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[title] => Anästhesie & Intensivmedizin
[alias] => abteilung-anaesthesie-intensivmedizin
[introtext] => Anästhesie & Operative 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.
Zurück zur Abteilungsübersicht
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[modified] => 2023-12-21 13:24:42
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[search_index] => vvvAbteilungen | vvvParallax | vvvAnästhesie & vvvIntensivmedizin | vvvSuper vvvAdministrator | vvv2020-08 | vvvSuper vvvAdministrator | vvv2015-01 | vvvAnästhesie &vvvamp; vvvOperative vvvIntensivmedizin vvvJedem vvvTier vvvsein vvveigener vvvAnästhesist! vvvGemäß vvvdiesem vvvWahlspruch vvvwird vvvin vvvunserer vvvKlinik vvvjedes vvvTier vvvwährend vvvder vvvgesamten vvvNarkose vvvvon vvveinem vvvspeziell vvvausgebildeten vvvNarkosearzt vvvbetreut. vvvDieser vvvwird vvvdurch vvvmodernste vvvÜberwachungs- vvvund vvvAnästhesietechnik vvvunterstützt. vvvJeder vvvPatient vvverhält vvveine vvvfür vvvihn vvvund vvvdie vvvgeplante vvvUntersuchung vvvoder vvvOperation vvvindividuell vvvangepasste vvvAnästhesie. vvvEine vvvkomfortable vvvAufwachphase vvvund vvveine vvvden vvvBedürfnissen vvvdes vvvTieres vvvangepasste, vvvden vvvgesamten vvvZeitraum vvvvor, vvvwährend vvvund vvvnach vvvder vvvOperation vvvumfassende vvvSchmerztherapie vvvsind vvvuns vvvwichtige vvvAnliegen. vvvUnsere vvvPatienten vvvwerden vvvgemäß vvvder vvvLeitlinie „vvvAnästhesiologische vvvVersorgung vvvvon vvvHund vvvund vvvKatze“ vvvder vvvFachgruppe vvvVeterinärmedizinische vvvAnästhesie, vvvIntensivmedizin, vvvNotfallmedizin vvvund vvvSchmerztherapie (vvvVAINS) vvvder vvvDeutschen vvvVeterinärmedizinischen vvvGesellschaft vvvversorgt. vvvZurück vvvzur vvvAbteilungsübersicht | vvvZur vvvAbteilung | vvve1e5e5 | vvvLeistungen &vvvamp; vvvSpezialgebiete | vvvInhalationsanästhesie | vvvInjektionsanästhesie | vvvTIVA | vvvLokal-/Regionalanästhesie | vvvNarkose- vvvund vvvIntensivbeatmung | vvvPerioperative vvvIntensivmedizin | vvvIndividuelle vvvdifferenzierte vvvperioperative vvvSchmerztherapie | vvvKonsiliar vvvfür vvvFragen vvvder vvvNarkose vvvvon vvvHaus-und vvvHeimtieren vvvund vvvexotischen vvvSpezies | vvvDie vvvInhalationsanästhesie (&vvvquot;Gasnarkose") vvvhat vvvden vvvVorteil, vvvdass vvvdas vvvAnästhetikum (&vvvquot;Narkosemittel") vvvnicht vvvoder vvvnur vvvzu vvveinem 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vvvauf vvvdiesem vvvGebiet. vvvTritt vvveine vvvlebensbedrohliche vvvSituation vvvauf, vvvdann vvvhat vvvder vvvPatient vvvdie vvvbesten vvvChancen, vvvwenn vvvgeübte vvvPersonen vvvstrukturiert vvvvorgehen. vvvUnsere vvvAnästhesisten vvvbilden vvvden vvvKern vvvdes vvvWiederbelebungsteams vvvder vvvKlinik. vvvEine vvvregelmäßige vvvtheoretische vvvund vvvpraktische vvvSchulung vvvaller vvvMitarbeiter vvvdes vvvHauses vvvund vvvein vvvVorgehen vvvnach vvvder vvventsprechenden vvvinternationalen vvvLeitlinie vvvzur vvvWiederbelebung vvvbei vvvHund vvvund vvvKatze (vvvRECOVER, vvvhttp://onlinelibrary.vvvwiley.vvvcom/doi/10.vvv1111/j.vvv1476-4431.vvv2012.vvv00757.vvvx/pdf) vvvsind vvvselbstverständlich. | vvvVerschiedene vvvKrankheitszustände vvvverursachen vvvSchmerzen, vvvdie vvveine vvvunterschiedliche vvvQualität (vvvstechend, vvvdumpf), vvvIntensität vvvund vvvDauer vvvhaben vvvkönnen. vvvUnser vvvZiel vvvist vvves, vvvbei vvvjedem vvvPatienten vvveine vvvadäquate 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vvvzur vvvInhalationsanästhesie vvvund vvvÜberwachung. | vvvForschungsschwerpunkte | vvvÜberwachung vvvdes vvvSauerstoffstatus | vvvVerbesserung vvvder vvvPatientensicherheit | vvvEvidenzbasierte vvvVeterinärmedizin | vvvEine vvvausreichende vvvSauerstoffversorgung vvvder vvvlebenswichtigen vvvOrgane vvvist vvvVoraussetzung vvvfür vvvdas vvvLeben. vvvUm vvvdiese vvvzu vvvgewährleisten, vvvmüssen vvvAtmung, vvvMakro- vvvund vvvMikrozirkulation vvvadäquat vvvzusammenspielen. vvvUnsere vvvAnästhesieabteilung vvvwidmet vvvsich vvvschon vvvseit vvvvielen vvvJahren vvvverschiedenen vvvAspekten vvvdieses vvvThemas, vvvangefangen vvvvon vvvder vvvEtablierung vvvder vvvPulsoximetrie vvvin vvvder vvvKleintiermedizin vvvüber vvvdie vvvBestimmung vvvder vvvgemischtvenösen vvvSättigung vvvüber vvveinen vvvPulmonalarterien-Katheter vvvbis vvvhin vvvzur vvvnicht-invasiven vvvMessung vvvder vvvSauerstoffsättigung vvvim vvvHirngewebe (vvvNIRS). vvvIn vvvden vvvletzten vvvJahren vvvwar vvvin 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[decimal_thousands_sep] => ,
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[output_custom_func] => $value_length = mb_strlen($value, 'UTF-8');
return 'Value length is: '. $value_length;
[prx_sfx_open_close_configs] =>
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[pretext] =>
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[opentag] =>
[closetag] =>
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[ogpinview] => Array
(
[0] => __SAVED__
)
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[filter_values_require_all_tip] => 0
[display_label_filter] => 2
[display_filter_as] => 0
[faceted_filter] => 2
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[filter_firstoptiontext] => FLEXI_ALL
[slider_display_config] => 1
[slider_custom_range] => 'min': '', '25%': '50', '50%': '150', '75%': '600', 'max': ''
[slider_custom_labels] => label_any ## label_50 ## label_150 ## label_600 ## label_any
[slider_custom_labels_jtext] => 0
[display_label_filter_s] => 2
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[slider_custom_range_s] => 'min': '', '25%': 500, '50%': 2000, '75%': 10000, 'max': ''
[slider_custom_labels_s] => label_any ## label_500 ## label_2000 ## label_10000 ## label_any
[slider_custom_labels_jtext_s] => 0
)
[initialized:protected] => 1
[separator] => .
