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Anesthesia Range of services

Anesthesia


At the specialty of anesthesia and intensive care at ISAR Klinikum we practice the entire spectrum of modern anesthesiology. Anesthesia (Greek: insensibility) makes it possible to perform examinations and operations without pain. The combination of continuous advanced training and modern medical technology enable us to even operate on high-risk patients with severe pre-existing diseases while ensuring greatest possible safety.

We always take care to select the most gentle anesthetic procedure for you and avoid unpleasant accompanying effects of anesthesia as far as possible.

Anesthesia techniques
A distinction is made between three types of anesthesia:

  1. General anesthesia:
    You are put into a sleep-like (numb) condition.
  2. Regional anesthesia:
    Individual regions of the body (shoulder, leg, forearm, etc.) are anesthetized selectively and rendered numb. Regional anesthesia may be used in certain operations as the sole anesthetic technique, or may be combined with general anesthesia (combination of anesthetic methods).For further information please click:
  3. Local anesthesia:
    We anesthetize small areas of the body and render them insensitive.

The choice of the anesthetic technique depends on the type of surgery, the state of your physical health, and many other factors. Your anesthetist is responsible for selecting the anesthetic procedure and administering anesthesia.

During an operation or examination the anesthetist ensures the elimination of pain and maintenance of anesthesia. He continuously monitors all vital body functions (respiration, heart, circulation, etc.).

If intensive medical care is required postoperatively, you will be monitored and treated at the intensive care unit as well by our anesthesia team.

If you receive a pain catheter our team will be in charge of your care and treatment. We are also in charge of the treatment of severe pain.

Blood transfusion


The indication for blood transfusion is generally established with great caution. It essentially depends on your current hemoglobin level (red blood pigment) and possible pre-existing diseases. Hemoglobin levels may be reduced even before the operation (anemia due to various causes) or may drop during the operation. The latter is mainly due to blood loss during surgery.

A prerequisite for transfusion is concurrence between the donor‘s and the recipient‘s blood group. For this purpose, before certain operations blood is taken in the course of anesthesia preparation.

This blood is then sent to the blood bank, where the appropriate blood products for you are tested and kept ready.

Thanks to the strict guidelines used nowadays for the production and administration of blood products, a blood transfusion involves much less risk than it did earlier.

Nevertheless, a slight residual risk of infection with viral disease remains. For HIV it is about 1:1 million to 1:10 million; for hepatitis B it is 1:100,000 to 1:1 million, and for hepatitis C it is 1:10 million. A risk of 1:1 million means that, on average, an infection occurs in one of 1 million blood transfusions.

Your consent to administer allogeneic (foreign) blood is taken in writing at the preoperative anesthesia consultation.

A blood transfusion may be given without written consent only in emergencies.

Intensive care


The Department of Anesthesiology at ISAR Klinikum is also responsible for the interdisciplinary intensive care unit. This ward consists of 10 beds with complete state-of-the-art intensive care facilities. Ventilators based on the most recent ventilation technology (Evita V 500®, Dräger Company) are available at all beds.

Furthermore, if necessary we use modern organ substitution procedures and organ support procedures, such as the hemofilter (PrismaFlex®, Gambro Company, Multifiltrate, Fresenius Company®) in cases of limited renal function, or the intraaortic balloon pump in cases of severe cardiovascular failure.

To monitor cardiovascular function we have all common therapy and extended monitoring procedures such as pulmonary artery catheters, pulse contour analysis (PiCCO), and transesophageal echocardiography (TEE).

Every year we tend to about 900 patients here, using all modern intensive care treatment procedures and methods.

Our team of specialists in anesthesia and special anesthesiological intensive care take care of the intensive care unit round the clock, assisted by residents undergoing advanced training in anesthesia and surgery.

Besides, our team of doctors at the intensive care unit ensures in-hospital emergency care.

We additionally guarantee high and adequate care at all times by providing an on-call specialist, who is available round the clock.

Our nursing team consists of 23 staff members, at least one half of whom have completed their advanced training in anesthesia and intensive medicine. One to two graduates of advanced training are added to this list every year. The advanced training course is offered by our hospital in cooperation with the LMU Clinic of the University of Munich.

A medical assistant supports the nursing team of our intensive care unit in all process operations.

Spectrum of patients
A large number of our patients are transferred to us postoperatively from the following specialties:
Furthermore, in interdisciplinary cooperation with the specialty of Cardiology/ISAR Heart Center, we take care of a large group of patients. Temporary monitoring at the intensive care unit is common, especially after interventional procedures (coronary angiography, ablation of atrial fibrillation, etc.).

Pain therapy


Competent pain treatment in the postoperative phase contributes significantly to the success of an operation. It permits early mobilization so that the patient is usually discharged early. Besides, the risk of complications is reduced.

Our acute pain service is always at your disposal - day and night, 365 days a year. Our doctors and our specially trained nurses will do everything to ensure that you and your pain are treated optimally after the operation. For instance, we measure pain every day on a numerical scale, and adjust the settings of your pain therapy accordingly. We discuss the pain therapy options that may be suitable for you at the preoperative anesthesia consultation.

Depending on the type of operation, we use a variety of highly effective procedures in accordance with the current state of the art.
  • Drugs: Basic medication consists of a combination of various painkillers, which are taken in accordance with a fixed schedule. If needed we can administer additional fast-acting pain killers in the form of tablets or by a venous access.
  • Pain catheter: Local anesthetics can be administered in the vicinity of neural pathways. This is accomplished through thin plastic catheters. We offer all techniques of central and peripheral regional anesthesia.
  • Pain pump (patient-controlled analgesia, PCA): you are given the pain medication through a computer-assisted pump. You wear this pump after the operation and can access your painkiller yourself. Thus you determine the dose you actually need. The devices are set in a manner that overdosage cannot occur. Pain pumps optimize the treatment of pain and significantly reduce the intake of additional painkillers.
Our consultant pain service works closely with the surgeon, the ward team and the social service team, and offers you therapy aligned to your specific needs with the aim of alleviating pain and improving your quality of life.

Emergency / In-hospital emergency management


Of course we are also equipped to provide rapid and adequate treatment of acute emergencies in all rooms of ISAR Klinikum. A telephone-based alarm system has been installed for this purpose.

It reliably ensures that, in the event of a life-threatening emergency, a competent emergency team is available on site within a very short period of time (a matter of seconds) - every day and round the clock. This team consists of anesthetists experienced in emergency medicine, and nurses of the intensive care unit. Thus, in an emergency situation we guarantee high skilled medical treatment round the clock, provided by suitably qualified medical personnel.