The original anesthesiological tasks at the operation table evolved during the development of modern operative medicine so that today’s anesthesiologists and intensive care physicians have the task of being the patient’s companion, therapist and manager before, during and after an operative intervention. In addition to the work field of the elimination of pain and consciousness during an operation, modern anesthesiology consists of various other fields like intensive care, emergency medicine, pain therapy and treatment of patients with acute respiratory distress syndrome (ARDS).
The clinic for anesthesiology, intensive care and pain therapy performs more than 10,000 anesthesias per year during operative or diagnostic interventions. All modern methods of anesthesia (general and local anesthesia) are available for the following: surgery, trauma surgery, orthopedics, neurosurgery, oral maxillofacial surgery, ophthalmology and interventional (neuro-) radiology.
The interdisciplinary operative intensive care unit hold 20 beds and is managed by the anesthesiological clinic. Every year about 1,500 critically ill patients receive medical care after surgery or accidents. All modern intensive care methods and procedures are available for the care of critically ill patients, including artificial ventilation and organ compensation methods.
The clinic for anesthesiology, intensive care and pain therapy is integrated into Bochum’s emergency doctor coverage. Together with the clinic for trauma surgery and orthopedics as well as the clinic for general surgery they provide emergency doctors who are responsible for the ambulance emergency response vehicle that is stationed at the hospital and the primary care of severely injured patients in the shock room of the university medical center Knappschaftskrankenhaus Bochum. In addition, the anesthesiology clinic provides three chief emergency doctors who go into action during a large-scale emergency.
Another important branch is pain therapy. The work field includes the treatment of acute pain after an operative intervention as well as therapy for chronic pain at the out-patient department of pain therapy. This also includes close cooperation with the neurosurgery clinic and the trauma surgery and orthopedic clinic.
Another focal point is the treatment of patients with acute lung failure (ARDS). For these critically ill patients one therapeutic option of many that are available, is the extracorporal membrane oxygenation (ECMO) that temporarily takes over the lung’s function or supports it. As a member of the ARDS-network Germany, other health care facilities are offered consultation and if necessary a takeover of patients with ARDS and their ensured further treatment.
Teaching, Science and Research
Furthermore, the clinic for anesthesiology, intensive care and pain therapy is an institution of the Ruhr University Bochum and therefore a center for education, scientific research and advanced training of doctors.