Department of Anaesthesiology


The department of anaesthesiology provides specialised anaesthesiology support in 9 surgical units (general surgery, coloproctology, paediatrics, maxillofacial, ear, nose and throat diseases, urology and brachytherapy, orthopaedics-traumatology, plastic and reconstructive surgery) and at the Lithuanian Ophthalmology Centre located in Kaunas Clinics. Pain-relieving procedures are performed in the Ophthalmology Department, for operated patients and patients during examinations in the auxiliary rooms – bronchology, endoscopy rooms, and in the Pain Treatment sub-unit.

The department employs 48 specialised anaesthesiologists-reanimatologists and 76 anesthesia and intensive care nurses and 10 support staff.

Modern anaesthetics are used for anaesthesia. During anaesthesia, the depth of anaesthesia is monitored using entropy devices, myorelaxation is controlled using muscle stimulators. Central regional anaesthesia and peripheral nerve plexus blockades are widely used.

Since 2005, at the Central Unit of Anaesthesiology Department, two units and 21-bed Intensive Monitoring sub-unit (resuscitation RI-1, RII) began to function, where 24 hours a day using epidural, intravenous continuous or patient-controlled analgesia, patients are observed and anaesthetised after surgeries until complete stabilisation of their condition.

With the expansion of various surgical profiles, the methods of specialised anaesthesiologic assistance were also improved in parallel, during complex surgeries of the liver, as well as liver transplantation, trachea and bronchi, kidney transplantation, radical reconstructive urological and proctological, joint endoprosthesis, microsurgery, and hearing restoration surgeries. More than 30,000 anaesthesia (for newborns, children and adults) are performed using various anaesthesia techniques per year.

The Anaesthesiology of Obstetrics and Gynaecology Unit provides specialised anaesthesiologic assistance to patients undergoing surgery, patients with gynaecological diseases, and women in labour under general or regional anaesthesia. Mothers giving birth via natural channels are anaesthetised using epidural analgesia or other modern analgesia methods. In resuscitation ward I-1 ( R I-1 ), patients with a gynaecological profile and women in labour are monitored, nursed and treated. Mothers with preeclampsia or eclampsia are also treated there.

The doctors of the Neurosurgery Anaesthesiology Unit provide specialised anaesthesiologic support to patients in the Mixed Trauma Unit and to patients operated on in the Department of Neurosurgery due to head or spinal injuries, tumours, vascular pathology and other surgical diseases in this area. The department’s doctors work in eight operating theatres and auxiliary rooms. The anaesthesiology doctors of the Department of Neurosurgery have mastered and perform various methods of general and regional anaesthesia. Anaesthesia is performed on patients of various age groups: both newborns and elderly patients.

Specialised anaesthesiologic assistance is provided 24 hours a day.


In 1946, the faculty and hospital surgery department (2 departments) were established, Jaržemskas – was the Head of the Department. Anaesthesia was performed using open mask ether anaesthesia only for complex surgeries. Most surgeries were performed using local infiltration anaesthesia. On 6 June 1955, V. Mikalauskas performed the first endotracheal intubation without a laryngoscope. On 1 February 1958, the position of doctor anaesthesiologist was introduced in departments by the order of the Ministry of Health. J. Gumauskas became the first anaesthesiologist to perform DPV with an SP-2 automatic respirator. The appearance of the DPV device marked the beginning of the development of endotracheal anaesthesia. In 1958-1961, emergency and major surgeries were performed under general anesthesia with intubation and manual artificial lung ventilation (MAV). The Department of Anaesthesiology was established (Head – J. Gumauskas), 7 anaesthesiologists were already providing anaesthesiologic assistance. In 1975, the Department of Anaesthesiology-Reanimatology was established at the Kaunas Medical Institute (headed by Prof. A. Lukoševičiūtė, 1975–1997). In 1997, the Anaesthesiology Department was established, which consisted of the central, neurosurgery and obstetrics-gynaecology anaesthesiology units. After the establishment of the Anaesthesiology Department, new methods of anaesthesia and postoperative pain relief were introduced, and the number of performed anaesthesia constantly increased. In order to effectively apply anaesthesiologic support before and after surgical interventions, the structure of the Department of Anaesthesiology expanded in October 2002, the Pain Treatment sub-unit began to function, and in December 2005, – Intensive Monitoring sub-unit (12-bed unit).

Since December 2005, the structure of the Anaesthesiology Department was supplemented by the Anaesthesiology sub-unit of the Oncology Hospital, Branch of Kaunas Clinics (Head Doctor – Irina Semakina). In 2009, 73 anaesthesiologists-reanimatologists and 122 anaesthesia and intensive care nurses worked in the Department  of Anaesthesiology. The work of the department is coordinated by administrators Inga Tamošiūnienė, Aušra Geivelienė, Kristina Sederevičiūtė and Ingrida Bielskienė

The main goals of the Anaesthesiology Department

  • To prepare highly qualified anaesthesiology-reanimatology specialists, improving traditional and introducing new teaching methods, conducting relevant scientific research and effective practical anaesthesiology-reanimatology activities.
  • To improve the quality of healthcare services by successfully implementing the latest diagnostic and treatment technologies in order to provide as many medical services as possible based on scientific evidence.

