Anesthesiology

The Clinic for Anesthesiology of the Center for Anesthesiology, Emergency, Rescue and Intensive Medicine works in close cooperation with other clinics of the Heart Center, especially the Clinic for Thoracic and Cardiovascular Surgery, to treat patients from the Heart Center. The Clinic for Anesthesiology is divided into a number of different sections corresponding to the established fields of modern anesthesiology: anesthesiology, intensive care medicine, rescue and emergency medicine, palliative and pain medicine.

Cardioanesthesia

The anesthesiology section is responsible for the anesthesiological care of all operative clinics of the University Medical Center Göttingen. A total of 24 positions in the Central Operating Unit and 14 further positions in the Decentralized Operating and Functional Units perform some 25,000 anesthesias every year. This section employs 12 senior physicians, 11 residents and 32 further physicians in training.

The care provided by this section for patients from the Heart Center comprises the entire spectrum of clinical anesthesiology. Every day in up to 5 ORs it provides peri-operative and peri-interventional anesthesiological services to patients from the Clinic for Thoracic and Cardiovascular Surgery. In addition, it is present during procedures carried out in the Pediatric and Adult Heart Catheterization Laboratories. Patients from all age groups, from newborns to the very old, are accompanied during their cardiological procedures.

The standardization of anesthesiological procedures guarantees a high level of safety for our patients, even during very complicated operations (http://www.aesculapp.de/). The regular use of transesophageal echocardiography by certified experts, point-of-care coagulation monitoring (Rotem® and Multiplate®) as well as neuromonitoring (NIRS®, SEP, BIS®) facilitate risk-adapted care of even very complicated syndromes at the highest level of quality.

Surgical intensive care medicine

The Intensive Care Unit is home to 3 senior physicians, 10 residents and 18 further physicians in training. Two intensive care wards with a total of 42 beds care for some 4,000 patients yearly, 1,500 of whom receive treatment for thoracic and cardiovascular diseases or following cardiac surgery and heart transplantations. Hemodynamic monitoring is done directly at each bed with a modern monitoring system (pulmonalis catheter, PiCCO). In addition, echocardiographic exams (TEE/TTE) are also done here. The intensive care units have modern bedside coagulation monitoring systems (Rotem®, Hepcon® and Multiplate®) that guarantee rapid and targeted management of coagulation.

Besides drug-based therapy this unit also has excellent skills in the intensive medical application of organ-replacement machines. The spectrum of cardiac assist systems employed comprises the intra-aortic balloon pump (IABP), extracorporeal membrane oxygenation (ECMO) as well as left- and biventricular assist devices (Impella®, Circulite®, Berlin Heart® HeartMate II®, HeartWare®). For the treatment of acute respiratory distress syndrome, extracorporeal CO2 elimination in the form of an interventional lung assist (ILA) and veno-venous ECMO are applied. Cases of acute kidney failure are treated with modern continuous kidney replacement procedures (dialysis).

This department also puts great emphasis on scientific research and the training of medical students.

Research and teaching of medical students are further important areas of our department.

Contact
Prof. Dr. Michael Quintel
Prof. Dr. med. Quintel
Head
Phone:
0551-39-8826
E-Mail:
mqoffice@medizin.uni-goettingen.de
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