Teleconsultation request

ECMO registration


Our profile

We treat patients from all surgical clinics on a total of 39 beds:

  • Visceral surgery
  • Cardiac, thoracic and vascular surgery
  • Trauma and reconstructive surgery
  • Neurosurgery
  • Paediatric neurosurgery

The ICU area focuses on the intensive medical care of patients with life-threatening multiple injuries (polytrauma), patients with organ failure and patients with lung failure in acute respiratory distress syndrome (ARDS).

Patients from other areas such as haemato-oncology and cardiology are also cared for.
Furthermore, we are responsible for the perioperative care of patients with relevant pre-existing conditions and/or major surgical interventions from the above-mentioned clinics.


A training and research focus is on diagnostic emergency sonography and the performance of ultrasound-guided punctures.

Consultation hours / Contact / Appointments

Regular communication with the next of kin is very important to us.

Please appoint within the family a contact person for the medical team.


Telephone information:

Between 10:30 and 11:30 and by appointment on 0731 500-60055

We would like to point out that only the next of kin can receive telephone information from the attending physicians.

Contact:

Albert-Einstein-Allee 23 | 89081 Ulm

T +49 731 500-60055 | F +49 731 500-60052

ioi.ains@uniklinik-ulm.de

 

We kindly ask you to avoid calling during visiting hours:

  • 07:30 - 09:00
  • 13:00 - 15:00
  • 18:45 - 20:30

Visiting hours: 15:00 - 18:30 and by prior appointment.

Please note the current visitor regulations on our homepage:

https://www.uniklinik-ulm.de/aktuelles/informationen-und-hinweise-zum-coronavirus.html

 

Thank you for your understanding!

Our team

  • Profilbild von Prof. Dr. med. Jan Adriaan Graw

    Prof. Dr. med. Jan Adriaan Graw

    Leiter IOI, Oberarzt, Facharzt für Anästhesie, MHBA, Zusatzbezeichungen: Notfallmedizin, spezielle Intensivmedizin, Palliativmedizin

  • Profilbild von Prof. Dr. med. Eberhard Barth

    Prof. Dr. med. Eberhard Barth

    Oberarzt, Facharzt für Anästhesiologie, Zusatzbezeichnungen: Notfallmedizin, spezielle Intensivmedizin, spezielle Schmerztherapie

  • Profilbild von Dr. med. Nicolai Andrees

    Dr. med. Nicolai Andrees

    Oberarzt, Facharzt für Anästhesiologie, ärztliches Qualitätsmanagement, Zusatzbezeichnung: spezielle Intensivmedizin

    Schwerpunkte

    Teleintensivmedizin

  • Profilbild von Prof. Dr. med. Karl Träger

    Prof. Dr. med. Karl Träger

    Oberarzt, Facharzt für Anästhesiologie, Zusatzbezeichnungen: Notfallmedizin, leitender Notarzt, spezielle Intensivmedizin, European Diploma in Anaesthesiology and Intensive Care, Transplant.-Beauftr., Hygiene-Beauftr.

  • Profilbild von Dr. med. Max Neubert

    Dr. med. Max Neubert

    Facharzt für Anästhesiologie, Zusatzbezeichnungen: Notfallmedizin, spezielle Intensivmedizin

In addition, a team of 4-5 specialists as well as 7 anaesthesiological and 4 surgical residents in further training work in a 3-shift model in the anaesthesiological intensive care unit. The department has full further training for the additional qualification "Special Intensive Care Medicine".

MTA

A team of medical-technical assistants supports the nursing staff and doctors in carrying out point-of-care diagnostics such as blood gas analysis, rotational thrombelastogram, ACT, etc.

Ward secretariat

Patients can be registered and certificates requested via the ward secretariat. The secretariat also coordinates the transfer of our patients to normal wards or rehabilitation facilities. A nursing assistant looks after the sensitive area of ordering, documenting and stocking medication.


Susanne Hengsteler

Lisa Becker

Sharon Mürner-Kässmeyer

Office hours 08:00 - 15:00
Tel:0731 500-60055
E-Mail:

ioi.ains@uniklinik-ulm.de

Physiotherapy, occupational therapy

A team from the physiotherapy department cares for all patients in the ICU and IMC area on a daily basis. In addition to respiratory therapy exercises, early mobilisation is the focus of the activities. Lymphatic drainage, swallowing training and occupational therapy are also available for special indications.

Lung replacement (ECMO)

24-hour hotline:
Phone: 0731 500-60308
Fax: 0731 500-60052
What is invasive lung replacement (ECMO therapy)?

In some diseases, gas exchange can be restricted so that carbon dioxide
is no longer sufficiently released and/or oxygen
is no longer sufficiently absorbed. Both can lead to a life-threatening condition.

Such a situation can often be controlled by mechanical ventilation and enrichment of the breathing air with additional oxygen
. However, high
ventilation pressures and high oxygen concentrations can cause further damage to the lungs
, which in turn restricts gas exchange. This results in a
spiral, which in the worst case can lead to a situation where carbon dioxide delivery or oxygen uptake can no longer be adequately
controlled despite escalated mechanical
ventilation. This condition is absolutely life-threatening.

