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Die Abteilungen der Klinik für Kleintiere

In hochmodern ausgestatteten Abteilungen arbeiten international anerkannte Spezialisten eng zusammen. Die gute Zusammenarbeit der verschiedenen Abteilungen und unser hochmotiviertes Pflegepersonal machen es möglich, jeden Patienten individuell und mit höchstem Fachwissen optimal zu betreuen. 

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Anästhesie & Intensivmedizin

Jedem Tier sein eigener Anästhesist! Gemäß diesem Wahlspruch wird in unserer Klinik jedes Tier während der gesamten Narkose von einem speziell ausgebildeten Narkosearzt betreut. Dieser wird durch modernste Überwachungs- und Anästhesietechnik unterstützt.

Jeder Patient erhält eine für ihn und die geplante Untersuchung oder Operation individuell angepasste Anästhesie. Eine komfortable Aufwachphase und eine den Bedürfnissen des Tieres angepasste, den gesamten Zeitraum vor, während und nach der Operation umfassende Schmerztherapie sind uns wichtige Anliegen.

Unsere Patienten werden gemäß der Leitlinie „Anästhesiologische Versorgung von Hund und Katze“ der Fachgruppe Veterinärmedizinische Anästhesie, Intensivmedizin, Notfallmedizin und Schmerztherapie (VAINS) der Deutschen Veterinärmedizinischen Gesellschaft versorgt. 

 

Offene Stellen in der Abteilung

Zurück zur Abteilungsübersicht

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Gemäß diesem Wahlspruch wird in unserer Klinik jedes Tier während der gesamten Narkose von einem speziell ausgebildeten Narkosearzt betreut. Dieser wird durch modernste Überwachungs- und Anästhesietechnik unterstützt. Jeder Patient erhält eine für ihn und die geplante Untersuchung oder Operation individuell angepasste Anästhesie. Eine komfortable Aufwachphase und eine den Bedürfnissen des Tieres angepasste, den gesamten Zeitraum vor, während und nach der Operation umfassende Schmerztherapie sind uns wichtige Anliegen. Unsere Patienten werden gemäß der Leitlinie „Anästhesiologische Versorgung von Hund und Katze“ der Fachgruppe Veterinärmedizinische Anästhesie, Intensivmedizin, Notfallmedizin und Schmerztherapie (VAINS) der Deutschen Veterinärmedizinischen Gesellschaft versorgt.    Offene Stellen in der Abteilung Zurück zur Abteilungsübersicht | Zur Abteilung | e1e5e5 | Leistungen & Spezialgebiete | Inhalationsanästhesie | Injektionsanästhesie | TIVA | Lokal-/Regionalanästhesie | Narkose- und Intensivbeatmung | Perioperative Intensivmedizin | Individuelle differenzierte perioperative Schmerztherapie | Konsiliar für Fragen der Narkose von Haus-und Heimtieren und exotischen Spezies | Die Inhalationsanästhesie ("Gasnarkose") hat den Vorteil, dass das Anästhetikum ("Narkosemittel") nicht oder nur zu einem sehr geringen Teil vom Körper abgebaut werden muss und ihn somit nur wenig belastet. Bei dieser Anästhesieform ist die Länge und Tiefe der Narkose sehr gut steuerbar und außerdem wird eine recht gleichmäßige Anästhesietiefe erreicht. Da bei Hund und Katze die Inhalationsanästhesie stets als Intubationsanästhesie durchgeführt wird, sind zudem die Atemwege gesichert, zusätzlich erhält der Patient Sauerstoff und kann bei Bedarf sofort beatmet werden. In den meisten Fällen wird die Inhalationsanästhesie jedoch nur zur Erhaltung der Anästhesie genutzt, die Einleitung erfolgt durch Injektionspräparate. Dies ist stressfreier und risikoärmer. Außerdem können auf diese Weise genau die Wirkungen erreicht werden, die der individuelle Patient benötigt. Den Inhalationsanästhetika fehlt die schmerzausschaltende Wirkung, so dass bei Operationen zusätzlich ein Schmerzmittel injiziert werden muss. In unserem Hause kann an jedem Anästhesiearbeitsplatz eine Inhalationsanästhesie durchgeführt werden. Eine kontinuierliche klinische und apparative Überwachung des Patienten ist obligat. | Eine Allgemeinanästhesie wird oft durch die intravenöse Gabe von Anästhetika eingeleitet und manchmal auch auf diese Weise ganz oder teilweise erhalten. Durch eine sinnvolle Kombination verschiedener Medikamente können so alle erwünschten Wirkungen (Schlaf, Schmerzfreiheit, Muskelentspannung) erreicht und die Nebenwirkungen minimiert werden. Auch bei der Injektionsanästhesie wird auf eine Sicherung der Atemwege geachtet, bei Bedarf Sauerstoff appliziert und/oder künstlich beatmet sowie kontinuierlich überwacht. | Die totale intravenöse Anästhesie ist eine Spezialform der Injektionsanästhesie. Durch die kontinuierliche Zufuhr kurzwirkende Stoffe wird eine gleichmäßige, gut steuerbare Anästhesie erreicht. Da alle Anästhetika die Atmung negativ beeinflussen, wird auch bei dieser Anästhesieform der Patient intubiert, erhält Sauerstoff und wird, wenn nötig, beatmet. Eine adäquate Überwachung des Patienten ist natürlich Standard. | Die direkte Schmerzausschaltung im Operationsgebiet  vermindert die notwendige Tiefe der Allgemeinanästhesie und damit deren Nebenwirkungen. Außerdem reduziert sie die Stärke von postoperativen Schmerzen. Anders als beim Menschen ist jedoch beim Tier in der Regel zusätzlich eine Allgemeinanästhesie oder sehr starke Sedation (medikamentelle Beruhigung) nötig. Darauf aufbauend ist sie eine sehr sinnvolle Ergänzung. Diverse Techniken der Lokal-/Regionalanästhesie werden in unserem Hause schon seit Jahrzehnten routinemäßig genutzt, so die Epiduralanästhesie bei orthopädischen Eingriffen an der Hintergliedmaße oder die Leitungsanästhesie in der Zahnmedizin. | Die Wirkungen der Anästhetika auf die Atmung sind häufig Ursache für Zwischenfälle. Eine Beatmung normalisiert die Atemfunktion. Unsere Patienten werden routinemäßig beatmet, wenn die Überwachung einen Hinweis auf eine Atemstörung ergibt. Bedingt durch die Wirkungen der Anästhetika ist dies bei einem Großteil der Patienten der Fall. An allen unseren Anästhesieplätzen in den Operationssälen, der Endoskopie, Zahnbehandlung und Bildgebung kann manuell und maschinell beatmet werden. Patienten mit schweren Verletzungen des Brustkorbs, akutem Lungenversagen, schweren neurologischen Störungen oder andere Intensivpatienten benötigen manchmal ebenfalls eine Beatmung. Auch eine solche Intensivbeatmung kann in unserem Hause (zeitlich begrenzt) durchgeführt werden. | Häufig sind Patienten, die anästhesiert werden müssen, sehr krank. Bei diesen wird vor der Operation versucht, sie durch eine entsprechende intensive Therapie (z.B. eine den Laborwertveränderungen angepasste Infusionstherapie) in einen besseren Zustand zu bringen, um so ihr Narkoserisiko zu verringern. Viele Patienten müssen auch postoperativ weiterhin intensiv betreut werden. In manchen Fällen müssen Katheter in zentrale Venen gelegt werden, Sonden in Speiseröhre oder Magen platziert werden und es schließt sich eine längere Infusionstherapie, Sondenernährung und/oder Wundversorgung an. Solche Maßnahmen sind Routine in unserem Hause, Anästhesisten, Chirurgen, Internisten und das hauseigene Labor arbeiten hier Hand in Hand.   Schon viele Jahre engagieren wir uns sehr stark im Bereich Wiederbelebung und legen besonderen Wert auf eine gute Ausbildung unserer Mitarbeiter auf diesem Gebiet. Tritt eine lebensbedrohliche Situation auf, dann hat der Patient die besten Chancen, wenn geübte Personen strukturiert vorgehen. Unsere Anästhesisten bilden den Kern des Wiederbelebungsteams der Klinik. Eine regelmäßige theoretische und praktische Schulung aller Mitarbeiter des Hauses und ein Vorgehen nach der entsprechenden internationalen Leitlinie zur Wiederbelebung bei Hund und Katze (RECOVER, http://onlinelibrary.wiley.com/doi/10.1111/j.1476-4431.2012.00757.x/pdf) sind selbstverständlich.  | Verschiedene Krankheitszustände verursachen Schmerzen, die eine unterschiedliche Qualität (stechend, dumpf), Intensität und Dauer haben können. Unser Ziel ist es, bei jedem Patienten eine adäquate Schmerzausschaltung zu erreichen. Bei der Konzeption der individuellen perioperativen Schmerztherapie werden zu erwartende Schmerzintensität und -dauer intra- und postoperativ und natürlich bestehende Erkrankungen des Tieres berücksichtigt. Wir nutzen eine Fülle von Wirkstoffen, um unser Ziel zu erreichen, und arbeiten auf der Basis der Empfehlungen der Initiative tiermedizinischer Schmerztherapie, bei der die Leiterin der Abteilung Anästhesie, Frau Prof. Dr. Alef, Mitglied ist. | Die Mitglieder der Abteilung, und hier besonders Frau Prof. Dr. Alef, beraten Kollegen gerne bei anästhesiologischen Problemfällen, nach Zwischenfällen, bei Fragen zur Schmerztherapie und bei der Ausstattung ihrer Praxis mit Geräten zur Inhalationsanästhesie und Überwachung. | Forschungsschwerpunkte | Überwachung des Sauerstoffstatus | Verbesserung der Patientensicherheit | Evidenzbasierte Veterinärmedizin | Eine ausreichende Sauerstoffversorgung der lebenswichtigen Organe ist Voraussetzung für das Leben. Um diese zu gewährleisten, müssen Atmung, Makro- und Mikrozirkulation adäquat zusammenspielen. Unsere Anästhesieabteilung widmet sich schon seit vielen Jahren verschiedenen Aspekten dieses Themas, angefangen von der Etablierung der Pulsoximetrie in der Kleintiermedizin über die Bestimmung der gemischtvenösen Sättigung über einen Pulmonalarterien-Katheter bis hin zur nicht-invasiven Messung der Sauerstoffsättigung im Hirngewebe (NIRS). In den letzten Jahren war in Kooperation mit der Chirurgischen Tierklinik unserer Fakultät und der Humanmedizin die Wirkung von Xylazin beim Schaf eines der Forschungsthemen auf diesem Gebiet. | Jede Allgemeinanästhesie und jede Sedation birgt Risiken für den Patienten. Wir untersuchen, wie man diese Risiken besser einschätzen kann (Nutzen von Screening-Untersuchungen wie Labor, Röntgen des Thorax; Etablierung eines neuen Schemas zur Risikobewertung). Außerdem widmen wir uns verschiedenen anästhesiologischen Techniken unter dem Aspekt Patientensicherheit, so werden evidenzbasierte Grundlagen für die Tubuswahl bei Kaninchen und Hund erarbeitet. | Diese ist weniger ein Forschungsgebiet, als ein Anliegen. Wir versuchen, aussagekräftige, wissenschaftliche Studien mit  für unsere Patienten relevanten Fragestellungen zur Basis  unseres täglichen Handelns und unserer Forschung zu machen. Wissenschaftlich wird die Frage beleuchtet, inwieweit die evidenzbasierte Medizin Verbreitung in der tiermedizinischen Fachliteratur gefunden hat. | Besondere Ausstattung | Geräte zur Inhalationsanästhesie im gesamten Operations- und Diagnostibereich | Überwachungsgerät zur Überwachung von Atmung, Kreislauf, Temperatur und Narkosegasen an jede Arbeitsplatz | Möglichkeiten zur künstlichen Beatmung na jedem Arbeitsplatz | Infusions-und Spritzenpumpen | Geräte zur Wärmetherapie | Vernetzung der Überwachungsgeräte, Zentralbildschirm im Arbeitszimmer des Oberarztes | Bei uns kann der Anästhesist ganz nach den Bedürfnissen des Patienten zwischen einer Injektions- oder einer Inhalationsanästhesie entscheiden, da flächendeckend Geräte zur Inhalationsanästhesie zu Verfügung stehen. Außerdem sind so überall und jederzeit die Applikation von Sauerstoff und eine Beatmung möglich. Dies sind zentrale Maßnahmen zur Erhöhung der Patientensicherheit. Alle unsere Geräte sind mit Präzisionsverdampfern zur genauen Dosierung des Anästhesiegases ausgestattet. | Es ist wichtig, Probleme möglichst frühzeitig zu entdecken, um die Folgen für den Patienten möglichst gering zu halten. Aus diesem Grund ist eine gute Überwachung während einer Allgemeinanästhesie sehr wichtig. Sehen, Hören, Fühlen, also die klassischen Untersuchungsmethoden, sind die Grundlage einer guten Überwachung während der Anästhesie. Aber sie haben Grenzen, so kann eine unzureichende Atmung nur durch den Einsatz von Überwachungsgeräten entdeckt werden. Unsere Überwachungstechnik ermöglicht es uns, wichtige Funktionen des Körpers, aber auch die Funktion der Anästhesiegeräte und Beatmer, kontinuierlich zu überwachen.  | Nahezu alle Anästhetika beeinflussen die Atmung negativ. Eine ausreichende Aufnahme von Sauerstoff und die Abgabe von Kohlendioxid sind jedoch absolut lebensnotwendig. Die künstliche Beatmung ist die einzig wirkungsvolle Methode, um die unterwünschten Wirkungen der Anästhetika auf die Atmung zu behandeln. Wir setzen sie deswegen routinemäßig bei unseren Patienten ein. Auch eine Beatmung über mehrere Tage, wie sie bei Intensivpatienten unter Umständen notwendig werden kann, ist in unserem Hause möglich. | Viele Infusionslösungen und intravenöse Medikamente müssen genau dosiert werden. Infusions- und Spritzenpumpen gewährleisten, dass auch der kleinste Patient genau die Dosis erhält, die er benötigt. | Anästhesierte Patienten kühlen schnell aus. Eine normale Körpertemperatur ist aber Voraussetzung für den Abbau von Medikamenten, ein problemloses Erwachen, eine gute Kreislauffunktion, eine ungestörte Wundheilung und das Wohlbefinden des Patienten. Durch entsprechende Geräte im OP und an anderen Anästhesiearbeitsplätzen versuchen wir, ein Auskühlen zu verhindern. Moderne Warmluftgeräte im Aufwachbereich wärmen die Patienten effektiv und risikoarm wieder auf.  | Der anästhesiologische Oberarzt hat durch die computerbasierte Vernetzung der Überwachungsgeräte Einblick in alle Anästhesien. Ein erfahrener Arzt wacht also zusätzlich über die Tiere und hat bei Fragen des jeweiligen Anästhesisten sehr einfach Zugriff auf die Werte der Patienten. 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      Anästhesie & Intensivmedizin

