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_Disabled patients

Cerebrally disabled patients represent a special challenge to the anaesthesia team, as the patient is usually unable to understand that he/she needs an anaesthetic and what happens during anaesthesia. As anaesthetists we are happy to take on this responsibility, although it is important that our contact partners - the people looking after the patient, e.g. in a care home or the next of kin - also adhere to the rules:

Information about the patient's state of health

The anaesthetist requires exact information about the patient's health condition, medications and particularities. This includes, in addition to the registration form, a report from the family doctor or home practitioner.

Registration form

Fill out the registration form which you receive from the surgeon, doctor or us in full. In case of queries our secretary will be happy to provide you with information or put you in touch with one of our anaesthetists. We will be happy to help you if you have any questions.

Information sheet

Read our information sheet and follow the recommendations in it, in particular the sobriety rules, ensuring daily medicines are taken on time, any pre-medication and correct monitoring when the patient is admitted and discharged.

Information about anaesthesia

For obvious reasons only a general anaesthetic is normally considered for cerebrally disabled people.

General anaesthesia is a condition similar to deep sleep, which is normally applied to the patient by injecting a fast-acting anaesthetic agent after attaching an infusion to the arm or back of the hand, or by administering an anaesthetic mixture via a face mask. The anaesthesia is continued either by applying a special anaesthetic gas via the airway or by administering an anaesthetic agent which is continually injected with the infusion. This prevents the perception of pain and makes the patient unconscious.

In order to secure the airway in the operating area (mouth), once the anaesthetic has been applied an intubation tube has to be fed into the wind-pipe (intubation); for dental operations this usually occurs via the nose and is not noticed by the patient. Normally breathing has to be provided artificially. At the end of the operation the supply of the anaesthetic agent is interrupted and normally the patient awakes within a few minutes. Following the operation the patient can relax and recover in the presence of a care person and a familiar person in a bed. The patient can leave as soon as he/she wishes. The return home usually only occurs if mobility and the state of health permit it.