A common cause is acute respiratory distress syndrome in adults (ARDS), which can occur after
operations or infections of the lungs or the rest of the organism. Another
cause is structural lung diseases such as pulmonary fibrosis.

Invasive lung replacement can be a therapeutic option in these cases. ECMO
is the use of a form of heart-lung machine in patients whose heart or
lung failure cannot be stopped despite the use of maximum therapy and would probably result in the patient's death in a relatively short time if
continued. The
ECMO is connected to the circulation of the
patient via large blood vessels (usually in the neck and groin) and takes over the function of the lungs (veno-venous ECMO) - in
some cases also that of the heart (veno-arterial ECMO) - until the organs
have recovered to such an extent that conventional treatment of the underlying disease is
possible again. The duration of the required ECMO treatment can range from a few days to
several weeks.
Additional arterial and venous accesses are required for circulatory monitoring as well as for concomitant drug therapy and
artificial nutrition, as they
are also used in the conventional intensive care treatment of critically ill patients
. ECMO therapy also requires
repeated laboratory tests (blood and urine samples) and x-rays.

At the same time, the patient's lungs can recover through gentle ventilation of the lungs and treatment of the
underlying disease. If the lungs are irreversibly damaged
and the patient is suitable for a lung transplant, invasive
lung replacement can be used to bridge the time until an organ is available.

An invasive lung replacement procedure is therefore a bridging therapy for a few days to a few
weeks, which only makes sense if the lung is either not irreversibly damaged
or if the patient is eligible for a lung transplant
in the event of permanent lung damage.

Symptomatology

Science & Studies

 

The Anaesthesiology Intensive Care Unit is currently involved in the following multicentre studies and networks in particular:

  • ARDS network
  • CESARO
  • ETHICUS 2
  • Scientific Working Group on Intensive Care Medicine of the DGAI (WAKI)
  • Translational Intensive Care Medicine Research Network Organ Dysfunction of the DGAI (TIFONet)
  • TARGET
  • ISOCONDA
  • VIP 1+2

 

Scientific focus (Prof Dr E. Barth):

  1. Delirium and analgosedation in critically ill patients

  2. Therapeutic drug monitoring (TDM) of anti-infective substances in intensive care patients: Implementation of the relevant analytics in co-operation with the Department of Clinical Chemistry, expansion of analytics for other important antibiotics and antimycotics. Therapeutic consequences for achieving sufficiently effective plasma levels are now firmly established in routine clinical practice. Scientific analyses of TDM in intensive care patients are ongoing.

  3. Investigations into the complex interaction of gastrointestinal passage and absorption of nutrient substrates in intensive care patients with the aid of stable isotope-labelled substrates. To this end, there is close cooperation with the Institute of Anaesthesiological Pathophysiology and Process Development (APV) at Ulm University Hospital and with the company FAN®, which has developed a respiratory gas analyser for measuring metabolic activity in the exhaled air of intensive care patients. The method has been established and published. Clinical analyses are underway.

  4. Participation in intensive care multicentre studies, including CESARO, DACAPO, VIP-1, TARGET

  5. Supervision of corresponding medical dissertations

Intensive transport

For patients with severe functional disorders (e.g. circulatory instability, respiratory insufficiency), the risk of transport is very high if a transfer is necessary.

In order to minimise the transport risk for such patients or in cases where a transfer is no longer possible under conventional conditions, we carry out transfer transports for you under intensive care conditions.

If necessary, mobile extracorporeal support procedures (IABP, ECMO) can be used to make the patient fit for transport in the transferring hospital.

To arrange intensive care transport, please contact the Central Coordination Centre for Intensive Care Transport (ZKS) on 0711 7007 7777.

Rescue and medical personnel are provided in cooperation with the Arbeiter-Samariter-Bund, the German Red Cross, the Bundeswehrkrankenhaus Ulm and the Clinic for Anaesthesiology and Intensive Care Medicine at Ulm University Hospital.

Approach

Please follow first ...

... the

maps and the directions on the homepage of the University Hospital

to the bus stop "Kliniken Wissenschaftsstadt" or to the car park "Mitte".

 

Once you have reached the "Kliniken Wissenschaftsstadt" stop or the "Mitte" multi-storey car park ...

... you will reach the main entrance of the surgical clinic after a short walk.


The porter in the Surgical Clinic will be happy to help you find your way to the relevant anaesthesia rooms:

  • Interdisciplinary ICU/IMC ward G1 in the area of the lifts G level 1 of the Surgical Clinic
  • Interdisciplinary ICU/IMC ward F1 in the area of the lifts F level 1 of the surgical clinic
  • Management and secretarial offices in the lift area F Level 2 of the Surgical Clinic
Profilbild von Prof. Dr. med. Jan Adriaan Graw

Prof. Dr. med. Jan Adriaan Graw

Leiter IOI, Oberarzt, Facharzt für Anästhesie, MHBA, Zusatzbezeichungen: Notfallmedizin, spezielle Intensivmedizin, Palliativmedizin

Profilbild von Prof. Dr. med. Eberhard Barth

Prof. Dr. med. Eberhard Barth

Oberarzt, Facharzt für Anästhesiologie, Zusatzbezeichnungen: Notfallmedizin, spezielle Intensivmedizin, spezielle Schmerztherapie