)
[display] =>
)
[manueller_link] => stdClass Object
(
[id] => 72
[asset_id] => 473
[field_type] => text
[name] => manueller_link
[label] => Link
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[value] => Array
(
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[parameters] => Joomla\Registry\Registry Object
(
[data:protected] => stdClass Object
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[validation] => HTML
[regexmask] =>
[custommask] =>
[auto_value] => 0
[auto_value_code] => fields;
if ( !isset($F['fieldname01']) ) return array('fieldname01 field not found');
$vals = array();
foreach($F['fieldname01']->postdata as $i => $v)
{
$vals[$i] = 'Auto : ' . $v;
}
return $vals;
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[placeholder] =>
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foreach($values as $i => $v)
{
$values[$i] = 'Example ' . $i . ' : ' . $v;
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[pretext_filter_s] =>
[posttext_filter_s] =>
[opentag_filter_s] =>
[closetag_filter_s] =>
)
[initialized:protected] => 1
[separator] => .
)
[display] =>
)
[linktext] => stdClass Object
(
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[value] => Array
(
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[parameters] => Joomla\Registry\Registry Object
(
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(
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[auto_value_code] => fields;
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$vals = array();
foreach($F['fieldname01']->postdata as $i => $v)
{
$vals[$i] = 'Auto : ' . $v;
}
return $vals;
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[placeholder] =>
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[size] => 30
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[import_fv_ccode] => parameters->get('some_param');
foreach($values as $i => $v)
{
$values[$i] = 'Example ' . $i . ' : ' . $v;
}
return $values;
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return 'Value length is: '. $value_length;
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[slider_custom_labels] => label_any ## label_50 ## label_150 ## label_600 ## label_any
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[slider_custom_range_s] => 'min': '', '25%': 500, '50%': 2000, '75%': 10000, 'max': ''
[slider_custom_labels_s] => label_any ## label_500 ## label_2000 ## label_10000 ## label_any
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[pretext_filter_s] =>
[posttext_filter_s] =>
[opentag_filter_s] =>
[closetag_filter_s] =>
)
[initialized:protected] => 1
[separator] => .
)
[display] => Zur Abteilung
)
[infoblock] => stdClass Object
(
[id] => 94
[asset_id] => 1714
[field_type] => textarea
[name] => infoblock
[label] => Infoblock
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[value] => Array
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(
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(
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[maxlength] =>
[rows] => 10
[cols] => 75
[editor] =>
[width] => 98%
[height] => 200px
[show_buttons] => 1
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(
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)
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[start_of_tabs_pattern] =>
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[start_of_tab_pattern] =>
[end_of_tab_pattern] =>
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)
[initialized:protected] => 1
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)
[display] =>
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[notizzettel] => stdClass Object
(
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)
[acc_kopfbild_panel] => stdClass Object
(
[id] => 53
[asset_id] => 170
[field_type] => minnegroupmarker
[name] => acc_kopfbild_panel
[label] => Acc Kopfbild Panel
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[attribs] => {"marker_type":"acc_panel","cont_cssclass":"","cont_label":"Kopfbild","custom_html_sep":"
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[checked_out] => 0
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[access] => 1
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[kopfbild] => stdClass Object
(
[id] => 69
[asset_id] => 425
[field_type] => image
[name] => kopfbild
[label] => Kopfbild
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[text] => Anästhesie & Operative 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.
Zurück zur Abteilungsübersicht
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[0] => Inhalationsanästhesie
[1] => Injektionsanästhesie
[2] => TIVA
[3] => Lokal-/Regionalanästhesie
[4] => Narkose- und Intensivbeatmung
[5] => Perioperative Intensivmedizin
[6] => Individuelle differenzierte perioperative Schmerztherapie
[7] => Konsiliar für Fragen der Narkose von Haus-und Heimtieren und exotischen Spezies
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[0] => 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.