      Jedem Tier sein eigener Anästhesist! Gemäß diesem Wahlspruch wird in unserer Klinik jedes Tier während der gesamten Narkose von einem speziell ausgebildeten Narkosearzt betreut. Dieser wird durch modernste Überwachungs- und Anästhesietechnik unterstützt.

      Jeder Patient erhält eine für ihn und die geplante Untersuchung oder Operation individuell angepasste Anästhesie. Eine komfortable Aufwachphase und eine den Bedürfnissen des Tieres angepasste, den gesamten Zeitraum vor, während und nach der Operation umfassende Schmerztherapie sind uns wichtige Anliegen.

      Unsere Patienten werden gemäß der Leitlinie „Anästhesiologische Versorgung von Hund und Katze“ der Fachgruppe Veterinärmedizinische Anästhesie, Intensivmedizin, Notfallmedizin und Schmerztherapie (VAINS) der Deutschen Veterinärmedizinischen Gesellschaft versorgt. 

       

      Offene Stellen in der Abteilung

      Zurück zur Abteilungsübersicht

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      Die Inhalationsanästhesie ("Gasnarkose") hat den Vorteil, dass das Anästhetikum ("Narkosemittel") nicht oder nur zu einem sehr geringen Teil vom Körper abgebaut werden muss und ihn somit nur wenig belastet. Bei dieser Anästhesieform ist die Länge und Tiefe der Narkose sehr gut steuerbar und außerdem wird eine recht gleichmäßige Anästhesietiefe erreicht. Da bei Hund und Katze die Inhalationsanästhesie stets als Intubationsanästhesie durchgeführt wird, sind zudem die Atemwege gesichert, zusätzlich erhält der Patient Sauerstoff und kann bei Bedarf sofort beatmet werden. In den meisten Fällen wird die Inhalationsanästhesie jedoch nur zur Erhaltung der Anästhesie genutzt, die Einleitung erfolgt durch Injektionspräparate. Dies ist stressfreier und risikoärmer. Außerdem können auf diese Weise genau die Wirkungen erreicht werden, die der individuelle Patient benötigt. Den Inhalationsanästhetika fehlt die schmerzausschaltende Wirkung, so dass bei Operationen zusätzlich ein Schmerzmittel injiziert werden muss. In unserem Hause kann an jedem Anästhesiearbeitsplatz eine Inhalationsanästhesie durchgeführt werden. Eine kontinuierliche klinische und apparative Überwachung des Patienten ist obligat.

      [1] =>

      Eine Allgemeinanästhesie wird oft durch die intravenöse Gabe von Anästhetika eingeleitet und manchmal auch auf diese Weise ganz oder teilweise erhalten. Durch eine sinnvolle Kombination verschiedener Medikamente können so alle erwünschten Wirkungen (Schlaf, Schmerzfreiheit, Muskelentspannung) erreicht und die Nebenwirkungen minimiert werden. Auch bei der Injektionsanästhesie wird auf eine Sicherung der Atemwege geachtet, bei Bedarf Sauerstoff appliziert und/oder künstlich beatmet sowie kontinuierlich überwacht.

      [2] =>

      Die totale intravenöse Anästhesie ist eine Spezialform der Injektionsanästhesie. Durch die kontinuierliche Zufuhr kurzwirkende Stoffe wird eine gleichmäßige, gut steuerbare Anästhesie erreicht. Da alle Anästhetika die Atmung negativ beeinflussen, wird auch bei dieser Anästhesieform der Patient intubiert, erhält Sauerstoff und wird, wenn nötig, beatmet. Eine adäquate Überwachung des Patienten ist natürlich Standard.

