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Medical Departments

Anaesthesiology and Operative Intensive Care Medicine

Treatment and Care Priorities at a Glance:

Anaesthesiology

The word anaesthesia comes from the Greek, meaning numbness/pain relief. General anaesthesia is a deep sleep-like state in which the consciousness is switched off and the sensation of pain throughout the body is suppressed. Modern anaesthesia methods have contributed significantly to the advancement of surgical interventions but have, above all, also greatly improved the safety of each general anaesthesia. The anaesthetic care of patients is ensured by means of the following methods:

  • General anaesthesia: Balanced anaesthesia or total intravenous anaesthesia (TIVA)
  • Regional anaesthesia: plexus anaesthesia, spinal anaesthesia, epidural anaesthesia, peripheral nerve blocks, analgosedation

Preoperative assessment of the individual risk for every patient is carried out as part of a so-called premedication talk in the anaesthesia outpatient clinic, or for patients who are unable to walk, in the patient's room.

Intraoperative monitoring is determined based on the individual risk for each patient and the extent of the intervention. The equipment is state-of-the-art. During surgery, the anaesthesiologist does, of course, remain at your side and, after the procedure, we continue to look after you in our PACU. Emerging pain or nausea is alleviated through immediate medication. The time of the transfer back to the station depends on your waking state, possible pain and your general condition.

Intensive Care Medicine

In the Intensive Care Unit, patients who have suffered a partial or complete loss of function of vital organs are treated. Also major surgeries, infections, extensive injuries after accidents or states of shock can be a reason for treatment in the ICU.

The objective of intensive care is first and foremost to ensure the restoration or maintenance of the patient's vital functions. The treatment and monitoring techniques that are applied in intensive care are only possible with the help of modern technical equipment. Our ICU is, therefore, equipped with all the necessary technologies with the highest standards.

An important aspect of intensive care is the constant presence of physicians with specific intensive care medical training and a professional nursing staff. This ensures that even the smallest changes of a patient's condition are instantly detected and treated without delay. We also try to take the patient's personality into account in order to make their stay on our unit as comfortable as possible. We are personally committed to the fulfilment of all possible patient needs even in this critical situation.

Emergency Medicine

With about 2,400 annual emergency calls, the Theresienkrankenhaus is responsible for the manning of the majority of the emergency medical services in the NEF Mannheim-South area. The modern vehicles make patient care possible at the most up-to-date level of emergency medicine. Among other things, the data from twelve-lead ECGs can be transmitted from the emergency location directly to a cardiologist at the hospital.

The anaesthesiologists of Theresienkrankenhaus are part of the emergency response teams and can initiate life-saving measures within minutes. Since 2003, our company has participated in the quality assurance of pre-hospital emergency rescue. This measure aims at improving the structure, process and quality result and promotes higher efficiency of the rescue service. To this end, all emergency call data is forwarded to the SQR-BW (body for provider-wide quality assurance in the emergency services in Baden-W├╝rttemberg).

Pain Management

Inpatients of both the operating disciplines, as well as the Departments of Internal Medicine, obtain differentiated pain therapy in the Theresienkrankenhaus. This is carried out by both the attending colleagues of the separate specialities, as well as consultants from the Anaesthesia Department. Patients with complicated progressions after trauma/orthopaedic surgery (including mobilisation treatments), malignant tumour patients with difficult-to-control pain, or patients with algogenic psychosyndrome are treated on an interdisciplinary basis from various fields. The care of pain patients includes, in particular, the collection of a standardised medical history, the conducting of a pain analysis, a differential diagnosis of the pain, as well as the establishment of a substantive and chronologically sequential therapy plan. This is carried out within the framework of an interdisciplinary consultation. Among others, the following treatment procedures are carried out:

  • Pharmacotherapy (oral, parenteral, transcutaneous analgesics)
  • Therapeutic local and conduction anaesthesia/neuraxial opioid applications/plexus and neuraxial anaesthesia

Based on indication, accompanying psychotherapeutic measures by the in house psychological services are also included in the therapy plan. For the medical staff of the department, there is the opportunity to expand and deepen their knowledge in pain management as part of a four-week internship at the Pain Clinic of the University Hospital. All the unit staff receive instruction in the major pain therapeutic methods during their training in the intra-departmental advanced training. Moreover, they have the opportunity to continue their education at special training events, such as the Deutsche Gesellschaft zum Studium des Schmerzes e.V [German Society for the Study of Pain] or as part of the Pain Management Colloquium. The nature and extent of the training is documented intra-departmentally.


Chief secretariat
Jutta Knauf
Theresienkrankenhaus
Bassermannstra├če 1
68165 Mannheim
1st floor. Room 114
Phone (0621) 424-4430
Fax (0621) 424-4560
E-Mail: wolfgang.segiet
@theresienkrankenhaus.de