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[0] => Überwachung des Sauerstoffstatus
[1] => Verbesserung der Patientensicherheit
[2] => Evidenzbasierte Veterinärmedizin
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[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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[2] => Möglichkeiten zur künstlichen Beatmung na jedem Arbeitsplatz
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[0] => 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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[link] => /klinik/abteilungen/anaesthesie-intensivmedizin
[title] => Anästhesie & Intensivmedizin
[alias] => abteilung-anaesthesie-intensivmedizin
[fulltitle] => Anästhesie & Intensivmedizin
[text] => Anästhesie & Operative Intensivmedizin Jedem Tier sein eigener Anästhesist! Gemäß diesem Wahlspruch wird in unserer Klinik jedes Tier während der gesamten Narkose von einem speziell ausgebildeten ...
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slug:1697:abteilung-anaesthesie-intensivmedizin
catid:497
maincat_alias:abteilungen
Anästhesie & Intensivmedizin
› Zur Abteilung
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[title] => Bildgebende Diagnostik
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[introtext] => 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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[placeholder] =>
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[pretext_form] =>
[posttext_form] =>
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[decimal_thousands_sep] => ,
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[output_custom_func] => $value_length = mb_strlen($value, 'UTF-8');
return 'Value length is: '. $value_length;
[prx_sfx_open_close_configs] =>
[remove_space] => 0
[pretext] =>
[posttext] =>
[separatorf] => 1
[opentag] =>
[closetag] =>
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[microdata_itemprop] =>
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[ogpinview] => Array
(
[0] => __SAVED__
)
[ogpusage] => 1
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[filter_compare_type] => 0
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[filter_values_require_all_tip] => 0
[display_label_filter] => 2
[display_filter_as] => 0
[faceted_filter] => 2
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[filter_firstoptiontext] => FLEXI_ALL
[slider_display_config] => 1
[slider_custom_range] => 'min': '', '25%': '50', '50%': '150', '75%': '600', 'max': ''
[slider_custom_labels] => label_any ## label_50 ## label_150 ## label_600 ## label_any
[slider_custom_labels_jtext] => 0
[display_label_filter_s] => 2
[display_filter_as_s] => 0
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[slider_custom_range_s] => 'min': '', '25%': 500, '50%': 2000, '75%': 10000, 'max': ''
[slider_custom_labels_s] => label_any ## label_500 ## label_2000 ## label_10000 ## label_any
[slider_custom_labels_jtext_s] => 0
)
[initialized:protected] => 1
[separator] => .
)
[display] =>
)
[manueller_link] => stdClass Object
(
[id] => 72
[asset_id] => 473
[field_type] => text
[name] => manueller_link
[label] => Link
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[value] => Array
(
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[parameters] => Joomla\Registry\Registry Object
(
[data:protected] => stdClass Object
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[validation] => HTML
[regexmask] =>
[custommask] =>
[auto_value] => 0
[auto_value_code] => fields;
if ( !isset($F['fieldname01']) ) return array('fieldname01 field not found');
$vals = array();
foreach($F['fieldname01']->postdata as $i => $v)
{
$vals[$i] = 'Auto : ' . $v;
}
return $vals;
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[placeholder] =>
[maxlength] =>
[size] => 30
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[import_fv_ccode] => parameters->get('some_param');
foreach($values as $i => $v)
{
$values[$i] = 'Example ' . $i . ' : ' . $v;
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[slider_custom_labels] => label_any ## label_50 ## label_150 ## label_600 ## label_any
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[slider_custom_labels_s] => label_any ## label_500 ## label_2000 ## label_10000 ## label_any
[slider_custom_labels_jtext_s] => 0
[pretext_filter_s] =>
[posttext_filter_s] =>
[opentag_filter_s] =>
[closetag_filter_s] =>
)
[initialized:protected] => 1
[separator] => .
)
[display] =>
)
[linktext] => stdClass Object
(
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[asset_id] => 2366
[field_type] => text
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[label] => Linktext
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[value] => Array
(
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)
[parameters] => Joomla\Registry\Registry Object
(
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(
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[custommask] =>
[auto_value] => 0
[auto_value_code] => fields;
if ( !isset($F['fieldname01']) ) return array('fieldname01 field not found');
$vals = array();
foreach($F['fieldname01']->postdata as $i => $v)
{
$vals[$i] = 'Auto : ' . $v;
}
return $vals;
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[placeholder] =>
[maxlength] =>
[size] => 30
[extra_attributes] =>
[pretext_form] =>
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[import_fv_ccode_mode] => 0
[import_fv_ccode] => parameters->get('some_param');
foreach($values as $i => $v)
{
$values[$i] = 'Example ' . $i . ' : ' . $v;
}
return $values;
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[output_custom_func] => $value_length = mb_strlen($value, 'UTF-8');
return 'Value length is: '. $value_length;
[prx_sfx_open_close_configs] =>
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[slider_custom_range] => 'min': '', '25%': '50', '50%': '150', '75%': '600', 'max': ''
[slider_custom_labels] => label_any ## label_50 ## label_150 ## label_600 ## label_any
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[slider_custom_range_s] => 'min': '', '25%': 500, '50%': 2000, '75%': 10000, 'max': ''
[slider_custom_labels_s] => label_any ## label_500 ## label_2000 ## label_10000 ## label_any
[slider_custom_labels_jtext_s] => 0
[pretext_filter_s] =>
[posttext_filter_s] =>
[opentag_filter_s] =>
[closetag_filter_s] =>
)
[initialized:protected] => 1
[separator] => .
)
[display] => Zur Abteilung
)
[infoblock] => stdClass Object
(
[id] => 94
[asset_id] => 1714
[field_type] => textarea
[name] => infoblock
[label] => Infoblock
[description] =>
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[value] => Array
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[parameters] => Joomla\Registry\Registry Object
(
[data:protected] => stdClass Object
(
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[maxlength] =>
[rows] => 10
[cols] => 75
[editor] =>
[width] => 98%
[height] => 200px
[show_buttons] => 1
[display_label] => 1
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[no_acc_msg] =>
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(
[0] => __SAVED__
)
[ogpusage] => 1
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[start_of_tabs_pattern] =>
[end_of_tabs_pattern] =>
[start_of_tab_pattern] =>
[end_of_tab_pattern] =>
[title_tab_pattern] =>
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)
[initialized:protected] => 1
[separator] => .