      [3] =>

      Die direkte Schmerzausschaltung im Operationsgebiet  vermindert die notwendige Tiefe der Allgemeinanästhesie und damit deren Nebenwirkungen. Außerdem reduziert sie die Stärke von postoperativen Schmerzen. Anders als beim Menschen ist jedoch beim Tier in der Regel zusätzlich eine Allgemeinanästhesie oder sehr starke Sedation (medikamentelle Beruhigung) nötig. Darauf aufbauend ist sie eine sehr sinnvolle Ergänzung. Diverse Techniken der Lokal-/Regionalanästhesie werden in unserem Hause schon seit Jahrzehnten routinemäßig genutzt, so die Epiduralanästhesie bei orthopädischen Eingriffen an der Hintergliedmaße oder die Leitungsanästhesie in der Zahnmedizin.

      [4] =>

      Die Wirkungen der Anästhetika auf die Atmung sind häufig Ursache für Zwischenfälle. Eine Beatmung normalisiert die Atemfunktion. Unsere Patienten werden routinemäßig beatmet, wenn die Überwachung einen Hinweis auf eine Atemstörung ergibt. Bedingt durch die Wirkungen der Anästhetika ist dies bei einem Großteil der Patienten der Fall. An allen unseren Anästhesieplätzen in den Operationssälen, der Endoskopie, Zahnbehandlung und Bildgebung kann manuell und maschinell beatmet werden. Patienten mit schweren Verletzungen des Brustkorbs, akutem Lungenversagen, schweren neurologischen Störungen oder andere Intensivpatienten benötigen manchmal ebenfalls eine Beatmung. Auch eine solche Intensivbeatmung kann in unserem Hause (zeitlich begrenzt) durchgeführt werden.

      [5] =>

      Häufig sind Patienten, die anästhesiert werden müssen, sehr krank. Bei diesen wird vor der Operation versucht, sie durch eine entsprechende intensive Therapie (z.B. eine den Laborwertveränderungen angepasste Infusionstherapie) in einen besseren Zustand zu bringen, um so ihr Narkoserisiko zu verringern. Viele Patienten müssen auch postoperativ weiterhin intensiv betreut werden. In manchen Fällen müssen Katheter in zentrale Venen gelegt werden, Sonden in Speiseröhre oder Magen platziert werden und es schließt sich eine längere Infusionstherapie, Sondenernährung und/oder Wundversorgung an. Solche Maßnahmen sind Routine in unserem Hause, Anästhesisten, Chirurgen, Internisten und das hauseigene Labor arbeiten hier Hand in Hand.

       

      Schon viele Jahre engagieren wir uns sehr stark im Bereich Wiederbelebung und legen besonderen Wert auf eine gute Ausbildung unserer Mitarbeiter auf diesem Gebiet. Tritt eine lebensbedrohliche Situation auf, dann hat der Patient die besten Chancen, wenn geübte Personen strukturiert vorgehen. Unsere Anästhesisten bilden den Kern des Wiederbelebungsteams der Klinik. Eine regelmäßige theoretische und praktische Schulung aller Mitarbeiter des Hauses und ein Vorgehen nach der entsprechenden internationalen Leitlinie zur Wiederbelebung bei Hund und Katze (RECOVER, http://onlinelibrary.wiley.com/doi/10.1111/j.1476-4431.2012.00757.x/pdf) sind selbstverständlich. 

      [6] =>

      Verschiedene Krankheitszustände verursachen Schmerzen, die eine unterschiedliche Qualität (stechend, dumpf), Intensität und Dauer haben können. Unser Ziel ist es, bei jedem Patienten eine adäquate Schmerzausschaltung zu erreichen. Bei der Konzeption der individuellen perioperativen Schmerztherapie werden zu erwartende Schmerzintensität und -dauer intra- und postoperativ und natürlich bestehende Erkrankungen des Tieres berücksichtigt. Wir nutzen eine Fülle von Wirkstoffen, um unser Ziel zu erreichen, und arbeiten auf der Basis der Empfehlungen der Initiative tiermedizinischer Schmerztherapie, bei der die Leiterin der Abteilung Anästhesie, Frau Prof. Dr. Alef, Mitglied ist.

      [7] =>

      Die Mitglieder der Abteilung, und hier besonders Frau Prof. Dr. Alef, beraten Kollegen gerne bei anästhesiologischen Problemfällen, nach Zwischenfällen, bei Fragen zur Schmerztherapie und bei der Ausstattung ihrer Praxis mit Geräten zur Inhalationsanästhesie und Überwachung.

      ) [167] => Array ( [0] => Leistungen & Spezialgebiete ) [168] => Array ( [0] => Forschungsschwerpunkte ) [169] => Array ( [0] => Überwachung des Sauerstoffstatus [1] => Verbesserung der Patientensicherheit [2] => Evidenzbasierte Veterinärmedizin ) [170] => Array ( [0] =>

      Eine ausreichende Sauerstoffversorgung der lebenswichtigen Organe ist Voraussetzung für das Leben. Um diese zu gewährleisten, müssen Atmung, Makro- und Mikrozirkulation adäquat zusammenspielen. Unsere Anästhesieabteilung widmet sich schon seit vielen Jahren verschiedenen Aspekten dieses Themas, angefangen von der Etablierung der Pulsoximetrie in der Kleintiermedizin über die Bestimmung der gemischtvenösen Sättigung über einen Pulmonalarterien-Katheter bis hin zur nicht-invasiven Messung der Sauerstoffsättigung im Hirngewebe (NIRS). In den letzten Jahren war in Kooperation mit der Chirurgischen Tierklinik unserer Fakultät und der Humanmedizin die Wirkung von Xylazin beim Schaf eines der Forschungsthemen auf diesem Gebiet.

      [1] =>

      Jede Allgemeinanästhesie und jede Sedation birgt Risiken für den Patienten. Wir untersuchen, wie man diese Risiken besser einschätzen kann (Nutzen von Screening-Untersuchungen wie Labor, Röntgen des Thorax; Etablierung eines neuen Schemas zur Risikobewertung). Außerdem widmen wir uns verschiedenen anästhesiologischen Techniken unter dem Aspekt Patientensicherheit, so werden evidenzbasierte Grundlagen für die Tubuswahl bei Kaninchen und Hund erarbeitet.

      [2] =>

      Diese ist weniger ein Forschungsgebiet, als ein Anliegen. Wir versuchen, aussagekräftige, wissenschaftliche Studien mit  für unsere Patienten relevanten Fragestellungen zur Basis  unseres täglichen Handelns und unserer Forschung zu machen. Wissenschaftlich wird die Frage beleuchtet, inwieweit die evidenzbasierte Medizin Verbreitung in der tiermedizinischen Fachliteratur gefunden hat.

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      Bei uns kann der Anästhesist ganz nach den Bedürfnissen des Patienten zwischen einer Injektions- oder einer Inhalationsanästhesie entscheiden, da flächendeckend Geräte zur Inhalationsanästhesie zu Verfügung stehen. Außerdem sind so überall und jederzeit die Applikation von Sauerstoff und eine Beatmung möglich. Dies sind zentrale Maßnahmen zur Erhöhung der Patientensicherheit. Alle unsere Geräte sind mit Präzisionsverdampfern zur genauen Dosierung des Anästhesiegases ausgestattet.

      [1] =>

      Es ist wichtig, Probleme möglichst frühzeitig zu entdecken, um die Folgen für den Patienten möglichst gering zu halten. Aus diesem Grund ist eine gute Überwachung während einer Allgemeinanästhesie sehr wichtig. Sehen, Hören, Fühlen, also die klassischen Untersuchungsmethoden, sind die Grundlage einer guten Überwachung während der Anästhesie. Aber sie haben Grenzen, so kann eine unzureichende Atmung nur durch den Einsatz von Überwachungsgeräten entdeckt werden. Unsere Überwachungstechnik ermöglicht es uns, wichtige Funktionen des Körpers, aber auch die Funktion der Anästhesiegeräte und Beatmer, kontinuierlich zu überwachen. 

      [2] =>

      Nahezu alle Anästhetika beeinflussen die Atmung negativ. Eine ausreichende Aufnahme von Sauerstoff und die Abgabe von Kohlendioxid sind jedoch absolut lebensnotwendig. Die künstliche Beatmung ist die einzig wirkungsvolle Methode, um die unterwünschten Wirkungen der Anästhetika auf die Atmung zu behandeln. Wir setzen sie deswegen routinemäßig bei unseren Patienten ein. Auch eine Beatmung über mehrere Tage, wie sie bei Intensivpatienten unter Umständen notwendig werden kann, ist in unserem Hause möglich.

      [3] =>

      Viele Infusionslösungen und intravenöse Medikamente müssen genau dosiert werden. Infusions- und Spritzenpumpen gewährleisten, dass auch der kleinste Patient genau die Dosis erhält, die er benötigt.

      [4] =>

      Anästhesierte Patienten kühlen schnell aus. Eine normale Körpertemperatur ist aber Voraussetzung für den Abbau von Medikamenten, ein problemloses Erwachen, eine gute Kreislauffunktion, eine ungestörte Wundheilung und das Wohlbefinden des Patienten. Durch entsprechende Geräte im OP und an anderen Anästhesiearbeitsplätzen versuchen wir, ein Auskühlen zu verhindern. Moderne Warmluftgeräte im Aufwachbereich wärmen die Patienten effektiv und risikoarm wieder auf. 

      [5] =>

      Der anästhesiologische Oberarzt hat durch die computerbasierte Vernetzung der Überwachungsgeräte Einblick in alle Anästhesien. Ein erfahrener Arzt wacht also zusätzlich über die Tiere und hat bei Fragen des jeweiligen Anästhesisten sehr einfach Zugriff auf die Werte der Patienten.

