Clinic for Anaesthesia, Intensive Care Medicine and Pain Therapy

As a medical speciality discipline, anaesthesia fulfils numerous tasks. Its services are available to all patients. This regularly involves closely coordinated interdisciplinary cooperation with specialists and nursing teams in other clinics.

The anaesthesia procedures practised include general anaesthesia, local and regional anaesthesia (‘partial anaesthesia’), and use of these forms in combination.

Long-term perioperative patient care extends from the pre-medication rounds with individual selection of the anaesthetic procedure and risk consulting, to the duration of the operation and postoperative pain therapy.

Clinical areas closely related to Anaesthesia are Intensive Care Medicine, Pain Therapy, and Palliative and Emergency Medicine:

life-threatening medical conditions are treated in the context of Intensive Care Medicine, particularly in the event of disorders or complete failure of vital organ functions; patients are also prepared for larger operations and provided with postoperative care.

Not only following a surgery, Pain Therapy targets acute and chronic pain – both for inpatients with pain in the sense of a ‘pain-free hospital’ and for visitors to the outpatient pain clinic.

In the Department for Palliative Medicine, patients with incurable diseases are looked after with particular attention paid to issues of pain therapy.

The field of Emergency Medicine concerns the ambulance service, the emergency room and the emergency ward.

[Translate to Englisch:] Anästhesie

Range of services

The Clinic for Anaesthesia, Intensive Care Medicine and Pain Therapy treats and assists its patients individually and based on state-of-the-art medical technology. This is true both for the pain-free local and regional anaesthesia (‘partial anaesthesia’) and for the very well-tolerated and controllable general anaesthesia.

Prior to elective (scheduled) surgery, pre-medication rounds are conducted in which the anaesthesia procedure that is best for the patient is discussed and specified in advance. This takes into account, among other things, the patient’s health condition, as well as the nature of the planned surgery and the postoperative pain therapy.

During their operation, patients receive optimal and needs-based monitoring. Depending on the type of anaesthesia, this can particularly involve the control of cardiovascular, respiratory and brain function as well as the depth of the anaesthesia.

The close care continues even after surgery: After anaesthesia, patients are monitored in a recovery room until they can reorient themselves with regard to time and place, with cardiopulmonary stability restored. They can then be transferred to their rooms on the ward.

This is also when the postoperative pain therapy begins. Pain catheters or pain pumps for patient-controlled analgesia (pain elimination) can also be applied in addition to drug-based therapy. The gentlest possible active ingredients and procedures are used not only for patients following surgery but in principle for all patients with acute or even chronic pain. Personal advice is always an important part of a holistic treatment approach.

The Department for Intensive Care Medicine, which is managed together with the Clinic for Gastroenterology at the Municipal Hospital of Pirmasens, is available for the treatment of seriously ill patients in all departments.Treatment is reserved particularly to patients following major surgery and those with life-threatening diseases and injuries.

The palliative care that also forms part of the range of services is provided to people with incurable, progressive and fatal diseases (usually an advanced tumour disease) together with their families. The overriding goal is to improve the quality of life for patients by managing pain and other physical ailments such as breathing difficulties, nausea, vomiting, constipation or confusion. Palliative care also entails support with any psychological, social or spiritual stress.

The Clinic’s mission also comprises Emergency Medicine, covering emergencies within the hospital as well as medical staffing of the emergency vehicle stationed at the Hospital and dispatched throughout the region.

The services at a glance

Anaesthesia

  • Preparation
  • Operation consultation and planning
  • Administering anaesthesia
  • Monitoring vital functions during surgery
  • Stabilising and monitoring in the recovery room, treatment of acute pain


Operative Intensive Care Medicine

  • Treatment of cases of severe illness, severe injury and severe poisoning before, during and after surgery


Pain Therapy (inpatient and private-outpatient) for

  • the treatment of acute pain in connection with postoperative pain therapy
  • acute and chronic back pain
  • diagnostic and therapeutic nerve blockage
  • blockage of the sympathetic nervous system
  • tumour pain therapy with conservative and minimally-invasive methods
  • patient controlled analgesia with automatic pump systems
  • strategies in pain therapy for the inpatient area
  • catheter-delivered peridural analgesia during birth
  • acupuncture


Emergency Medicine

  • Patient care following accidents or in the event of life-threatening diseases
  • Training of rescue personnel
  • Staffing of the emergency vehicle stationed at the Hospital (Monday to Friday), which is dispatched throughout the region
  • Filling the position of Senior Emergency Physician at the Municipal Hospital of Pirmasens
  • Managing the emergency-physician office


Palliative medicine

  • Active and holistic treatment of patients with an incurable, progressive or advanced disease with limited life expectancy
  • Treatment tailored to the needs of the individual patient

Chief Physician Dr. med. Carsten Henn is personally involved in the work of the inpatient hospice, Haus Magdalena, in Pirmasens, both as Chairman of the support association and as a consultant physician in palliative medicine.