)
[display] =>
)
[notizzettel] => stdClass Object
(
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[checked_out] => 0
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[access] => 1
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)
[acc_kopfbild_panel] => stdClass Object
(
[id] => 53
[asset_id] => 170
[field_type] => minnegroupmarker
[name] => acc_kopfbild_panel
[label] => Acc Kopfbild Panel
[description] =>
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[positions] =>
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[attribs] => {"marker_type":"acc_panel","cont_cssclass":"","cont_label":"Kopfbild","custom_html_sep":"
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[checked_out] => 0
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[access] => 1
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[kopfbild] => stdClass Object
(
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[video_titel] => stdClass Object
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[video_beschreibung] => stdClass Object
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[acc_end] => stdClass Object
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[parameters] => Joomla\Registry\Registry Object
(
[data:protected] => stdClass Object
(
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[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] =>
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[initialized:protected] => 1
[separator] => .
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[params] => Joomla\Registry\Registry Object
(
[data:protected] => stdClass Object
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[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] =>
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[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
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[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)
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[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.
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[1] => Computertomographische Kontrastmitteldiagnostik
[2] => Bildgebung der Leber
[3] => Volumennavigierte Probengewinnung
[4] => Bildfusion
[5] => Geriatrische Magnetresonaztomographie des Gehirns
[6] => Hochauflösende Schnelldiagnostik von Bandscheibenvorfällen im MRT
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[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.
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[fulltitle] => Bildgebende Diagnostik
[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 ...
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slug:1698:abteilung-bildgebende-diagnostik
catid:497
maincat_alias:abteilungen
Bildgebende Diagnostik
› Zur Abteilung
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[title] => Chirurgie
[alias] => abteilung-chirurgie
[introtext] => 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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[created] => 2015-01-30 15:21:08
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[value] => Array
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[slider_custom_labels] => label_any ## label_50 ## label_150 ## label_600 ## label_any
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[display] =>
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[manueller_link] => stdClass Object
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[text] => 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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[0] => Laparoskopie
[1] => Standard Magen- und Darm-Chirurgie
[2] => Standard Urogenital-Chirurgie
[3] => Leberchirurgie (Portosystemischer Shunt)
[4] => Tumorresektion mit Defektrekonstruktion
[5] => Nebennierenoperation
[6] => Hautplastiken bzw. freie Hauttransplantation
[7] => Thorakale Eingriffe
[8] => Wundversorgung und -rekonstruktion (Vakuumassistierte Wundbehandlung)
[9] => Chylothoraxversorgung
[10] => Herzbeutelentfernung (Perikardresektion)
[11] => Otitisoperationen (Zepp, Ohrablation, Bullaosteotomie)
[12] => Kehlkopflateralisierung
[13] => Bissverletzungen und andere traumatische Wunden (z.B. Pfählung oder Stöckchenverletzung)
[14] => Frakturversorgung
[15] => Gelenkoperationen ( Kreuzbandriss [TPLO, TightRope], Femurkopfhalsresektion)
[16] => Sehnenverletzungen (z.B. Achillessehnenabriss)
[17] => Gelenkversteifung (Arthrodese)
[18] => Arthroskopie
[19] => Lipomentfernung durch Liposuktion
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[0] => 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.
[1] => 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.
[2] => 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.
[3] => 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.
[4] => Große Tumoren an der Körperoberfläche erfordern eine umfangreiche und genaue Operationsplanung, wobei zum Teil Verschiebeplastiken oder freie Hauttransplantationen angewendet werden müssen.
[5] => 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.
[6] => 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.
[7] => 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.
[8] => 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.
[9] => 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).
[10] => 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.
[11] => 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.
[12] => 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.
[13] => 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.
[14] => 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.
[15] => 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.
[16] => 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.
[17] => 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.
[18] => 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.
[19] => 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.
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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
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[1] => 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.
[2] => 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.
[3] => 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.
[4] => Zwei mobile Röntgengeräte (C-Bögen) in zwei verschiedenen Operationssälen ermöglichen Röntgenuntersuchungen noch während einer Operation. So kann beispielsweise bei der Versorgung von Knochenbrüchen intraoperativ die Position der Implantate überprüft und gegebenenfalls korrigiert werden.
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slug:1699:abteilung-chirurgie
catid:497
maincat_alias:abteilungen
Chirurgie
› Zur Abteilung
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[introtext] => Hals-Nasen-Ohren-Heilkunde
NEWS aus der Abteilung - Neue Therapie bei Nasentumoren - Atemnot bei Bull Terriern
Die HNO-Abteilung unserer Klinik besteht seit über zehn Jahren und ist die einzige universitäre Hals-Nasen-Ohren Abteilung für Hunde und Katzen im gesamten deutschsprachigen Raum. Zehn spezialisierte Tierärzte befassen sich ausschließlich mit den Erkrankungen der oberen Atemwege und der Ohren.
Wesentliche Spezialgebiete sind minimalinvasive endoskopische Operationen und Laserchirurgie. Wichtige neue Operationstechniken wurden in Leipzig entwickelt. Patienten werden aus ganz Europa nach Leipzig überwiesen, es reisen sogar Tierbesitzer aus den Vereinigten Staaten an.