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& Intensivmedizin Jedem Tier sein eigener Anästhesist! Gemäß diesem Wahlspruch wird in unserer Klinik jedes Tier während der gesamten Narkose von einem speziell ausgebildeten Narkosearzt b... 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    Anästhesie & Intensivmedizin

    Anästhesie & Intensivmedizin

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                [title] => Bildgebende Diagnostik
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    Bildgebende Diagnostik

    Jede Erkrankung benötigt eine auf die Fragestellung exakt angepasste bildgebende Diagnostik. Nur mit der richtigen Methode, ob Röntgen oder Ultraschall, ob Computertomographie oder Magnetresonanztomographie, alle diese Methoden werden optimal auf die Fragestellung des jeweiligen Patienten eingesetzt. Die bildgebende Diagnostik ist auf allen Ebenen mit modernsten Geräten ausgestattet, teilweise in der Ausstattung sogar einzigartig in Deutschland. Von dieser Breite profitiert der Patient, denn selbst wenn die Fragestellung sich ändert, hat die Bildgebung eine modere Antwort parat. Diese Antworten sind die Basis für eine erfolgreiche Therapie. Durch die moderne Technik werden die Untersuchungszeiten auf ein notwendiges Minimum verkürzt.

     

    Zurück zur Abteilungsübersicht

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Nur mit der richtigen Methode, ob Röntgen oder Ultraschall, ob Computertomographie oder Magnetresonanztomographie, alle diese Methoden werden optimal auf die Fragestellung des jeweiligen Patienten eingesetzt. Die bildgebende Diagnostik ist auf allen Ebenen mit modernsten Geräten ausgestattet, teilweise in der Ausstattung sogar einzigartig in Deutschland. Von dieser Breite profitiert der Patient, denn selbst wenn die Fragestellung sich ändert, hat die Bildgebung eine modere Antwort parat. Diese Antworten sind die Basis für eine erfolgreiche Therapie. Durch die moderne Technik werden die Untersuchungszeiten auf ein notwendiges Minimum verkürzt.   Zurück zur Abteilungsübersicht | Zur Abteilung | e1e5e5 | Leistungen und Spezialgebiete | Röntgendiagnostik (Projektionsradiographie) | Durchleuchtung (Fluoroskopie) | Ultraschall (Sonographie) | Computertomographie | Magnetresonanztomographie | Probengewinnung (Biopsie) | Kontrastmitteldiagnostik in der Durchleuchtung (Myelographie, Schluckpassagen, usw.) | Kontrastmittelsonographie (CEUS) | HD/ED-Röntgen (auch Obergutachten) | PKD Diagnostik | Ektope Ureteren (EU-Untersuchungen) | Shuntdiagnostik (Gefäßmissbildungen) | Teleradiologie | Die klassische Röntgendiagnostik ist das bekannteste und mit Abstand am häufigsten eingesetzte bildgebende Verfahren bei Tieren. Das Verfahren ist als Screening-Methode bei vielen Erkrankungen nach wie vor unersetzbar. Es ist einfach durchzuführen und bietet schnell einen ersten Überblick bei vielen Erkrankungen. Bei einigen Erkrankungen ist es ausreichend, bei anderen Erkrankungen gibt die Röntgendiagnostik den entscheidenden Hinweis für die weiterführende Diagnostik oder eine initiale Notfalltherapie. Ganz allgemein kann man postulieren, dass die Röntgendiagnostik ihre Stärken bei Lufträumen (z.B. Lunge) und Knochenveränderungen hat. | Während es sich bei der klassischen Röntgendiagnostik eine Momentaufnahme handelt, wird bei der Durchleuchtung eine Röntgenbild in Echtzeit dargestellt. Dass Verfahren bietet den Vorteil Bewegungsabläufe darzustellen, zum Beispiel bei Schluckstörungen oder unter Röntgenkontrolle Therapien durchzuführen. So können unter Durchleuchtung häufig im Röntgen sichtbare Fremdkörper mit einer Fasszange aus dem Magen entfernt werden, ohne dass der Bauch eröffnet werden muss. Auch die Injektion von Kontrastmitteln wird unter Durchleuchtung erheblich vereinfacht. | Im Gegenteil zur Röntgendiagnostik ist die Ultraschalldiagnostik vollkommen unschädlich für Patient und Mensch. Die Sonographie hat sich als ideale Ergänzung zur Röntgendiagnostik etabliert. Luft und Knochen sind die physikalischen Feinde der Sonographie, Flüssigkeiten und Weichteilegewebe (Leber, Milz, Nieren usw.) können jedoch in einer phantastischen Auflösung in Echtzeit dargestellt werden. Es ist schnell verfügbar, die Diagnostik kann im Normalfall am wachen Patienten durchgeführt werden und besitzt in der Hand eines erfahrenen Untersuchers eine hohe diagnostische Sicherheit. | Basis für die Bildgewinnung bei der Computertomographie sind auch Röntgenstrahlen. Im Unterschied zu der klassischen Röntgendiagnostik (hier wird ein Summationsbild erzeugt, in dem ein dreidimensionales Objekt zweidimensional dargestellt wird) wird bei der CT der untersuchte Bereich virtuell in einzelne Scheiben, vergleichbar einer Salami, "geschnitten". Der Vorteil liegt bei einer extrem genauen überlagerungsfreien Darstellung. Je nach Fragestellung muss zur Verbesserung der Kontrastauflösung mit Kontrastmitteln gearbeitet werden. Generell hat die CT wie bei der Röntgendiagnostik ihre Vorteile bei Luft und Knochen. Nachteilig ist jedoch die notwendige Allgemeinanästhesie. | Magnetresonanztomographie oder auch Kernspintomographie basiert vereinfacht auf der Interaktion von Wasser und Magnetfeldern. Draus ergibt sich auch die Problematik der Darstellung von Knochen und Lunge, beides Gewebe mit wenig Wasseranteilen. Gewebe mit ausreichend Wasser lässt sich extrem gut darstellen. Dies gilt insbesondere für Veränderungen des Zentralen Nervensystems, aber auch für andere Veränderungen, die unter bestimmten Bedingungen sonographisch schlecht zu untersuchen sind. Zusätzlich hat die MRT den Vorteil, dass die Untersuchung computerunterstützt durchgeführt wird und somit die Untersucherabhängigkeit deutlich geringer ist. Auch hier ist zwingend eine Narkose des Tieres erforderlich. | Um Veränderungen endgültig beurteilen zu können, müssen manchmal Gewebeproben gewonnen werden, die dann anschließend mikroskopisch untersucht werden. Hierbei soll einerseits der Patient so wenig wie möglich belastet werden, anderseits aber auch gesichert werden, dass die Probe aus dem veränderten Gewebe stammt. Meistens werden diese Gewebe minimalinvasiv unter Kontrolle der Bildgebung gewonnen. Häufig geschieht dieses mit einer knapp 1 mm dicken Nadel unter Ultraschallkontrolle, manchmal aber auch CT-Kontrolle, in Abhängigkeit von Ort und Art des Gewebes. Die sonographische Biopsieentnahme hat den Vorteil, dass die Position der Biopsienadel in Echtzeit kontrolliert werden kann und die Untersuchung an sich unschädlich ist | Bestimmte Veränderungen können nur unter Verwendung von Kontrastmittel in der Radiologischen Diagnostik dargestellt werden. Dazu gehört zum Beispiel die Myelographie, eine Kontrastmitteldarstellung der Räume rund um das Rückenmark. Mit dieser Methoden können Veränderungen wie Bandscheibenvorfälle diagnostiziert werden. | Durch den Einsatz von Ultraschallkontrastmitteln können Veränderungen im Weichteilgewebe (Leber, Milz, Niere. usw.) nicht nur wesentlich besser erkannt, sondern auch genauer klassifiziert werden. Im Idealfall sind dann Gewebeproben und die damit verbundene Narkose überflüssig. | Für die Zuchtzulassung müssen bei den meisten Rassen die Hüften und Ellbögen beurteilt werden. Jeder Zuchtverband hat zwar seinen eigenen Gutachter, die Röntgenbilder können jedoch auch an anderen Stellen angefertigt werden. Die Tiere müssen für die Erstellung in Narkose gelegt werden und in einer bestimmten Art und Weise gelagert werden. Die Klinik für Kleintiere besitzt hierbei eine jahrzehntelange Erfahrung und ist auch für die Erstellung von Bildern für ein Obergutachten zugelassen. | Vergleichbar mit der HD-Diagnostik müssen viele Katzen vor der Zuchtzulassung