Tasks of the Anaesthesiology Department

  • To organise and conduct studies and research.
  • To prepare study plans and programmes, programmes of taught subjects and specialisation plans.
  • To accumulate hardware and equipment necessary for science and studies.
  • Prepare textbooks, scientific articles, teaching books and other study and scientific tools.
  • To ensure the continuous compliance of the qualifications of academic and scientific faculty staff with modern university requirements.
  • To guarantee the quality of training programmes for anaesthesiology specialists, ensuring its compliance with European Union and national quality criteria.
  • To participate in providing high-quality healthcare services, introducing new diagnostic and treatment methods .


  • Optimisation of acute burn pain treatment (doctoral student Laima Juozapavičienė);
  • Preoperative sedation for children in maxillofacial surgery (doctoral student Lina Kalibatienė);
  • The influence of postoperative pain relief methods on acute and chronic pain and early knee joint function after knee arthroplasty (doctoral student Janis Zinkus);
  • The influence of different concentrations of bupivacaine and levobupivacaine on the effectiveness of epidural labour pain relief (doctoral student Vilda Baliulienė);
  • Comparative value of biochemical markers and hemodynamic indicators in predicting the outcome of acute heart failure (doctoral student Linas Pieteris);
  • Brain oximetry of newborns and infants and changes in nerve cell damage markers during the perioperative period (doctoral student Ilona Šuškevičienė);
  • Blood circulation changes in patients operated on for anorectal pathology under low dose local anaesthetics under spinal anesthesia in the lithotomy or curved knife position (doctoral student Jurgita Borodicienė);
  • Assessment of systemic and regional analgesia methods for children after chest surgery (doctoral student Laura Lukošienė



  • KMU403 Applications of inhalation anaesthesia
  • KMU028 Practical procedures and monitoring in anaesthesiology
  • KMU570 Paediatric anaesthesia and postoperative pain relief
  • KMU032 Current issues of general anaesthesia
  • KMU033 Selected issues of perioperative medicine
  • KMU034 Postoperative pain relief
  • KMU027 Associated pathology and anaesthesia
  • KMU029 Regional anaesthesia
  • KMU026 Obstetric anaesthesiology
  • KMU030 Emergency anaesthesiology
  • KMU473 Neuromuscular blockade: current clinical practice and perspectives
  • KMU482 Innovations in anaesthesiology
  • KMU483 Innovations in general anaesthesia
  • KMU484 Actualities and innovations in anaesthesiologic monitoring
  • KMU485 Selected issues of perioperative medicine(intercalated course)
  • KMU568 European Society of Anaesthesiologists (Education Committee) courses
  • KMU569 Medical simulation in anaesthesiology


New information technologies are being implemented in the departments (coordinator Linas Pieteris). The “Log-book” diary of residents’ work activities has been installed.  A huge achievement on 26 June 2012, the Simulation Centre of the Anaesthesiology Department of was established by the resolution of the Senate (Head – Arūnas Gelmanas). This is a great opportunity to improve practical skills. The anaesthesiology department has the Committee for European Education in Anaesthesiology (CEEA)  Lithuanian Regional Centre, which implements all programmes approved by European anaesthesiology. Since 2011-2012, the Anaesthesiology Department has been cooperating with Queen’s Hospital in London, Ghent Hospital in Belgium and the Danish Simulation Institute, so our doctors and residents have the opportunity to go on internships abroad.

The Anaesthesiology Department is the educational base of LSMU, where the study process of all levels (integrated, non-degree (residency), third cycle (doctoral) studies), improvement of the professional qualifications of doctors takes place.


Students of various courses and faculties study in our department

  • 5th-year students of the Faculty of Medicine study anaesthesiology (coordinators of studies – Assoc. Prof. Danguolė Česlava Rugytė, Assoc. Prof. Diana Bilskienė)
  • Students of the 2nd and 4th years of the Faculty of Nursing – Anaesthesiology (study coordinator Asst. Laima Juozapavičienė, Asst. Milda Švagždienė)
  • 3rd-year students of the Faculty of Odontology study anaesthesiology, resuscitation (study coordinator Assoc. Prof. Jūratė Gudaitytė)
  • Students’ Scientific Society Anaesthesiology Group (Coordinator Assoc. Prof. Jūratė Gudaitytė.)

During studies, students are introduced to the concept of general anaesthesia, the main modern methods of anaesthesia, the physiology and pathophysiology of pain, and the clinical pharmacology of pain relievers. Students seeking deeper practical and scientific knowledge of anaesthesiology can join the Students’ Scientific Society Anaesthesiology Group.

The Anaesthesiology Department, together with the Intensive Care Department, trains anaesthesiologists-reanimatologists during 4-year residency studies. 61 doctors are studying in the anaesthesiology-reanimatology speciality residency.

During their clinical work at the Anaesthesiology Department, resident doctors become familiar with the main methods of general and regional anaesthesia and learn to provide specialised anaesthetic assistance to patients undergoing surgery for various surgical pathologies. During the residency, residents must independently perform 450-500 anaesthesia using various techniques.  The anaesthesiologists-reanimatologists of the anaesthesiology department participate in the training of resident doctors. The Anaesthesiology Department educators are also resident managers.

LSMU Anaesthesiology Department
Prof. Dr. Andrius Macas
Head of the Anaesthesiology Department