Häufig gestellte Fragen zur Brachyzephalie
Kontaktformular zur HNO-Abteilung
Freie Stellen in der Abteilung
Zurück zur Abteilungsübersicht
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[related_items] =>
[search_index] => vvvAbteilungen | vvvParallax | vvvHals-Nasen-Ohren-Heilkunde | vvvOechtering.vvvGerhard | vvv2021-06 | vvvSuper vvvAdministrator | vvv2015-01 | vvvHals-Nasen-Ohren-Heilkunde vvvNEWS vvvaus vvvder vvvAbteilung - vvvNeue vvvTherapie vvvbei vvvNasentumoren - vvvAtemnot vvvbei vvvBull vvvTerriern vvvDie vvvHNO-Abteilung vvvunserer vvvKlinik vvvbesteht vvvseit vvvüber vvvzehn vvvJahren vvvund vvvist vvvdie vvveinzige vvvuniversitäre vvvHals-Nasen-Ohren vvvAbteilung vvvfür vvvHunde vvvund vvvKatzen vvvim vvvgesamten vvvdeutschsprachigen vvvRaum. vvvZehn vvvspezialisierte vvvTierärzte vvvbefassen vvvsich vvvausschließlich vvvmit vvvden vvvErkrankungen vvvder vvvoberen vvvAtemwege vvvund vvvder vvvOhren. vvvWesentliche vvvSpezialgebiete vvvsind vvvminimalinvasive vvvendoskopische vvvOperationen vvvund vvvLaserchirurgie. vvvWichtige vvvneue vvvOperationstechniken vvvwurden vvvin vvvLeipzig vvventwickelt. vvvPatienten vvvwerden vvvaus vvvganz vvvEuropa vvvnach vvvLeipzig 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vvvund vvvBehandlung vvvvon vvvErkrankungen vvvder vvvOhren | vvvLasereingriffe vvvin vvvder vvvUrologie | vvvErkrankungen vvvder vvvoberen vvvAtemwege vvvsind vvvoft vvvmit vvvNiesen, vvvNasenausfluss, vvvHusten, vvvAtemgeräuschen vvvoder vvvAtemnot vvvverbunden. vvvDa vvvman vvvdie vvvoberen vvvAtemwege vvvweder vvvvon vvvaußen vvvbetrachten vvvnoch vvvbetasten vvvkann, vvvsind vvvhäufig vvvUntersuchungen vvvin vvvNarkose vvvnotwendig. vvvDazu vvvzählt vvvdie vvvEndoskopie (vvvSpiegelung) vvvvon vvvNase, vvvNasenrachen, vvvKehlkopf vvvund vvvLuftröhre vvvsowie vvvin vvvZusammenarbeit vvvmit vvvder vvvAbteilung vvvfür vvvbildgebende vvvDiagnostik vvvdie vvvComputertomographie (vvvCT) vvvund vvvdie vvvMagnetresonanztomographie (vvvMRT). vvvEine vvvspezielle vvvDiagnostik vvvwird vvvdurch vvvdie vvvendoskopische vvvProbenentnahme vvvfür vvvpathohistologische, vvvzytologische vvvoder vvvmikrobiologische vvvUntersuchungen vvvmöglich. | vvvDie vvvvöllig vvvübertriebene vvvZucht vvvauf vvvKurzköpfigkeit vvvhat vvvbei vvveinigen vvvsogenannten vvvbrachyzephalen vvvHunde- vvvund vvvKatzenrassen vvvzu vvveiner vvvdauerhaften vvvVerengung vvvder vvvoberen vvvAtemwege vvvgeführt. vvvViele vvvdieser vvvTiere vvvquälen vvvsich vvvtagsüber vvvbei vvvBelastung vvvoder vvvWärme vvvund vvvhaben vvvauch vvvnachts vvvErstickungsanfälle. vvvWir vvvhaben vvvin vvvLeipzig vvvmoderne vvvOperationsverfahren, vvvdie vvvsogenannte vvvMulti-Level-Chirurgie vvventwickelt, vvvbei vvvdenen vvvendoskopisch vvvoder vvvunter vvvdem vvvOperationsmikroskop vvvdiese vvvEngstellen vvverweitert vvvwerden. vvvBei vvvder vvvAla-Vestibuloplastik vvvwerden vvvdie vvväußeren vvvNasenöffnungen vvverweitert vvvund vvvdie vvvVerschlußfalte vvvdes vvvNasenvorhofs vvventfernt. vvvIn vvvder vvvNasenhöhle vvvwerden vvvmit vvvHilfe vvvder vvvLATE-Chirurgie vvvverstopfende vvvNasenmuscheln vvvund vvveinengende vvvSchwellkörper vvvlaserassistiert vvventfernt. vvvDas vvvGaumensegel vvvwird vvvgekürzt (vvvStaphylektomie), vvvvorgefallene vvvKehlkopftaschen vvvreseziert vvvund vvvein vvvinstabiler vvvKehlkopf vvvchirurgisch vvvversorgt. | vvvLeider vvvwird vvvvon vvvden vvvHunde- vvvund vvvKatzenzuchtverbänden vvvdas vvvProblem vvvder vvvAtemnot vvvdurch vvvangezüchtete vvvEngstellen vvvzu vvvwenig vvvberücksichtigt vvvund vvvbisweilen vvvauch vvvbewusst vvvignoriert. vvvBei vvvden vvvbrachyzephalen vvvTieren (vvvzum vvvBeispiel vvvMops, vvvfranzösische vvvund vvvenglische vvvBulldogge, vvvBoston vvvTerrier vvvund vvvPerserkatzen) vvvwurde vvvdie vvvNase vvverst vvvkurz vvvgezüchtet vvvund vvvheute vvvfehlt vvvsie vvvbei vvvvielen vvvTieren