auf PKD untersucht werden. Bei PKD handelt es sich um eine dominante vererbte Erkrankung, die zur Bildung von Zysten (Flüssigkeitsgefüllte Hohlräume) in Nieren, Leber, Milz usw.) führt. Die Sonographie kann in der Regel am wachen Patienten durchgeführt werden. Die Klinik für Kleintiere ist als Untersuchungsstelle international anerkannt. | Für die Zuchtzulassung bei bestimmten Rassen ist eine Untersuchung auf falsch mündende Harnleiter (ektope Ureteren) erforderlich. Die Klinik für Kleintiere führt diese Untersuchungen durch und leitet die Bilder an die entsprechenden Gutachter weiter. Die Diagnostik wird in der Regel am wachen Patienten durchgeführt, manchmal ist es erforderlich, dass die Harnproduktion durch ein Medikament angeregt werden muss. | Gefäßmissbildungen, die zu einer Fehlversorgung der Leber führen, gehören zu den häufigsten angeborenen Missbildungen bei Hund und Katze. Die Klinik für Kleintiere ist eine der wenigen Kliniken, die sich auf die Diagnostik und Therapie dieser Erkrankungen spezialisiert haben. Insbesondere das Hand in Hand von Diagnostik und Therapie sowie der notwendigen Intensivmedizin führen in Kombination mit einer langjährigen Erfahrung zu einer optimalen Betreuung dieser Patienten. | Die Spezialisten der Abteilung Bildgebende Verfahren stehen sowohl Besitzern als auch Kollegen für Konsultationen zur Verfügung. Oft kann eine Diskussion unter Kollegen bei kritischen Fällen zu einem Lösungsansatz führen. | Forschungsschwerpunkte | Sonographie Kontrastmitteldiagnostik | Computertomographische Kontrastmitteldiagnostik | Bildgebung der Leber | Volumennavigierte Probengewinnung | Bildfusion | Geriatrische Magnetresonaztomographie des Gehirns | Hochauflösende Schnelldiagnostik von Bandscheibenvorfällen im MRT | Die Sonographie hat eine extrem hohe Sensitivität bei der Erkennung von Organveränderungen, aber eine nicht annähernd so gute Spezifität. Im Unterschied zu anderen Kontrastmitteluntersuchungen ist diese vollkommen unschädlich und basiert auf der Darstellung der Durchblutung von Veränderungen. Viele Erkrankungen können durch typische Durchblutungsmuster erkannt werden, ohne dass eine Biopsie (Gewebeprobe) notwendig ist. | Die Computertomographie hat eine exzellente Ortsauflösung, aber je nach Untersuchungsbereich nur eine schlechte Kontrastauflösung. Insbesondere im Bauchraum sind Veränderungen der Organe ohne Kontrastmittel fast nicht zu erkennen. Der Einsatz der Kontrastmittel verbessert die Situation erheblich, Voraussetzung ist aber die richtige Konzentration und noch wichtiger der richtige Untersuchungszeitpunkt. Ziel unserer Forschung ist die Verbesserung der Untersuchungsprotokolle. | Die Leber ist an vielen Erkrankungen direkt oder indirekt beteiligt. Insbesondere bei der sonographischen Diagnostik der Leber werden Veränderungen festgestellt, deren klinische Relevanz zumindest hinterfragt werden muss. Mit neuen Methoden, aber auch mit der Kombination verschiedener bildgebender Verfahren soll die Qualität der Diagnostik dieses wichtigen Organs verbessert werden. Dazu gehört unter anderem die Etablierung geeigneter Untersuchungsprotokolle in der Magnetresonanztomographie. | Auch wenn die bildgebende Diagnostik immer genauer wird, so ist es manchmal trotzdem notwendig, dass von verändertem Gewebe Proben genommen werden müssen. Dies ist notwendig um sicherzustellen, dass eine Veränderung keinen tumorösen Hintergrund, sondern einen entzündlichen Hintergrund hat. Auch bei tumorösen Veränderung ist es notwendig, die genaue Art des Tumors festzustellen, damit die Therapie ideal angepasst werden kann. Das Echtzeitverfahren Ultraschall bietet dazu perfekte Möglichkeiten. So ist es im Regelfall möglich, Veränderungen von 5 mm sicher zu punktieren. Durch Überlagerungen kommt es jedoch bei manchen Patienten zu Problemen. Diese sollen durch eine volumennavigierte Probengewinnung minimiert werden. | Jedes Verfahren hat in der Bildgebung Stärken und Schwächen. So ist es bei der Magnetresonanztomographie nicht ideal möglich, einen gesunden Knochen darzustellen, wohingegen die Computertomographie wesentlich schlechter das Weichteilgewebe darstellt. Nicht selten ist es aber notwendig, beide Gewebearten zu interpretieren. Erleichtert wird dieses durch die Fusion der Bilder aus MRT und CT. Dieses Verfahren soll in den klinischen Alltag eingeführt werden. | Erkrankungen wie Alzheimer spielen beim Menschen eine zunehmende Rolle. Aber auch bei älteren Tieren gibt es altersabhängige Verhaltensänderungen, die von anderen Erkrankungen des Zentralen Nervensystems unterschieden werden müssen. Es wird untersucht, ob es wie beim Menschen typische Veränderungen auch bei unseren Patienten gibt. | Patienten mit Bandscheibenvorfällen gehören zu den häufigsten Notfällen bei Hunden. Bei dieser Erkrankung ist eine schnelle und genaue Diagnostik erforderlich, damit der Insult möglichst schnell therapiert werden kann. Schon mit der Kontrastmittel-Computertomographie ist die Genauigkeit der Diagnostik dramatisch verbessert worden. Es wird überprüft, ob die Diagnostik ohne den Einsatz von Kontrastmitteln in der Magnetresonanztomographie noch einmal verbessert werden kann. | Besondere Ausstattung | Röntgen | Röntgendurchleuchtung | Ultraschall/Sonographie | Computertomographie | Magnetresonanztomographie | Bildbearbeitung und -archiv | Digitale höchstauflösende Röntgentechnik mit schneller WLAN-basierter Datenübertragung | Hochgewindigkeitsdurchleuchtung mit auf den Patienten individuell abgestimmten Lagerungsmöglichkeiten | Stationäre und mobile Ultraschalldiagnostik mit Kontrastmittelsonographie und Navigation zur exakten Probengewinnung | Hochauflösender Computertomograph mit computergesteuerter Kontrastmittapplikation | Modernster Magnetresonanztomograph mit auf den Patienten optimal anpassbaren Untersuchungsprotokollen | Bildnachbearbeitungsarbeitsplätze zur Verbesserung der Diagnostik und Archivierung mit Echtzeit 3D Rekonstruktion und Möglichkeit der Teleradiologie zur Befundbesprechung [typename] => Parallax [comments_total] => 0 [maincat_title] => Abteilungen [maincat_alias] => abteilungen [slug] => 1698:abteilung-bildgebende-diagnostik [categoryslug] => 497:abteilungen [itemcats] => 497 [fetching] => alpha [fields] => Array ( [accordion_start] => stdClass Object ( [id] => 36 [asset_id] => 133 [field_type] => minnegroupmarker [name] => accordion_start [label] => Accordion Start [description] => [isfilter] => 0 [isadvfilter] => 0 [iscore] => 0 [issearch] => 0 [isadvsearch] => 0 [untranslatable] => 0 [formhidden] => 0 [edithelp] => 2 [valueseditable] => 0 [positions] => [published] => 1 [attribs] => {"marker_type":"acc_start","cont_cssclass":"","cont_label":"","custom_html_sep":"
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      "} [checked_out] => 0 [checked_out_time] => 0000-00-00 00:00:00 [access] => 1 [ordering] => 19 [has_access] => 1 ) ) [parameters] => Joomla\Registry\Registry Object ( [data:protected] => stdClass Object ( [override_title] => [custom_ititle] => [addcat_title] => [add_canonical] => [show_print_icon] => [show_email_icon] => [show_editbutton] => [show_state_icon] => [show_title] => [show_intro] => [readmore] => [comments] => [automatic_pathways] => [ilayout] => ) [initialized:protected] => 1 [separator] => . ) [params] => Joomla\Registry\Registry Object ( [data:protected] => stdClass Object ( [override_title] => [custom_ititle] => [addcat_title] => [add_canonical] => [show_print_icon] => [show_email_icon] => [show_editbutton] => [show_state_icon] => [show_title] => [show_intro] => [readmore] => [comments] => [automatic_pathways] => [ilayout] => ) [initialized:protected] => 1 [separator] => . ) [text] =>