Visit website: http://diakoniezentrum-ps.de/de/dz/hospiz

Chief Physician Ärztlicher Direktor und Chefarzt der Klinik für Anästhesie, Intensivmedizin und Schmerztherapie am Städtischen Krankenhaus PirmasensDr. med. Carsten Henn
Specialist for Anaesthesia

 

 

 

  • Additional qualification in Emergency Medicine
  • Additional qualification in Special Pain Therapy
  • Additional qualification in Palliative Medicine
  • Additional qualification in Acupuncture
  • Complete Training in Acupuncture (DÄGfA) Diploma A & B
  • ATLS – Training (Advanced Trauma Life Support)
  • Training Senior Emergency Physician
  • Medical Director Emergency Physician Site of the Hospital of Pirmasens
  • Consultant Physician in Palliative Medicine at the Haus Magdalena Hospice
  • Auditor of the Medical Association of Rhineland-Palatinate [Ärztekammer Rheinland-Pfalz] for the Departments of Anaesthesia, Pain Therapy, Palliative Medicine and Emergency Medicine


Member of the following organisations:

  • Landesbeirat für das Rettungswesen
  • Arbeitsgemeinschaft Notarzt des Ministeriums des Inneren und für Sport (NAGN)
  • Landesvorstand ASB (Arbeiter-Samariter-Bund RLP)
  • Chairman, Support Association for the Haus Magdalena Hospice
  • Deutsche Schmerzgesellschaft (DGS)
  • Deutsche Gesellschaft für Palliativmedizin (DGP)
  • Deutsche Ärztegesellschaft für Akupunktur (DÄGfA)

 

Authorisation to provide advanced training:   

  • 48 months Anaesthesia

 

Leitender Oberarzt Dr. med. Uwe FinkManaging Senior Physician Dr. med. Uwe Fink
Specialist for Anaesthesia

 

 

 

  • Additional qualification in Intensive Care Medicine
  • Additional qualification in Emergency Medicine
  • Training Senior Emergency Physician
  • Training Transplant Coordinator, German Organ Transplantation Foundation (DSO – Deutsche Stiftung Organtransplantation)
  • Certified Mega-Code Trainer
  • Examination Officer for Paramedics of the Palatinate Regional Chamber of Physicians


Member of the following organisations:

  • BDA (Bund Deutscher Anästhesisten)
  • AGSWN (Arbeitsgemeinschaft Südwestdeutscher Notärzte)
  • DRF (Deutsche Rettungsflugwacht)
  • DRK (Deutsches Rotes Kreuz) – German Red Cross

 

Authorisation to provide advanced training:   

  • 24 months Intensive Care Medicine

 

Oberarzt Harry SchulzSenior Physician Harry Schulz
Specialist for Anaesthesia

 

 



Member of the following organisations:

  • Verband Deutscher Homöopathen e.V.
  • BDA (Bund Deutscher Anästhesisten)

 

Oberarzt Dr. med. Christoph MeyerSenior Physician Dr. med. Christoph Meyer
Specialist for Anaesthesia

 

 

 

  • Additional qualification in Intensive Care Medicine
  • Additional qualification in Emergency Medicine


Member of the following organisations:

  • BDA (Bund Deutscher Anästhesisten)
  • AGSWN (Arbeitsgemeinschaft Südwestdeutscher Notärzte)


Tonio SchirraSenior Physician Tonio Schirra
Specialist for Anaesthesia

 

 

 

  • Additional qualification in Emergency Medicine


Member of the following organisations:

  • BDA (Bund Deutscher Anästhesisten)
  • Marburger Bund


Senior Physician Dr. med. Yvonne Lenhardt-Pfeiffer
Specialist for Anaesthesia and Intensive Care Medicine

Schmerztherapie Pain Therapy strives to relieve or at least reduce patients’ pain – whether performed on an outpatient or inpatient basis. Pain therapy is always conducted in close interdisciplinary cooperation with all departments of the Hospital and tailored to the personal needs of each patient. The causes of pain range from general postoperative complaints to problems with the musculoskeletal system, circulatory and neurological disorders, amputations (including phantom pain) and chemotherapy.