vvvganz. vvvAuch vvvder vvvTrend, vvvextrem vvvkleine vvvTiere vvvzu vvvzüchten (vvvMiniaturisierung), vvvführt vvvzu vvveiner vvvkrankhaften vvvVerengung vvvder vvvoberen vvvAtemwege vvvund vvvzu vvvanhaltender vvvAtemnot. vvvDie vvvKörper vvvunserer vvvHunde vvvund vvvKatzen vvvsind vvvkein vvvSpielzeug, vvvdas vvvman vvvbeliebig vvvverformen vvvdarf. | vvvFrüher vvvmussten vvvbei vvvErkrankungen vvvder vvvoberen vvvAtemwege vvvdie vvvNasenhöhle, vvvder vvvNasenrachen vvvoder vvvdie vvvStirnhöhlen vvvchirurgisch vvvaufwendig vvveröffnet vvvund vvvder vvvschützende vvvKnochen vvvaufgefräst vvvwerden. vvvHeute vvvkönnen vvvwir vvvglücklicherweise vvvmit vvvmodernsten vvvEndoskopen vvvund vvvspeziellen vvvsehr vvvschmalen vvvchirurgischen vvvInstrumenten vvvfast vvvalle vvvdiese vvvOperationen vvvminimalinvasiv vvvdurch vvvdie vvvNasenöffnung vvvdurchführen. vvvSo vvvkönnen vvvwir vvvheute vvvFremdkörper, vvvPolypen vvvoder vvvgutartige vvvTumore vvvendoskopisch vvvdurch vvvdie vvvNasenöffnungen vvventfernen. vvvAuf vvvdem vvvselben vvvWeg vvvkönnen vvvPilzinfektionen vvvder vvvNase vvvund vvvder vvvStirnhöhle vvvgespült vvvund vvvbehandelt vvvwerden. vvvDie vvvWeitung vvvnasopharyngealer vvvStenosen vvverfolgt vvvdurch vvvcomputergestützte vvvendoskopische vvvChirurgie vvvoder vvvLaserchirurgie. | vvvOperationen vvvam vvvKehlkopf, vvvbeispielsweise vvvan vvvden vvvStimmbändern, vvvsind vvvsehr vvvanspruchsvoll vvvund vvvbenötigen vvveine vvvoptimale vvvSicht vvvund vvvbesondere vvvVergrößerung vvvdes vvvOperationsfeldes. vvvDies vvvwird vvvuns vvvmöglich, vvvdurch vvvein vvvhochmodernes vvvOperationsmikroskop, vvvdas vvvdem vvvChirurgen vvveine vvvexzellente vvvSicht vvvin vvvHD vvvQualität vvvauf vvvden vvvKehlkopf vvvbietet. vvvBei vvvmanchen vvvkleineren vvvHunderassen, vvvhier vvvbesonders vvvder vvvYorkshire vvvTerrier vvvund vvvder vvvChihuahua, vvvwird vvveine vvvsogenannte vvvkollabierende vvvLuftröhre vvvvererbt. vvvAuch vvvhierauf vvvwird vvvin vvvder vvvprofessionellen vvvHundezucht vvvviel vvvzu vvvwenig vvvgeachtet. vvvDie vvvAuswirkungen vvvauf vvvbetroffene vvvTiere vvvsind vvvschrecklich. vvvBeim vvvkräftigen vvvEinatmen, vvvbeispielsweise vvvwenn vvvder vvvHund vvvsich vvvfreut, vvvklappt vvvdie vvvLuftröhre vvvzusammen, vvvdas vvvTier vvvbekommt vvvkeine vvvLuft vvvmehr vvvund vvverleidet vvveinen vvvmassiven vvvHustenanfall. vvvIn vvvschlimmen vvvFällen vvvverlieren vvvdie vvvTiere vvvdas vvvBewusstsein vvvwegen vvvakutem vvvSauerstoffmangel. vvvWährend vvvman vvvdiese vvvBeschwerden vvvbei vvvmilderen vvvFormen vvvmit vvvhustenstillenden vvvMitteln vvvlindern vvvkann, vvvmuss vvvman vvvbei vvvausgeprägtem vvvKehlkopf-Kollaps vvveine vvvinnere vvvStabilisierung vvveinbringen, vvvdie vvvein vvvZusammenklappen vvvder vvvzu vvvweichen vvvLuftröhrenknorpel vvvbeim vvvEinatmen vvvverhindert. vvvUm vvvsolche vvvsogenannten &vvvquot;Stents" vvveinzusetzen, vvvmüssen vvvwir vvvdie vvvTiere vvvzunächst vvvendoskopieren (vvvdie vvvLuftröhre vvvspiegeln), vvvdann vvvim vvvComputertomografen vvvden vvvgenauen vvvDurchmesser vvvbestimmen, vvvum vvvabschließend vvveine vvvgenau vvvauf vvvdas vvverkrankte vvvTier vvvabgestimmte vvvinnere vvvSchienung (vvvStent) vvveinzubringen. vvvAll vvvdies vvverfolgt vvvebenfalls vvvrein vvvendoskopisch vvvund vvvohne vvvChirurgie. | vvvIn vvvder vvvmodernen vvvOhrenheilkunde vvverlauben vvvdie vvvtechnischen vvvMöglichkeiten, vvvendoskopisch vvvden vvväußeren vvvGehörgang, vvvdas vvvTrommelfell vvvund vvvdas vvvMittelohr (vvvBulla vvvtympanica) vvvselbst vvvbei vvvkleinen vvvHunden vvvund vvvKatzen vvvzu vvvuntersuchen vvvund vvvzu vvvbehandeln. vvvMinimalinvasiv vvvkönnen vvvFremdkörper vvvund vvvPolypen vvvaus vvvdem vvväußeren vvvGehörgang vvvoder vvvsogar vvvdem vvvMittelohr vvventfernt vvvwerden. vvvBei vvvErkrankungen vvvdes vvvMittelohres vvvkann vvveine vvvPunktion vvvdes vvvTrommelfells (vvvMyringotomie) vvvund vvvSpülung vvvder vvvBulla vvvtympanica vvvnotwendig vvvsein. vvvEndoskopische vvvPunktion vvvdes vvvTrommelfells vvvund vvvAbsaugen vvvvon vvvSchleim vvvEin vvvHörtest (vvvBAER- vvvbrain vvvstem vvvauditory vvvevoked vvvresponse) vvvwird vvvin vvvZusammenarbeit vvvmit vvvder vvvAbteilung vvvNeurologie vvvangeboten. vvvAuch vvvdie vvvErkrankungen vvvdes vvvInnenohres vvvwerden vvvmit vvvden vvvNeurologen vvvgemeinsam vvvbehandelt. vvvFür vvvbestimmte vvvErkrankungen vvvdes vvvMittelohres vvvkönnen vvvauch vvvdie vvvKollegen vvvder vvvAbteilung vvvChirurgie vvvzu vvvRate vvvgezogen vvvwerden vvvund vvvfür vvvden vvväußeren vvvGehörgang vvvdie vvvDermatologie, vvvAbteilung vvvInneren vvvMedizin | vvvNeben vvvden vvvklassischen vvvHNO-Eingriffen vvvführen vvvwir vvvauch vvvlaserchirurgische vvvEingriffe vvvbei vvvurologischen vvvPatienten vvvdurch. vvvDie vvvHarninkontinenz vvvbei vvvjungen vvvHunden vvvist vvvhäufig vvvFolge vvvangeborener vvvektoper vvvUreteren. vvvDies vvvkann vvvdurch vvveinen vvvminimal-invasiven, vvvendoskopischen vvvEingriff vvvmit vvvLaserlicht (vvvLaserablation) vvvtherapiert vvvwerden. vvvBlasensteine vvvoder vvvSteine vvvin vvvder vvvHarnröhre, vvvdie vvvzu vvvEntzündungen vvvoder vvvStörungen vvvbeim vvvHarnabsatz vvvführen, vvvkönnen vvvmit vvvHilfe vvvvon vvvLaserstrahlen vvvzertrümmert vvvwerden (vvvLaserlithotripsie). . . vvvEndoskopischer vvvBlick vvvauf vvvdie vvvMündungen vvvder vvvHarnleiter vvvin vvvdie vvvBlase. | vvvForschungsschwerpunkte | vvvMittelohrerkrankungen (vvvOtitis vvvmedia) vvvbei vvvder vvvKatze | vvvEndoskopisch vvvinterventionelle vvvZytoreduktion vvvbei vvvNasentumoren | vvvMinimal-invasive vvvChirurgie vvvim vvvKopf-Hals-Bereich | vvvZuchtbedingte vvvFehlbildungen vvvder vvvoberen vvvAtemwege vvvund vvvder vvvOhren | vvvDas vvvnasale vvvMikrobiom vvvbei vvvHund vvvund vvvKatze | vvvPhagentherapie vvvbei vvvInfektionen vvvmit vvvmultiresistenten vvvErregern | vvvMittelohrerkrankungen vvvbei vvvKatzen vvvumfassen vvvchronische vvvMittelohrfüllungen vvvmit vvvund vvvohne vvvBildung vvvvon vvvGranulationsgewebe (vvvPolyp), vvvdie vvvsich vvvin vvvklinischen vvvSymptomen vvvvergleichbar vvvzu vvveiner vvvOtitis vvvexterna vvväußern vvvkönnen. vvvDadurch, vvvdass vvvdas vvvMittel- vvvund vvvdas vvvInnenohr vvveng vvvbeieinander vvvlokalisiert vvvsind, vvvbesteht vvvdie vvvGefahr vvveiner vvvotogenen vvvEnzephalitis. vvvDie vvvTherapie vvvder vvvOtitis vvvmedia vvvstellt vvveine vvvEntfernung vvvdes vvvdas vvvMittelohr vvvauskleidenden vvvEpithels vvvdar vvvund vvvwird vvvin vvvder vvvHNO vvvAbteilung vvvendoskopisch vvvinterventionell vvvdurchgeführt. vvvAuch vvveine vvvbegleitende vvvmedikamentelle vvvTherapie vvvist vvvfür vvveinen vvvTherapieerfolg vvventscheidend. vvvEine vvvweitere vvvErforschung vvvsowohl vvvder vvvendoskopischen vvvTherapie vvvwie vvvauch vvvder vvvmedikamentellen vvvTherapie, vvvdie vvvzusätzlich vvveiner vvvRezidivbildung vvvvorbeugen vvvkönnen, vvvsind vvvein vvvwichtiger vvvBestandteil vvvunserer vvvForschung. | vvvNasale vvvNeoplasien vvvbei vvvHund vvvund vvvKatze vvvsind vvvin vvvder vvvRegel vvvmaligne. vvvDie vvvMetastasierungsrate vvvist vvvmeist vvvgering. vvvDie vvvklinischen vvvSymptome vvvund vvvihre vvvSchwere vvvfür vvvdas vvvbetroffene vvvTier vvvsind vvvdurch vvvdie vvvGröße vvvund vvvAusdehnung vvvdes vvvTumors vvvbedingt, vvvob vvveine vvvoder vvvbeide vvvNasenhöhlen vvvbetroffen vvvsind, vvvob vvves vvvbereits vvvzu vvveiner vvvExpansion vvvdurch vvvknöcherne vvvStrukturen vvvin vvvdas vvvumliegende vvvWeichteilgewebe vvvgekommen vvvist vvvoder vvvob vvvder vvvTumor vvvüber vvvden vvvBulbus vvvolfactorius vvvdas vvvGroßhirn vvvinfiltriert vvvhat. vvvBei vvveiner vvvVerlegung vvvdes vvvNasenausgangs vvvdurch vvvdie vvvTumormasse vvvist vvvdas vvvbetroffene vvvTier vvvnicht vvvmehr vvvfähig vvvdurch vvvdie