      Bildgebende Diagnostik

      Jede Erkrankung benötigt eine auf die Fragestellung exakt angepasste bildgebende Diagnostik. Nur mit der richtigen Methode, ob Röntgen oder Ultraschall, ob Computertomographie oder Magnetresonanztomographie, alle diese Methoden werden optimal auf die Fragestellung des jeweiligen Patienten eingesetzt. Die bildgebende Diagnostik ist auf allen Ebenen mit modernsten Geräten ausgestattet, teilweise in der Ausstattung sogar einzigartig in Deutschland. Von dieser Breite profitiert der Patient, denn selbst wenn die Fragestellung sich ändert, hat die Bildgebung eine modere Antwort parat. Diese Antworten sind die Basis für eine erfolgreiche Therapie. Durch die moderne Technik werden die Untersuchungszeiten auf ein notwendiges Minimum verkürzt.

       

      Zurück zur Abteilungsübersicht

      [tags] => Array ( ) [cats] => Array ( [0] => stdClass Object ( [id] => 497 [title] => Abteilungen [slug] => 497:abteilungen ) ) [favs] => 0 [fav] => 0 [creator] => Super Administrator [author] => Super Administrator [modifier] => MinneMedia [cmail] => dresden@minnemedia.de [cuname] => admin [mmail] => minnemedia@minnemedia.com [muname] => admin [vote] => [categories] => Array ( [0] => stdClass Object ( [id] => 497 [title] => Abteilungen [slug] => 497:abteilungen ) ) [favourites] => 0 [document_type] => Parallax [voting] => [fieldvalues] => Array ( [69] => Array ( [0] => a:4:{s:12:"originalname";s:10:"mrt1_1.jpg";s:3:"alt";s:0:"";s:12:"existingname";s:0:"";s:6:"remove";b:0;} ) [98] => Array ( [0] => 214 ) [99] => Array ( [0] => e1e5e5 ) [131] => Array ( [0] => Zur Abteilung ) [164] => Array ( [0] => Röntgendiagnostik (Projektionsradiographie) [1] => Durchleuchtung (Fluoroskopie) [2] => Ultraschall (Sonographie) [3] => Computertomographie [4] => Magnetresonanztomographie [5] => Probengewinnung (Biopsie) [6] => Kontrastmitteldiagnostik in der Durchleuchtung (Myelographie, Schluckpassagen, usw.) [7] => Kontrastmittelsonographie (CEUS) [8] => HD/ED-Röntgen (auch Obergutachten) [9] => PKD Diagnostik [10] => Ektope Ureteren (EU-Untersuchungen) [11] => Shuntdiagnostik (Gefäßmissbildungen) [12] => Teleradiologie ) [165] => Array ( [0] =>

      Die klassische Röntgendiagnostik ist das bekannteste und mit Abstand am häufigsten eingesetzte bildgebende Verfahren bei Tieren. Das Verfahren ist als Screening-Methode bei vielen Erkrankungen nach wie vor unersetzbar. Es ist einfach durchzuführen und bietet schnell einen ersten Überblick bei vielen Erkrankungen. Bei einigen Erkrankungen ist es ausreichend, bei anderen Erkrankungen gibt die Röntgendiagnostik den entscheidenden Hinweis für die weiterführende Diagnostik oder eine initiale Notfalltherapie. Ganz allgemein kann man postulieren, dass die Röntgendiagnostik ihre Stärken bei Lufträumen (z.B. Lunge) und Knochenveränderungen hat.

      [1] =>

      Während es sich bei der klassischen Röntgendiagnostik eine Momentaufnahme handelt, wird bei der Durchleuchtung eine Röntgenbild in Echtzeit dargestellt. Dass Verfahren bietet den Vorteil Bewegungsabläufe darzustellen, zum Beispiel bei Schluckstörungen oder unter Röntgenkontrolle Therapien durchzuführen. So können unter Durchleuchtung häufig im Röntgen sichtbare Fremdkörper mit einer Fasszange aus dem Magen entfernt werden, ohne dass der Bauch eröffnet werden muss. Auch die Injektion von Kontrastmitteln wird unter Durchleuchtung erheblich vereinfacht.

      [2] =>

      Im Gegenteil zur Röntgendiagnostik ist die Ultraschalldiagnostik vollkommen unschädlich für Patient und Mensch. Die Sonographie hat sich als ideale Ergänzung zur Röntgendiagnostik etabliert. Luft und Knochen sind die physikalischen Feinde der Sonographie, Flüssigkeiten und Weichteilegewebe (Leber, Milz, Nieren usw.) können jedoch in einer phantastischen Auflösung in Echtzeit dargestellt werden. Es ist schnell verfügbar, die Diagnostik kann im Normalfall am wachen Patienten durchgeführt werden und besitzt in der Hand eines erfahrenen Untersuchers eine hohe diagnostische Sicherheit.

      [3] =>

      Basis für die Bildgewinnung bei der Computertomographie sind auch Röntgenstrahlen. Im Unterschied zu der klassischen Röntgendiagnostik (hier wird ein Summationsbild erzeugt, in dem ein dreidimensionales Objekt zweidimensional dargestellt wird) wird bei der CT der untersuchte Bereich virtuell in einzelne Scheiben, vergleichbar einer Salami, "geschnitten". Der Vorteil liegt bei einer extrem genauen überlagerungsfreien Darstellung. Je nach Fragestellung muss zur Verbesserung der Kontrastauflösung mit Kontrastmitteln gearbeitet werden. Generell hat die CT wie bei der Röntgendiagnostik ihre Vorteile bei Luft und Knochen. Nachteilig ist jedoch die notwendige Allgemeinanästhesie.

      [4] =>

      Magnetresonanztomographie oder auch Kernspintomographie basiert vereinfacht auf der Interaktion von Wasser und Magnetfeldern. Draus ergibt sich auch die Problematik der Darstellung von Knochen und Lunge, beides Gewebe mit wenig Wasseranteilen. Gewebe mit ausreichend Wasser lässt sich extrem gut darstellen. Dies gilt insbesondere für Veränderungen des Zentralen Nervensystems, aber auch für andere Veränderungen, die unter bestimmten Bedingungen sonographisch schlecht zu untersuchen sind. Zusätzlich hat die MRT den Vorteil, dass die Untersuchung computerunterstützt durchgeführt wird und somit die Untersucherabhängigkeit deutlich geringer ist. Auch hier ist zwingend eine Narkose des Tieres erforderlich.

      [5] =>

      Um Veränderungen endgültig beurteilen zu können, müssen manchmal Gewebeproben gewonnen werden, die dann anschließend mikroskopisch untersucht werden. Hierbei soll einerseits der Patient so wenig wie möglich belastet werden, anderseits aber auch gesichert werden, dass die Probe aus dem veränderten Gewebe stammt. Meistens werden diese Gewebe minimalinvasiv unter Kontrolle der Bildgebung gewonnen. Häufig geschieht dieses mit einer knapp 1 mm dicken Nadel unter Ultraschallkontrolle, manchmal aber auch CT-Kontrolle, in Abhängigkeit von Ort und Art des Gewebes. Die sonographische Biopsieentnahme hat den Vorteil, dass die Position der Biopsienadel in Echtzeit kontrolliert werden kann und die Untersuchung an sich unschädlich ist

      [6] =>

      Bestimmte Veränderungen können nur unter Verwendung von Kontrastmittel in der Radiologischen Diagnostik dargestellt werden. Dazu gehört zum Beispiel die Myelographie, eine Kontrastmitteldarstellung der Räume rund um das Rückenmark. Mit dieser Methoden können Veränderungen wie Bandscheibenvorfälle diagnostiziert werden.

      [7] =>

      Durch den Einsatz von Ultraschallkontrastmitteln können Veränderungen im Weichteilgewebe (Leber, Milz, Niere. usw.) nicht nur wesentlich besser erkannt, sondern auch genauer klassifiziert werden. Im Idealfall sind dann Gewebeproben und die damit verbundene Narkose überflüssig.

      [8] =>

      Für die Zuchtzulassung müssen bei den meisten Rassen die Hüften und Ellbögen beurteilt werden. Jeder Zuchtverband hat zwar seinen eigenen Gutachter, die Röntgenbilder können jedoch auch an anderen Stellen angefertigt werden. Die Tiere müssen für die Erstellung in Narkose gelegt werden und in einer bestimmten Art und Weise gelagert werden. Die Klinik für Kleintiere besitzt hierbei eine jahrzehntelange Erfahrung und ist auch für die Erstellung von Bildern für ein Obergutachten zugelassen.

      [9] =>

      Vergleichbar mit der HD-Diagnostik müssen viele Katzen vor der Zuchtzulassung auf PKD untersucht werden. Bei PKD handelt es sich um eine dominante vererbte Erkrankung, die zur Bildung von Zysten (Flüssigkeitsgefüllte Hohlräume) in Nieren, Leber, Milz usw.) führt. Die Sonographie kann in der Regel am wachen Patienten durchgeführt werden. Die Klinik für Kleintiere ist als Untersuchungsstelle international anerkannt.

      [10] =>

      Für die Zuchtzulassung bei bestimmten Rassen ist eine Untersuchung auf falsch mündende Harnleiter (ektope Ureteren) erforderlich. Die Klinik für Kleintiere führt diese Untersuchungen durch und leitet die Bilder an die entsprechenden Gutachter weiter. Die Diagnostik wird in der Regel am wachen Patienten durchgeführt, manchmal ist es erforderlich, dass die Harnproduktion durch ein Medikament angeregt werden muss.

      [11] =>

      Gefäßmissbildungen, die zu einer Fehlversorgung der Leber führen, gehören zu den häufigsten angeborenen Missbildungen bei Hund und Katze. Die Klinik für Kleintiere ist eine der wenigen Kliniken, die sich auf die Diagnostik und Therapie dieser Erkrankungen spezialisiert haben. Insbesondere das Hand in Hand von Diagnostik und Therapie sowie der notwendigen Intensivmedizin führen in Kombination mit einer langjährigen Erfahrung zu einer optimalen Betreuung dieser Patienten.

      [12] =>

      Die Spezialisten der Abteilung Bildgebende Verfahren stehen sowohl Besitzern als auch Kollegen für Konsultationen zur Verfügung. Oft kann eine Diskussion unter Kollegen bei kritischen Fällen zu einem Lösungsansatz führen.

      ) [167] => Array ( [0] => Leistungen und Spezialgebiete ) [168] => Array ( [0] => Forschungsschwerpunkte ) [169] => Array ( [0] => Sonographie Kontrastmitteldiagnostik [1] => Computertomographische Kontrastmitteldiagnostik [2] => Bildgebung der Leber [3] => Volumennavigierte Probengewinnung [4] => Bildfusion [5] => Geriatrische Magnetresonaztomographie des Gehirns [6] => Hochauflösende Schnelldiagnostik von Bandscheibenvorfällen im MRT ) [170] => Array ( [0] =>

      Die Sonographie hat eine extrem hohe Sensitivität bei der Erkennung von Organveränderungen, aber eine nicht annähernd so gute Spezifität. Im Unterschied zu anderen Kontrastmitteluntersuchungen ist diese vollkommen unschädlich und basiert auf der Darstellung der Durchblutung von Veränderungen. Viele Erkrankungen können durch typische Durchblutungsmuster erkannt werden, ohne dass eine Biopsie (Gewebeprobe) notwendig ist.