Cancers are of particular significance in this regard: in this setting, the Clinic for Anaesthesia, Intensive Care Medicine and Pain Therapy is an active partner and a fixed element of the holistic treatment spectrum at the  Colorecal Centre and at the Breast Centre in Pirmasens.

In addition to acute pain that may occur suddenly and briefly, there must also be treatment of more prolonged, chronic complaints in which pain has lost its warning function and has become a disease unto itself. Examples of this are pain caused by osteoporosis, spinal cord injuries, circulatory disorders or psychosomatic pain.

Pain therapies for palliative patients with incurable, progressive and fatal diseases are particularly important. In addition to cancer, this pain can also be caused, among other things, by very severe diseases of the heart, lungs and kidneys, as well as neurological diseases; these are often associated with strong and long-lasting pain.

Against this backdrop, in Palliative Medicine, in contrast to the curative (healing) medicine, the aim is to provide relief of physical, social and psychological complaints.The focus is always upon the needs of the patients and their families. Holistic care integrates different professions, including physicians, nursing staff, pastoral caregivers and others.

Newly developed drugs and techniques, modern equipment and solid training of specialist physicians have helped make anaesthesia extremely safe. That is why it is possible today to operate successfully on even severely ill and very elderly patients.

With general anaesthesia, the patient is placed in a deep, sleep-like state in which consciousness and the sensation of pain are completely switched off. The duration of anaesthesia can be precisely managed through continuous supply of sleeping and pain medication – this can be done intravenously, through the blood, or in the form of gas absorbed through the lungs.

On the other hand, local and regional anaesthesia work only in limited regions of the body, through selective administration of anaesthetics as partial anaesthesia; in this case, the patient remains awake and responsive. While local anaesthesia makes a small area such as finger or hand insensitive to pain, regional anaesthesia blocks nerve conductions that are peripheral or close to the spinal cord, switching off the sensation of pain in an entire region of the body.

The combination of different anaesthetic methods may also be useful in some cases and is also applied.

Prior to elective (planned) surgery, and following thorough medical analysis and professional advice, the patient selects the type of anaesthesia from among the available alternatives. This usually also involves a decision as to whether he or she prefers to remain conscious or sleep during the procedure.

The anaesthesiologist is responsible for safe administration of anaesthesia and can help the patient relax even under local and regional anaesthesia, whether through soothing music played through headphones or through the additional administration of sedatives. The anaesthesiologist also sees to it that the patient is as free as possible from complaints such as nausea, pain or vomiting.

Blutmangement Depending on the nature and methods of surgery, the patient’s constitution and the course of the operation, every surgical procedure involves some loss of blood. But because a high loss of blood can lead to acute health problems, all surgical clinics take multiple precautions: first, during the operation, attention is paid to keep the patient’s blood loss down to a minimum. To the extent possible, the never completely avoidable loss of blood is offset by means of autotransfusion.

With this process, the blood flowing from the wound is suctioned off and prepared in a special device to permit the return of the red blood cells to the patient either during or following the operation. If this is not sufficient, units of donated blood that have been set aside for the surgery are used. Not least as a result of the strong controls in place, this blood involves practically no serious risks whatsoever. Transmissions of HIV/AIDS, and of hepatitis B and C (jaundice), are significantly lower than widely assumed. And yet it is clear: blood that has been donated by a third party can be never entirely risk-free. That is why this is resorted to only if the alternatives have been exhausted.

The private outpatient clinic offers comprehensive consultations in the fields of pain and palliative medicine. For an individual consultation appointment, please contact Karin Klein by telephone under the central telephone number 06331/714-1101.

Emergencies are treated at any time (24 hours/7 days a week/365 days a year).

Contact the doctors

Ärztlicher Direktor und Chefarzt der Klinik für Anästhesie, Intensivmedizin und Schmerztherapie am Städtischen Krankenhaus PirmasensChief Physician:
Dr. med. Carsten Henn


Telephone:
06331/714-1101
Anaesthesie@kh-pirmasens.de

 

Leitender Oberarzt Dr. med. Uwe FinkManaging Senior Physician:
Dr. med. Uwe Fink

Telephone:
06331/714-1101
Anaesthesie@kh-pirmasens.de

 

Senior Physician:
Harry Schulz

Senior Physician:
Dr. med. Christoph Meyer

Senior Physician:
Tonio Schirra

Senior Physician:
Dr. med. Yvonne Lenhardt-Pfeiffer

Contact the clinic

Karin KleinSecretariat:
Karin Klein

Telephone:
06331/714-1101
Fax:
06331/714-1103
Anaesthesie@kh-pirmasens.de