IS TODAYS WORKPLACE CONCEPTION STILL UP-T O-DATE - NEW MANAGEMENT CONCEPTS FOR ANESTHESIA AND INTENSIVE-CARE MEDICINE

The continuous care of patients from emergency, diagnostic and operati ve units up to the ICU is being provided by the department of anesthes iology. Still our present work concept is in contradiction to the nece ssary continuous care for critically ill patients, Transports between stationary working places In theatre, the ICU or diagnostic centres un evitably go along with interruption of monitoring and therapy: and lea ds towards a considerable endangering of critically ill patients and a significant rise of mortality. With a new monitoring- and therapy-pla ce concept a steady monitoring and fluid management Is ensured, On a s mall bedside car the complete side system of an intensive ward/operati ve bedplace as monitoring, fluid management, suction also for thorax d rains as well as a manual emergency artificial respiration system with O-2-supply will be integrated, This car serves already as monitoring for the induction of the narcosis, accompanied the patients to the ope rating room and postoperatively to the intensive ward without the nece ssity of a disconnection. The whole monitoring accompanied the patient for a possible reintervention or for diagnostic measure in hospital. In addition to the considerable saving of time by transports (for inst ance operating room - intensive care unit) and the guarantee of a stea dy monitoring of the patient, the costs of this car system are in the region of only one-third of today's usual wall-fixed or ceiling-fixed medium supply.