The staff of our Clinic provide medical assistance to patients who have to undergo the operation, so they can tolerate the intervention painlessly and without stress. In addition, the involvement of the team of anesthetists requires some painful procedures or diagnostic examinations. In addition, our services may be required for all future mothers, either by epidural anesthesia to reduce pain during contractions in the context of normal labor, or if necessary, to accompany the whole process of the labor by caesarean section.
However, many interventions can also be performed under the so-called local anesthesia, in which parts of the body are effectively “switched off” with the help of nerve blockades, which are usually performed under ultrasound control and therefore are safe and accurate. At the same time, there is no pain sensitivity in the corresponding part of the body, and you can take a nap during the operation.
This includes our smallest patients, because we have extensive experience in perioperative maintenance and anesthesia of infants and young children. We are able to distract attention of children over the age of three during administration of anesthesia with the help of games suitable for their age, installed on children’s tablets, which are specially purchased for pediatric anesthesia.
Your treatment begins with registration in the so-called waiting area, where the personal data, as well as the results of all your examinations and the planned operation, are documented before the anesthesia begins. After this, during the injection of anesthesia and throughout the operation, as well as at the moment of induction from anesthesia, the team of anesthetists, which consists of an anesthesiologist and a nurse, will take care of you, usually a professional nurse specializing in the field of anesthesia and intensive medicine. Throughout the operation, you, naturally, will be under the supervision of this team of specialists, which is carried out using the most modern methods of monitoring, and upon completion of the operation, further monitoring of your condition will be performed by qualified anesthesiologists in the postoperative ward. Since the topic of patient safety occupies a very important place in our clinic, during the entire process of anesthesia and during the stay in the postoperative ward, all the major body functions are monitored, for example, heart rate, blood pressure and oxygen saturation.
Constant warming up of patients with comfortable bedspreads with warm air throughout the duration of anesthesia is also mandatory for us. Thus, we avoid development of complications such as, for example, waking up during anesthesia or prolonged muscle weakness after anesthesia.
Surgical Department of Intensive Care
Operations require special skills in the field of anesthesia, not only during the surgical procedure itself. After operation, careful monitoring, care and treatment should be provided.
Regardless of the type of surgery, some factors in some circumstances require intensive medical monitoring and treatment, for example, the patient's advanced age or previous serious illnesses. Complications that arise during the operation, for example, heart rhythm disturbances, serious problems with blood circulation or pulmonary dysfunction may also require intensive medical monitoring and treatment. Patients after severe injuries (multiple trauma) or patients with cerebral hemorrhage also receive treatment in the surgical department of intensive medicine.
In 2016, a total number of 1,900 patients were monitored and treated in the intensive care unit. At the disposal of patients, 365 days a year and 24 hours a day are in 12 places in the wards of the surgical department of intensive care. The C01 also has four so-called “Intermediate Care” beds for those patients who do not need artificial respiration, but monitor monitoring is necessary. Near each bed, there are observation devices (monitors), with which the heart rate, arterial and venous pressure, oxygen saturation and body temperature are measured. Infusion and syringe pumps are designed for the continuous administration of infusion solutions or medications. In the intensive care unit, many patients need breathing, so they are connected to the ventilator. Along with this, other methods of monitoring, treatment and diagnostics are used:
Inpatient treatment of patients with tumorous diseases, incurable neurological and internal diseases in the progressing stage is the task of separating palliative medicine. One of the main goals of treatment is to alleviate symptoms with the help of medications and other methods.
The treatment includes also 24-hour patient care, as well as consultations, medical support and psychological support for patients and their relatives and accompanying persons at all stages of the disease, including after in-patient treatment, including assistance in “work of sorrow”.
We offer support to general practitioners and private practitioners, especially in the field of special analgesic therapy and symptom control.
We carry out mediation in contacts with social services, outpatient care services, volunteer organizations and other institutions to provide the necessary care and medical care after discharge.
