Ambulatory

Ambulatory oncology (chemotherapy, radiotherapy, surgery, oncology)

Radiation oncology or radiotherapy

It is one of the main methods of cancer treatment at Clinique Sainte-Clotilde: the True Beam. It applies specific rays to destroy a tumor or pathological cells that risk developing into a tumour. The doctor specializing in this field knows the differences between the various types of rays. He knows which rays to use for which disease, and knows the effect of different rays on the body. He masters the handling of the various devices used for irradiation. Breast cancers are often treated with radiotherapy, when possible, so that their normal form can be preserved. Radiation therapy is also used for localized cancers in the prostate, lung, uterus, lymph nodes, bones, skin, and brain. Radiation oncology is often combined with chemotherapy or surgery. The patient is monitored very comprehensively in cooperation with the oncologist, or cancer specialist.

Radiotherapy clinic

Radiotherapy center Clinique Sainte-clotilde

Chemotherapy

It corresponds to the use of certain chemical substances to treat an illness. It is a treatment technique in its own right, just like surgery or radiotherapy. Cancer surgery is a method of treating cancer which consists of removing the tumour. This care is entrusted to surgeons specialized in a field (orthopedics for the bone, urology for the kidney and urinary organs, neurosurgery for the brain, etc.).

Chemotherapy clinics

Oncological surgery clinics

Ambulatory cardiology

In the context of interventional cardiology, outpatient care mainly concerns coronary angiography. Indeed, this type of examination does not necessarily require hospitalization since it is an investigation to make a diagnosis.

Outpatient care is carried out within the interventional cardiology department of the Clinique Sainte-Clotilde

The decision on the possibility of outpatient coronary angiography combines:

• The attending physician who guides the patient through the course of care, centralizes his medical file and directs him if necessary to the medical specialist,
• The city cardiologist upstream for the proposal of the outpatient procedure according to the patient's eligibility and the decision-making aid criteria,
• The interventional cardiologist from Clinique Sainte-Clotilde for the validation of the proposal,
• The resuscitator anesthetist at the Sainte-Clotilde Clinic who confirms whether or not the feasibility.

Day surgery in surgery

Ambulatory surgery allows the patient to return home the same day of the intervention. Decree No. 2012-969 of August 20, 2012 specifies that "structures practicing anesthesia or outpatient surgery provide care lasting less than or equal to twelve hours, not including accommodation, for the benefit of patients whose state of health corresponds to these methods of care.

Our clinics involved in ambulatory surgery:

The ambulatory in pain

The Pain Assessment and Treatment Center (CETD) is attached to the Medicine Center of the Sainte-Clotilde Clinic and has a capacity of 4 places for ambulatory care. The center takes care of ambulatory suffering from chronic pain.

Chronic pain consultation

The clinic has organized consultations with various specialists to treat stubborn chronic pain, that is to say pain that has persisted for more than 3 months and is resistant to the usual analgesic treatments. Psychological support can be offered. Chronic pain referral structures have indirect access, patients must be referred to them by a doctor, a liaison letter must be provided.

The CETD also receives in consultation, for opinion or evaluation, hospitalized patients in order to give an opinion on the treatments and to guide their management of the pain after their discharge.

Concerned clinics 

Ambulatory anesthesia

In preparation for an intervention scheduled by the surgeon or practitioner, the latter has referred you to an anesthesia consultation.

Anesthesia is a set of techniques that allow the performance of a surgical, obstetrical or medical act (endoscopy, radiology, etc.) by eliminating or reducing pain.

There are two main types of anesthesia: general anesthesia and locoregional anesthesia.

General anesthesia

It is a state comparable to sleep, produced by the injection of drugs, intravenously and/or by the breathing of anesthetic vapors, using an appropriate device.

Locoregional anesthesia

It allows, by different techniques, to put to sleep only the part of your body on which the operation will take place. Its principle is to block the nerves of this region, by injecting a local anesthetic product near them.

General anesthesia may be associated or become necessary, especially in the event of insufficient locoregional anesthesia.

Spinal anesthesia and epidural anesthesia are two particular forms of locoregional anesthesia, where the anesthetic product is injected near the spinal cord or the nerves that come out of it.

Any anesthesia, general or locoregional, performed for a non-urgent procedure, requires a consultation several days in advance and a pre-anaesthetic visit, the day before or a few hours before the anesthesia depending on the hospitalization conditions. Like anesthesia, they are performed by an anesthesiologist-resuscitator. During the consultation and the visit, you are invited to ask any questions you deem useful for your information. The choice of the type of anesthesia will be determined according to the procedure planned, your state of health and the results of any additional examinations prescribed. The final choice is the decision and the responsibility of the anesthesiologist-resuscitator who will perform the anesthesia.

All clinics offering outpatient surgery have a team of anesthesiologists to provide these techniques.

Recommendations before anesthesia

Inform of any change in your state of health, including if it is a possibility of pregnancy by contacting your establishment.

Recommendations on the day of anesthesia

• Follow the instructions given to you during the medical consultations
• You must remain on an empty stomach (not drink or eat anything) for 6 hours before the scheduled time of the anesthesia.
• If you are summoned at the end of the morning or at the beginning of the afternoon: breakfast before 7 a.m. in the morning possible without dairy (no milk, butter, yogurt, etc.)
• If you are called in the morning or early in the morning: no food or drink from midnight the day before.
• You can take your usual medications at the prescribed time, as long as you only take one sip of water.
• You should not drink alcohol or smoke for 12 hours before anesthesia.
• Take a shower or bath before going to the clinic.
• Do not use lipstick or nail polish, so as not to interfere with the monitoring of your color during anesthesia.
• Avoid contact lenses.
• Provide a valid and responsible person who accompanies you.
• Do not bring jewelry or valuables.

After anesthesia

• A possible hospitalization cannot be excluded.
• You are not allowed to leave alone.
• For children, the accompanying person cannot be the one driving the car.
• Plan a person who will stay with you during the night following your anesthesia.
• For 24 hours after anesthesia, do not drive vehicles, use potentially dangerous devices or make important decisions as your alertness may be lowered without you realizing it.
• You can drink and eat lightly; do not take alcohol. Take only prescription drugs.

In the event of problems, you can reach the Anesthesiologist by calling the establishment that took care of you.

Anesthesiology clinics