

Anyone can develop sepsis and early treatment usually with antibiotics and large amounts of intravenous fluids for blood pressure recovery, improves chances for survival.

A rapid diagnosis and intervention for severe sepsis or septic shock will improve the patient, may represent an important opportunity for recognition and care of sepsis.

In the most severe situation, the patient must be monitoring in intensive care unit, with experienced skill physician for early diagnosis and prompt antibiotic directed aggressive management.   Infection leads to a life-threatening drop in blood pressure, called septic shock. This can quickly lead to the failure of several organs -- lungs, kidneys, and liver -- causing death.

 

 

 

Post-Operatory Neurosurgical Care

The goal of post operatory Neurocritical care is prevent or minimize secondary neuronal damage and improve functional central nervous system (CNS) recovery and patient quality of life.

 

  • Provide smooth emergence from anesthesia
  • Optimize post‐operative hemodynamic, volume, and electrolyte status
  • Treat homoeostatic disorders (temperature, glucose)
  • Identify and manage postoperative complications and dysregulations.

 

After brain surgery, it will take time for the patient to return to his/her usual level of energy. Healing requires extra rest.

The amount of time required to recover after brain surgery is different for each person and depends on:

  • The procedure used to remove the brain tumor
  • The location of the tumor within the brain
  • Areas of the brain affected by the surgery
  • The patient's age and overall health

The patient will be able to see family members once the doctors and nurses have completed their assessments and the patient is stable. This usually takes about one hour.

After surgery, the patient may need help recovering and Rehabilitation specialists.

 

 

 

Post operatory of non-neurological surgeries

The patients go through surgeries to correct problems that affect their daily living.   But sometimes the procedures have some difficulties presented and in some scenarios its necessary a special vigilance for the patient recovery.   Complex surgeries in ginecology,  cardiovascular, neurosurgery, airway and thoracic; for example will require very close monitoring.   We create a secure ring around our postoperative patient and try to help the surgeons to have the success with their main objectives: the patient safety and early recovery.

 

For more information, contact us.

 

Additional information