The goal of treatment is to create or maintain the highest possible quality of life during the entire remaining, often very limited, lifespan. If possible, we try to ensure that after the discharge the patient can return to the desired environment.
In this case, it is advisable to inform the patient about the current stage of the cancer or about the state of his illness in order to ensure an adequate attitude to the situation of all parties involved in it.
Our experience in treatment aimed at alleviating the symptoms at all stages of the disease and up to the time of death, also allows us to accompany the patient with respect for his dignity.
The members of our team are:
Hospitalization in our inpatient department of palliative medicine always occurs with the patient’s consent. Requests, both for agreeing the date of planned hospitalization, and for the purpose of telephone consultation, can be carried out:
Living room with the sofa and dining table, as well as the common kitchen, offer our patients and their relatives cozy atmosphere. Relatives, friends and other people accompanying the patient can spend a night in a separate room or in patient’s rooms.
At the disposal of patients and their relatives there is a large terrace overlooking the park, which also beckons you for a walk. The park passes directly to the Botanical Garden.
The focus is on patients from Solingen and its environs. Of course, if desired, we also accept patients from more remote regions.
Since 2015, thanks to the team of specialized outpatient palliative care in Solingen, Solingen patients have had the opportunity, after discharge from the palliative care unit, to remain partially under the supervision of the same therapists. This ensures continuous monitoring and treatment of patients at the department of palliative medicine in Solingen at the highest level, with humanity and empathy playing a very important role here. If further treatment at home is not possible, we will take care of transferring the patient to the hospice, for example, in the Hospice of Palliative Medicine in Solingen (PHoS), which is located right next to the campus of the clinic.
Coverage of treatment costs
Costs for medical treatment, as well as for all types of hospitalization in a hospital, are covered by health insurance funds.
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Not only during the operation itself, but also during the first hours and days after it, one of our most important tasks is the organization of satisfactory treatment of postoperative pain (anesthesia) or early prevention of the occurrence of severe pain. To achieve this goal, we have a large number of opportunities: along with tablets, suppositories and intravenous single doses of strong painkillers (opioids), today more and more widely used other methods that are more adapted to individual pain sensations.
Such methods include, for example, pumps for the administration of medicaments that can be activated by the patients themselves within the prescribed schedule, but do not allow drug overdose – ACP (analgesia controlled by the patient).
Another alternative is the catheters, which, under ultrasound guidance, are placed near the nerve fibers or nerve plexuses and through which local anesthetics/opiates are continuously introduced to ensure the absence of pain. The analgesic effect of these catheters is used already during the operation. These catheters are also connected to the pumps with pain medications, which can be administered by the patient himself.
In the field of obstetrics, we care about women who experience severe pain during childbirth. Along with the traditional epidural anesthesia, we also offer the so-called spinal epidural (Walking Epidural), a method that ensures the absence of pain with complete freedom of movement. In this case, the automatic pump with pain medication is connected to the epidural catheter, which provides the woman in labor with pain relief with the maximum ease of use and, thus, allows her to fully concentrate on the child's moment of birth.
Emergency medical care system (NEF – ambulance)
The ambulance service of the city of Solingen is responsible for servicing more than 160,000 inhabitants. Along with the city itself, the area of responsibility of the militarized fire department of Solingen also includes separate sections of A3, A4 and A46 motorways.
To ensure effective round-the-clock emergency medical care, three fire brigades and the Red Cross organization provide in total 7 ambulances. On-call doctors are accommodated in the City Clinical Hospital and, for several minutes, are transported to the scene of an accident by an ambulance, where they meet with the rescue crew. Anesthesiologists occupy the ambulance No. 1 and actively support the process of teaching and practical training of rescuers.
For the purpose of quality assurance from January 1, 2012, the City Clinical Hospital of Solingen is a member of the German Resuscitation Registry (GRR) – the German Society of Anesthesiology and Intensive Medicine.