Anaesthesiology. Medical Care

Responsibilities & treatment focus of our anesthesia.

Our anesthesiologists in Munich care before, during and after surgery.

Our anesthesiologists in Munich care before, during and after surgery.

Modern anaesthetics are needed before surgery (pre-operative phase) and after surgery (post-operative phase). Anaesthetics incorporates more than one aspect nowadays, using modern drugs and interventions to control the state of unconsciousness and free patients from pain.

 

Comprehensive care. Before, during and after surgery

We speak to the patient before a scheduled operation. It is important to us that the patient´s current state of health be recorded accurately. This makes it possible to estimate the risks associated with the general anaesthesia and, if necessary, initiate the taking of further precautionary tests. Together we discuss and select the anaesthetic intervention most suitable for the patient and provide information and explanations on any possible side-effects.

 

Explanations and prevention for the assessment of possible risks.

  • Detailed research into the state of health
  • Precise description of the anaesthetic procedure
  • Additional tests before inpatient stay: Laboratory tests, ECG, x-rays, lung function tests, sonography
 

Quick recovery thanks to individual pain therapy.

Freedom from pain during the recovery period is just as important as the anaesthetic during surgery. Following a partial anaesthetic, a thin catheter remains near the neural structures. A local anaesthetic can then be administered through this catheter and reduces wound pain. If this method cannot be used, we offer our patients a programmable injection pump. A well-dosed portion of highly effective pain killer is then given directly into the blood stream at the push of a button.

 

Safety with intensive monitoring.

Patients who require special attention will be treated in the Intensive Care Ward. An experienced, highly-qualified and understanding team of nursed will support the patient until the patient can be transferred onto a normal ward.

 

Overview: Our main focus in anesthesia.

Anaesthetic interventions.

  • General anaesthesia: Masks, laryngeal masks, intubation, the most modern of general anaesthetic gases, TIVA (total intravenous anaesthesia)
  • Regional anaesthesia: Spinal anaesthesia, epidural anaesthesia, plexus blocks (mostly post-operative as a continual, highly effective form of pain therapy with a low risk of side-effects)
 

Monitoring methods.

  • Pulse oxymetry (continual monitoring of oxygen uptake)
  • Capnography (continual monitoring to check whether breathing is sufficient)
  • End expiratory general anaesthetic gas measurements (continual monitoring to check whether the general anaesthetic has been administered correctly)
 

Invasive interventions.

  • Central venous line catheter (intermittent monitoring to check whether there is enough blood and fluids in the vessels, safe point of access in cases of sudden blood loss)
  • Arterial line catheter (to continually monitor blood pressure)
  • Bronchoscopy (when intubation is difficult and to check the position of double-lumen endotracheal tubes)
 

Post-operative treatment of pain.

  • Catheter for nerve blocks
  • Patient-controlled analgesia pain pumps
 

Donor blood saving measures.

  • Pre-operative autologous blood donation
  • Pre-operative anticoagulation therapy
  • Cell saving