      [1] =>

      Die Computertomographie hat eine exzellente Ortsauflösung, aber je nach Untersuchungsbereich nur eine schlechte Kontrastauflösung. Insbesondere im Bauchraum sind Veränderungen der Organe ohne Kontrastmittel fast nicht zu erkennen. Der Einsatz der Kontrastmittel verbessert die Situation erheblich, Voraussetzung ist aber die richtige Konzentration und noch wichtiger der richtige Untersuchungszeitpunkt. Ziel unserer Forschung ist die Verbesserung der Untersuchungsprotokolle.

      [2] =>

      Die Leber ist an vielen Erkrankungen direkt oder indirekt beteiligt. Insbesondere bei der sonographischen Diagnostik der Leber werden Veränderungen festgestellt, deren klinische Relevanz zumindest hinterfragt werden muss. Mit neuen Methoden, aber auch mit der Kombination verschiedener bildgebender Verfahren soll die Qualität der Diagnostik dieses wichtigen Organs verbessert werden. Dazu gehört unter anderem die Etablierung geeigneter Untersuchungsprotokolle in der Magnetresonanztomographie.

      [3] =>

      Auch wenn die bildgebende Diagnostik immer genauer wird, so ist es manchmal trotzdem notwendig, dass von verändertem Gewebe Proben genommen werden müssen. Dies ist notwendig um sicherzustellen, dass eine Veränderung keinen tumorösen Hintergrund, sondern einen entzündlichen Hintergrund hat. Auch bei tumorösen Veränderung ist es notwendig, die genaue Art des Tumors festzustellen, damit die Therapie ideal angepasst werden kann. Das Echtzeitverfahren Ultraschall bietet dazu perfekte Möglichkeiten. So ist es im Regelfall möglich, Veränderungen von 5 mm sicher zu punktieren. Durch Überlagerungen kommt es jedoch bei manchen Patienten zu Problemen. Diese sollen durch eine volumennavigierte Probengewinnung minimiert werden.

      [4] =>

      Jedes Verfahren hat in der Bildgebung Stärken und Schwächen. So ist es bei der Magnetresonanztomographie nicht ideal möglich, einen gesunden Knochen darzustellen, wohingegen die Computertomographie wesentlich schlechter das Weichteilgewebe darstellt. Nicht selten ist es aber notwendig, beide Gewebearten zu interpretieren. Erleichtert wird dieses durch die Fusion der Bilder aus MRT und CT. Dieses Verfahren soll in den klinischen Alltag eingeführt werden.

      [5] =>

      Erkrankungen wie Alzheimer spielen beim Menschen eine zunehmende Rolle. Aber auch bei älteren Tieren gibt es altersabhängige Verhaltensänderungen, die von anderen Erkrankungen des Zentralen Nervensystems unterschieden werden müssen. Es wird untersucht, ob es wie beim Menschen typische Veränderungen auch bei unseren Patienten gibt.

      [6] =>

      Patienten mit Bandscheibenvorfällen gehören zu den häufigsten Notfällen bei Hunden. Bei dieser Erkrankung ist eine schnelle und genaue Diagnostik erforderlich, damit der Insult möglichst schnell therapiert werden kann. Schon mit der Kontrastmittel-Computertomographie ist die Genauigkeit der Diagnostik dramatisch verbessert worden. Es wird überprüft, ob die Diagnostik ohne den Einsatz von Kontrastmitteln in der Magnetresonanztomographie noch einmal verbessert werden kann.

      ) [177] => Array ( [0] => Besondere Ausstattung ) [181] => Array ( [0] => Röntgen [1] => Röntgendurchleuchtung [2] => Ultraschall/Sonographie [3] => Computertomographie [4] => Magnetresonanztomographie [5] => Bildbearbeitung und -archiv ) [183] => Array ( [0] =>

      Digitale höchstauflösende Röntgentechnik mit schneller WLAN-basierter Datenübertragung

      [1] =>

      Hochgewindigkeitsdurchleuchtung mit auf den Patienten individuell abgestimmten Lagerungsmöglichkeiten

      [2] =>

      Stationäre und mobile Ultraschalldiagnostik mit Kontrastmittelsonographie und Navigation zur exakten Probengewinnung

      [3] =>

      Hochauflösender Computertomograph mit computergesteuerter Kontrastmittapplikation

      [4] =>

      Modernster Magnetresonanztomograph mit auf den Patienten optimal anpassbaren Untersuchungsprotokollen

      [5] =>

      Bildnachbearbeitungsarbeitsplätze zur Verbesserung der Diagnostik und Archivierung mit Echtzeit 3D Rekonstruktion und Möglichkeit der Teleradiologie zur Befundbesprechung

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Nur mit der richtigen Methode, ob Röntgen oder Ultraschall, ob Computertomographie ... 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    Bildgebende Diagnostik

    Bildgebende Diagnostik

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    Chirurgie

    Chirurgie klingt nach großem operativen Eingriff – manchmal lässt sich der auch nicht vermeiden. Die chirurgische Abteilung der Klinik für Kleintiere deckt in Ergänzung zu ihren Schwesterdisziplinen Neurologie und HNO alle Bereiche der modernen Kleintierchirurgie ab.

    In der Chirurgie behandeln wir ganz unterschiedliche Tierkrankheiten; von Tumoren über Knochenbrüche, Kreuzbandrisse bis hin zu Fremdkörpern im Magen.

    Dabei bemühen wir uns, möglichst minimal-invasive Techniken anzuwenden, mit dem Ziel weniger Schmerzen zu verursachen und ein besseres und schnelleres funktionelles Ergebnis zu erzielen. Aufgrund der zunehmenden Verbreitung von Neoplasien nimmt die Onkochirurgie einen weiteren Schwerpunkt der therapeutischen Chirurgie ein. Hauttransplantationen nach Tumorresektion gehören ebenso wie die plastische Chirurgie zur Routine in der Patientenversorgung.

     

