Centre for Surgical Medicine

Department of Anaesthesiology, Intensive Care Medicine, Emergency Medicine and Pain Therapy

The clinic treats about 40,000 patients per year during the peri-operative stage and supplies all operatively and diagnostically working clinics.

Moreover, patients with acute postoperative and chronic pain are treated inpatiently.  The clinic is part of the Regional Pain Centre of Stuttgart and takes also part in outpatient care of pain patients.

The interdisciplinary operative intensive care unit treats about 2,300 patients per year after major surgery and with multiple accidental injuries, in close cooperation with the surgical units.

The clinic coordinates the leading emergency physicians of the city of Stuttgart, provides several leading emergency doctors and ensures emergency doctors for the ambulance cars of Stuttgart. The deputy head of the medical site director of our rescue helicopter “Christoph 41” as well as a part of its medical staff is provided by our clinic.

Treatment and care emphases

  • Anaesthesia
    • Airway management
    • Anaesthesia in patients of all ages and even in case of severe previous disease
    • Ultrasound-supported regional anaesthesia
    • Combined anaesthesia
  •  Surgical intensive care
    • Special ventilation therapy
    • Renal and liver replacement therapy
    • Differentiated ventilation therapy (lung protective ventilation, ECMO among others
    • Focus on intensive medicine: patients with multiple injuries, craniocerebral trauma, abdominal and vascular surgery patients, strokes, sepsis
  • Emergency medicine
    • 24-hour emergency physicians for the city of Stuttgart
    • Leading emergency physicians, organisation of emergency medical service with the city of Stuttgart (AK 54
    • Deputy medical manager of Christoh 41 (air rescue location in Leonberg
    • Occupancy of an intensive care transport vehicle
  • Pain therapy
    • Acute pain services
    • Patient-controlled pain therap
    • Counselling service throughout the clinic
  • Trauma Centre within the Network of Trauma

Special offers and facilities

  • Outpatient anaesthesia
  • Pain therapy with ambulance
  • MET (Medical emergency team) providing 24-hour service

Distinguished procedures in diagnosis and therapy

  • 24-hour emergency room service
  • Management of difficult airway (in general and particularly in orofacial and pharyngo-laryngeal tumour surgery)
  • Jet ventilation in ENT, airway management in complex surgeries of the upper respiratory tract
  • Extracorporal membrane oxygenation (ECMO) in intensive care patients and surgeries of thorax after pulmonary surgery
  • Carotid surgery under regional anaesthesia
  • Regional pain therapy in trauma surgery
  • Conventional and ultrasound-guided regional anaesthesia
  • Combined anaesthesia (general anaesthesia and thoracic peridural catheter)
  • Anaesthesia for interventional procedures in radiology and neuroradiology
  • Anaesthesia for intracranial tumours (partially wake craniotomies)
  • Anaesthetic management for transfemoral aortic valve replacement and for MitraClips as well as organ donation and organ transplantations
  • Anaesthesia in case of diagnostic interventions of pulmology
  • One-lung ventilation
  • Anaesthesia in children and infants
  • Blood patch in spontaneous liquor leck syndrome

Studies / Scientific activities

  • Word-of-mouth behaviour of patients (senior physician Dr. Dr. J.-H. Schiff, MPH)
  • Evaluation of basic data material of anaesthesia regarding incidents, occurrences and complications (senior physician Dr. Dr. J.-H. Schiff, MPH)
  • Participation in the establishment of guidelines (R. Dubb)

Quality assurance

  • CIRS (Critical incident reporting system)
  • Emergency medicine: participation in the external quality assurance of the State Medical Association/Landesärztekammer
  • Participation in DGU trauma register
  • Internal workshops (airway, polytrauma, resuscitation) in the form of case simulations
  • Participation in SARI project (Surveillance of Antibiotic Consumption and Resistance on Intensive Care Units)
  • Internal patient survey to grant patients’ satisfaction with the narcosis by HPQ (Heidelberg Perioperative Questionnaire)

Hospital numbers

2015 2016 2017  
29 29 29 Available Beds, inpatient
2.120 1.936 1.865 Inpatient Cases
4.3 4.6 4.9 Length of stay in days

Selected services (case number)

2015 2016 2017  
22.334 22.557 22.703 Number of anaesthesia services
2.120 21.936 1.865 Number of patients in intensive care
9.119 8.978 9.135 Number of inpatient days in intensive care