Anaesthesiology. Medical Care
Our focus is on the safety of our patients.
Our primary goal is to minimise pain, maximise safety, prevent anxiety and ensure comfort for every one of our surgical patients. Our staff provides support to all surgical patients from the pre-anaesthesia consultation to the administration of anaesthesia in the operating theatre. Our staff also provide meticulous postoperative care in the recovery room or the ICU. They will be also at your side to provide pain therapy on the regular ward following surgery.
We specialize in four areas:
1. Anaesthesia: Preparing for and administering anaesthesia in the operating theatre
2. Intensive medicine: Post-operative monitoring and follow-up care for patients in the recovery room or the ICU
3. Pain therapy: Treatment of postoperative and other forms of acute and chronic pain
Anaesthesia. Our treatment concepts
Modern anaesthesia makes it possible to perform surgery and other invasive procedures in a safe and painless manner. Either temporary nerve blockade may be used (regional anaesthesia) or general anaesthesia. The two forms may also be used in combination. Which form is used in each individual case will depend firstly on the nature and extent of the planned surgical procedure and secondly on factors specific to each individual patient (e.g. prior illnesses, medications taken). Each year, about 8000 anaesthetic procedures are performed at the Schoen Clinic Vogtareuth, with a third of these consisting of a combination of general and regional anaesthesia.
Preparing for anaesthesia.
The anaesthesiologist will speak to the patient prior to the operation, either during consulting hours, or on the ward. Based on specific questions, physical examination or findings brought in by the patient, the anaesthesiologist will assess the risks associated with anaesthesia for each individual patient, determine the type of anaesthesia to be used in conjunction with the patient and explain the selected procedure in detail. If necessary, additional assessments or treatments still required before the actual surgery will be initiated.
General anaesthesia is a combination of absence of pain, perception, awareness, memory and reactions to stressful perioperative stimulations. It achieves this effect with a combination of several drugs. These drugs are either injected intravenously or absorbed by the lung. Once the patient fall asleep, the anaesthesiologist places a laryngeal mask or a breathing tube to provide oxygen and permit the patient to inhale anaesthetic gases. These are removed before the patient wakes up again.
Regional anaesthesia (or local anaesthesia).
Local anaesthesia of nerves ensures the elimination of pain directly at the site of the surgery. By injecting a local anaesthetic into a pain catheter placed to the immediate vicinity of the nerve, pain can be blocked not only during surgery but also in the first few days thereafter. This promotes more rapid, pain-free mobility and recovery. An acute pain service run by our specialists is provided around the clock on our wards. With over 2500 pain catheters each year, the Clinic for Anaesthesiology at the Schoen Clinic Vogtareuth is among the leading institutions in Germany. The experience gained as a result of this work and the constant development of our pain catheter procedures provide a new dimension in terms of safety and the elimination of pain during and after surgery.
To ensure the highest possible levels of patient safety, the Schoen Clinic Vogtareuth has state of the art technologies available to monitor patients before and after surgery.
- The Philips IntelliVue®-System (48 beds) enables seamless patient monitoring (ECG, pulse oximetry, non-invasive/invasive blood pressure, central venous pressure, pulmonary artery pressure, cardiac output, wedge pressure, PICCO, temperature, EEG and ICP) from admission to the trauma room or anaesthetic room, through surgery, in the post-anaesthesia room and recovery room/intermediate care/ICU, right up to telemetry on the regular cardiac surgery ward. In this process, the data for each individual patient is gathered from the various areas in a single computer and can be viewed or evaluated at any time.
- Transoesophageal echocardiography (TOE: Vivid I®) is used for the haemodynamic monitoring of cardiac surgery patients and to rule out any atrial septal defect with the patient in a seated position for neurosurgical procedures.
- Monitoring oxygen saturation in the brain (Invos® Cerebral Oximeter) makes it possible to identify problems with blood flow in the brain quickly and to measure changes in flows within the brain (bispectral analysis = BIS), an indicator of how deep the anaesthesia is.
Relaxometry (TOF Watch®) ensures complete recovery from the neuromuscular blockades that are an element of every case of endotracheal anaesthesia.
- The operating theatre has a blood gas analysis device to provide intraoperative monitoring of respiration and haemoglobin concentration, as well as acid-base and electrolyte balance. ACT and ROTEM® analysis are used to monitor blood clotting at the patient's bedside.
- Fiber optic bronchoscopies are used for diagnostic and interventional examination of the airways during and after surgery and in patients with more complex anatomical conditions, to enable safe access to the upper airways (intubation).
We perform all kinds of nerve blocks, particularly during surgery of the knee, hip and shoulder regions.
Intensive care unit.
The work we perform every day is focussed on providing care to cardiac surgery and neurosurgery patients.