    Freie Stellen in der Abteilung

    Zurück zur Abteilungsübersicht

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Die chirurgische Abteilung der Klinik für Kleintiere deckt in Ergänzung zu ihren Schwesterdisziplinen Neurologie und HNO alle Bereiche der modernen Kleintierchirurgie ab. In der Chirurgie behandeln wir ganz unterschiedliche Tierkrankheiten; von Tumoren über Knochenbrüche, Kreuzbandrisse bis hin zu Fremdkörpern im Magen. Dabei bemühen wir uns, möglichst minimal-invasive Techniken anzuwenden, mit dem Ziel weniger Schmerzen zu verursachen und ein besseres und schnelleres funktionelles Ergebnis zu erzielen. Aufgrund der zunehmenden Verbreitung von Neoplasien nimmt die Onkochirurgie einen weiteren Schwerpunkt der therapeutischen Chirurgie ein. Hauttransplantationen nach Tumorresektion gehören ebenso wie die plastische Chirurgie zur Routine in der Patientenversorgung.   Freie Stellen in der Abteilung Zurück zur Abteilungsübersicht | Zur Abteilung | e1e5e5 | Leistungen und Spezialgebiete | Laparoskopie | Standard Magen- und Darm-Chirurgie | Standard Urogenital-Chirurgie | Leberchirurgie (Portosystemischer Shunt) | Tumorresektion mit Defektrekonstruktion | Nebennierenoperation | Hautplastiken bzw. freie Hauttransplantation | Thorakale Eingriffe | Wundversorgung und -rekonstruktion (Vakuumassistierte Wundbehandlung) | Chylothoraxversorgung | Herzbeutelentfernung (Perikardresektion) | Otitisoperationen (Zepp, Ohrablation, Bullaosteotomie) | Kehlkopflateralisierung | Bissverletzungen und andere traumatische Wunden (z.B. Pfählung oder Stöckchenverletzung) | Frakturversorgung | Gelenkoperationen ( Kreuzbandriss [TPLO, TightRope], Femurkopfhalsresektion) | Sehnenverletzungen (z.B. Achillessehnenabriss) | Gelenkversteifung (Arthrodese) | Arthroskopie | Lipomentfernung durch Liposuktion | Über zwei kleine Öffnungen in der Bauchwand können die inneren Organe der Bauchhöhle betrachtet werden und minimalinvasive Eingriffe (z.B. Kastrationen, Probenentnahmen) durchgeführt werden. Bei großen Hunderassen, insbesondere deutschen Doggen, sollte eine prophylaktische Fixation der Magenwand an der Bauchwand (Gastropexie) zur Vorbeugung einer Magendrehung in Betracht gezogen werden. Dieser Eingriff kann ebenfalls laparoskopisch gestützt erfolgen. | Zu den am häufigsten durchgeführten Operationen gehören die operative Entfernung von Fremdkörpern aus dem Magen-Darm-Trakt und die Operation der Magendrehung bei großen Hunderassen.   | Hierzu zählen unter anderem Blasenoperationen und Operationen an den Nieren, den Harnleitern und der Harnröhre.  Geburtshilfliche Maßnahmen, klassische Kastrationen und die Operation der vereiterten Gebärmutter bei der Hündin sind weitere Beispiele für Standard-Eingriffe. | Der portosystemische Shunt stellt eine angeborene oder erworbene Gefäßfehlbildung dar, welche zu einer unzureichenden Verarbeitung der Nährstoffe aus dem Darm und sogar zu Vergiftungserscheinungen führen kann. Diagnosestellung und Operation stellen hohe Ansprüche an unsere Tierärzte. | Große Tumoren an der Körperoberfläche erfordern eine umfangreiche und genaue Operationsplanung, wobei zum Teil Verschiebeplastiken oder freie Hauttransplantationen angewendet werden müssen. | Die Entfernung der Nebenniere muss bei Tieren mit tumoröser Entartung  vorgenommen werden. Dieser Eingriff bedarf einer guten internistischen Abklärung vorab. Anschließend müssen die Tiere intensivmedizinisch betreut werden. | Je nach Lokalisation eines Tumors, kann es nach der Entfernung des Tumors mit eingehaltenem Sicherheitsabstand problematisch werden, die Haut wieder vollständig zu verschließen (vor allem an den Gliedmaßen). In solch einem Fall wird die Haut von anderen Stellen herüber geschwenkt oder eine freie Hauttransplantation vorgenommen.  | Operationen im Brusthöhlenbereich sind schwierige chirurgische Eingriffe und benötigen eine sehr gute anästhesiologische Überwachung; beispielsweise die Entfernung einer Umfangsvermehrung am Herzbeutel oder eines gedrehten Lungenlappens. | Bei schwerwiegenden, nicht heilenden oder sehr großen Wunden mit viel Substanzdefekt, verwenden wir ein neuartiges Prinzip, das aus der Humanmedizin übernommen wurde: die vakuumassistierte Wundbehandlung. Durch einen kontinuierlichen Unterdruck wird die Wundflüssigkeit permanent abgesaugt und die Wunde zu schnellerer Heilung angeregt. | Bei einem Chylothorax sammelt sich Lymphflüssigkeit in der Brusthöhle an. Die möglichen Ursachen sind vielfältig. Neben einer medikamentellen Therapie gibt es verschiedene operative Vorgehensweisen, wie zum Beispiel den Verschluss des Lymphgefäßes (Ductus thoracicus) und die Ablösung des Lymphsammelraumes (cisterna chyli). | Bei tumorösen Erkrankungen am Herzen und aus anderen Gründen kann es zu einem Herzbeutel kommen, einer vermehrten Flüssigkeitsansammlung im Herzbeutel. Zur Druckentlastung und für die Probengewinnung kann eine teilweise Entfernung des Herzbeutels erforderlich werden. | Aufgrund wiederkehrender, medikamentell nicht mehr behandelbarer Ohrerkrankungen (Otitis media) werden besonders bei prädisponierten Rassen wie Cocker Spaniel oder Französischer Bulldogge Operationen im Gehörgangsbereich notwendig. So wird über eine Erweiterung des Gehörgangs eine bessere Belüftung sichergestellt.  Bei sogenannten end-stage-Otitiden muss der äußere Gehörgang komplett entfernt und die Bulla eröffnet werden.  | Bei der Larynxparalyse (Kehlkopflähmung) zeigen die betroffenen Tiere Atemprobleme. Bei der Erkrankung ist der Muskel, der für das Öffnen verantwortlich ist, gelähmt, sodass es zu einer Engstelle im Kehlkopfbereich kommt. Bei der Lateralisierung  (Verschiebung zur Seite) wird der Aryknorpel (Stellknorpel) seitlich nach außen verlagert und am Ringknorpel fixiert, damit die Atemluft besser in die Luftröhre einströmen kann. | Diese Wunden erscheinen äußerlich oft harmlos, unter der Haut kann sich jedoch eine ausgedehnte Wundhöhle befinden. Bissverletzungen gelten per se als infizierte Wunden, da immer Keime aus der Maulhöhle des beißenden Tieres in die Wundhöhle gelangen. Für die Versorgung akuter Verletzungen steht an unserer Klinik ein chirurgischer 24h-Bereitschaftsdienst zur Verfügung. | Knochenbrüche können auf unterschiedliche Art und Weise versorgt werden. Geschlossene Brüche werden in der Regel mit chirurgischen Platten und Schrauben, offene Brüche über eine äußere Stabilisierung (Fixateur externe) versorgt. Implantate, die unter der Haut liegen, müssen in der Regel nicht wieder entfernt werden. Bei Komplikationen ist eine Entfernung jedoch möglich. | Die häufigste Ursache für eine Lahmheit der Hintergliedmaße ist bei mittelgroßen und großen Hunden ein Riss des vorderen Kreuzbandes. Häufig leiden die betroffenen Patienten an begleitenden Meniskusschäden. Diese werden mit einer Gelenkspiegelung (Arthroskopie) diagnostiziert und entsprechend therapiert. Zur Stabilisierung des Gelenks wird eine Umstellungsoperation (TPLO) vorgenommen, welche das vordere Kreuzband überflüssig macht. Bei kleineren Hunden oder Katzen ist ein Bandersatz außerhalb des Gelenks mit einem speziellen Fadenmaterial (TightRope) möglich.  Die Femurkopfhalsresektion ist eine Operation im Bereich des Hüftgelenks, bei der der Oberschenkelkopf entfernt wird und sich im Anschluss eine bindegewebige Narbe bildet. Diese Operation wird z.B. bei schwerer Hüftgelenksdysplasie und einem traumatisch ausgerenkten Hüftgelenk durchgeführt.  | Da Sehnen sehr langsam heilen, müssen Sie über spezielle Sehnennähte versorgt und im Anschluss streng ruhig gestellt werden. Bei einer Achillessehnenverletzung ist eine temporäre Fixation des Sprunggelenks in Streckstellung mit einem Fixateur externe oder einem Schienenverband notwendig.  | Die Versteifung eines Gelenks stellt bisweilen die letzte mögliche Lösung zur Versorgung dar. Das Ziel ist hierbei eine komplette Verknöcherung des Gelenks, um eine anhaltende Schmerzfreiheit zu erreichen.  | Die Gelenkspiegelung (Arthroskopie) gehört zu den minimalinvasiven Eingriffen. Über einen kleinen Zugang wird mit einer Kamera das Gelenk sorgfältig inspiziert. Im Gelenk können Eingriffe über einen separaten Arbeitskanal des Endoskops durchgeführt werden. Gelenkspiegelungen werden etwa an Schulter-, Ellenbogen- und Kniegelenken durchgeführt. | Oberflächliche, gutartige Fettgewebsgeschwülste (Lipome) können über einen kleinen Hautschnitt durch eine Fettabsaugung verkleinert bzw. komplett entfernt werden. Voraussetzungen sind eine überschaubare Größe des Tumors und klar vorhandene Tumorgrenzen. | Forschungsschwerpunkte | Fluoroskopische Untersuchungen | Kanine Cubarthrose | Fluoroskopische Ganganalyse des physiologischen, kaninen Schultergelenks in vivo, mittels intraossären Markern. Fluoroskopische Kinematografie  des Kniegelenkes vor und nach Tibial Tuberosity Advancement. Es wurden Hunde mit einem kompletten Kreuzbandriss des Kniegelenkes nach einer TTA untersucht. Die TTA (Tibial Tuberosity Advancement) hat das Ziel, bei kreuzband-insuffizienten Tieren eine Stabilität im Kniegelenk wiederherzustellen, indem sie die Biomechanik im Gelenk ändert und das Kreuzband quasi „überflüssig“ macht. Die Hunde wurden daher 6 Wochen nach der Operation auf dem Laufband im Schritttempo hinsichtlich einer Instabilität („Schublade“) von zwei unabhängigen Personen untersucht.  - Fluoroskopische Kinematografie des Kniegelenkes vor und nach Tibia Plateau Leveling Osteotomy  | Charakterisierung der Innervation des medialen Kompartments sowie der Gelenkkapsel des Ellbogengelenkes mit Hilfe ausgewählter Antikörper bei der kaninen Cubarthrose. | Besondere Ausstattung | 5 High-end Operationsplätze | HD-Video- und Bilddokumentationssysteme für die endoskopische, minimalinvasive Chirurgie | Operations-Mikroskop | Elektrochirurgie mit Gefäßversiegelung (LigaSure) | Mobile Röntgendurchleuchtung (digitale C-Bögen) | Für die bestmögliche Versorgung der chirurgischen Patienten stehen uns fünf High End Operationsplätze in drei Operationssälen zur Verfügung. Um das Infektionsrisiko möglichst gering zu halten, werden z.B. Wunden nicht im selben Raum wie Knochenbrüche versorgt. Jeder Platz ist mit einem Inhalationsnarkosegerät mit modernster Patientenüberwachung ausgestattet, sodass das Risiko eines Narkosezwischenfalls so gering wie möglich gehalten wird.  Endoskopische Eingriffe können u.a. im Gelenk, in der Bauchhöhle oder im Brustkorb vorgenommen werden (siehe Arthroskopie, Laparoskopie bzw. Thorakoskopie). | Endoskopische Eingriffe können u.a. im Gelenk, in der Bauchhöhle oder im Brustkorb vorgenommen werden (siehe Arthroskopie, Laparoskopie bzw. Thorakoskopie). Hierfür stehen HD-Kameras und entsprechende Bilddokumentationssysteme zur Verfügung. | Aufgrund der Kleinheit der Strukturen am Auge wird hier ein Operationsmikroskop verwendet. Dadurch lassen sich noch so kleine Strukturen einsehen und Eingriffe können mit maximaler Präzision durchgeführt werden. Dies gilt ebenso für neurologische Eingriffe und andere Operationen an sehr kleinen Strukturen. | Moderne Elektrochirurgie erlaubt es, Gefäße noch schneller und sicherer zu veröden. Es muss kein Nahtmaterial verwendet werden, sodass es auch nicht zu Überempfindlichkeitsreaktionen kommen kann. Zudem wird die Länge der Narkose hierdurch erheblich verkürzt. Die elektrische Gefäßversiegelung wird auch bei der endoskopischen Kastration eingesetzt. | Zwei mobile Röntgengeräte (C-Bögen) in zwei verschiedenen Operationssälen ermöglichen Röntgenuntersuchungen noch während einer Operation. 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