vvvNase vvvzu vvvatmen, vvvseine vvvTemperatur vvvadäquat vvvzu vvvregulieren vvvbzw. vvvzu vvvschlafen. vvvTritt vvvdies vvvein, vvvkommt vvves vvvsomit vvvmeist vvvzu vvveiner vvvdrastischen vvvVerschlechterung vvvdes vvvAllgemeinbefindens vvvdes vvvTieres. vvvDie vvvendoskopisch vvvzytoreduktive vvvTherapie vvvzur vvvEntfernung vvvvon vvvnasalen vvvNeoplasien vvvhat vvvsich vvvals vvveine vvvsehr vvvgute vvvchirurgische vvvTherapie vvvim vvvVergleich vvvzur vvvlokalen vvvBestrahlungstherapie vvverwiesen. vvvDie vvvForschung vvvan vvvzusätzlichen vvvadditiven vvvmedikamentellen vvvTherapieoptionen vvvstellt vvveinen vvvzentralen vvvBestandteil vvvunserer vvvForschung vvvdar. | vvvChirurgische vvvErkrankungen vvvder vvvoberen vvvAtemwege vvvund vvvdes vvvOhres vvvsind vvvoft vvveine vvvgroße vvvHerausforderung, vvvda vvvbereits vvvder vvvklassische vvvchirurgische vvvZugang vvvmit vvveinem vvverheblichen vvvGewebe-Trauma vvvverbunden vvvist. vvvWir vvvforschen vvvseit vvvvielen vvvJahren vvvauf vvvdem vvvGebiet vvvder vvvVerbesserung vvvvon vvvminimal-invasiven vvvTechniken. vvvDabei vvvwird vvvnicht vvvmit vvvdem vvvSkalpell vvvdas vvvOperationsgebiet vvvfreigelegt, vvvsondern vvvder vvvZugang vvverfolgt vvvüber vvvfeine vvvEndoskope vvvunter vvvgrößtmöglicher vvvSchonung vvvdes vvvumliegenden vvvGewebes. vvvMit vvvfeinen vvvsehr vvvspeziellen vvvInstrumenten vvvwird vvvdann vvvdurch vvvden vvvArbeitskanal vvvdes vvvEndoskops vvvoder vvvbei vvvuns vvvmeistens vvvparallel vvvzum vvvEndoskop vvvoperiert. | vvvDurch vvvübertriebene vvvZuchtauslese vvvwurde vvvbei vvvvielen vvvbrachyzephalen vvvRassen vvvdie vvvNase vvvnahezu „vvvweggezüchtet“, vvvmit vvverheblichen vvvanatomischen vvvund vvvfunktionellen vvvKonsequenzen. vvvZusätzlich vvvzu vvvrespiratorischen vvvund vvvolfaktorischen vvvAufgaben vvvist vvvdie vvvHundenase vvvvon vvvvitaler vvvBedeutung vvvfür vvvdie vvvThermoregulation. vvvHunde vvvsind vvvobligate vvvNasenatmer vvvund vvvleiden vvvbei vvvjeder vvvEinschränkung vvvder vvvnasalen vvvVentilation vvvwesentlich vvvstärker vvvals vvvder vvvMensch. vvvEine vvvoffene vvvDiskussion vvvin vvvder vvvGesellschaft vvvmuss vvvdas vvvHandlungsbedürfnis vvvvon vvvBehörden vvvund vvvZuchtverbänden vvvsteigern, vvvdie vvvZucht vvvauf vvvextreme vvvBrachyzephalie vvvals vvvtierschutzrelevante vvvForm vvvder vvvQualzucht vvvzu vvverkennen vvvund vvventsprechend vvvzu vvvhandeln. | vvvUntersuchungen vvvzum vvvNachweis vvvvon vvvbakteriellen vvvSpezies vvvin vvvder vvvNase vvvvon vvvgesunden vvvHunden vvvund vvvvon vvvHunden vvvmit vvvErkrankungen vvvder vvvNasenschleimhaut vvvsollen vvvzukünftig vvvhelfen, vvvbestimmte vvvKrankheitsbilder vvvfrühzeitig vvvzu vvverkennen vvvund vvveffektiver vvvtherapieren vvvzu vvvkönnen. vvvWir vvvarbeiten vvvhier vvveng vvvmit vvvder vvvArbeitsgruppe vvvvon vvvDr. vvvAntonis vvvChatzinotas vvvim vvvHelmholtz-Zentrum vvvfür vvvUmweltforschung vvvzusammen. | vvvDas vvvVorkommen vvvund vvvdie vvvRolle vvvvon vvvmultiresistenten vvvErregern vvvin vvvder vvvHundenase vvvbei vvvbestimmten vvvErkrankungen vvvder vvvNasenschleimhaut vvvist vvvnoch vvvnicht vvvvollständig vvvgeklärt. vvvDurch vvvdie vvvgezielte vvvBehandlung vvvvon vvvmultiresistenten vvvErregern vvvmit vvvBakteriophagen vvvkönnten vvvKrankheitsbilder vvvweiter vvverforscht vvvund vvvbesser vvvtherapiert vvvwerden. vvvDie vvvForschungsarbeiten vvvhierzu vvvwerden vvvin vvvKooperation vvvmit vvvder vvvArbeitsgruppe vvvvon vvvDr. vvvAntonis vvvChatzinotas vvvim vvvHelmholtz-Zentrum vvvfür vvvUmweltforschung vvvdurchgeführt. | vvvBesondere vvvAusstattung | vvvHochauflösende vvvHD-Video-Endoskopie | vvvOperationsmikroskop | vvvLaserchirurgie | vvvDiodenlaser vvv30 vvvWatt | vvvCO₂ vvvLaser vvv50 vvvWatt | vvvHolmium-YAG vvvLaser vvv50 vvvWatt | vvvHochfrequenz-Jet-Ventilation vvvfür vvvKehlkopf &vvvamp; vvvLuftröhreneingriffe | vvvNavigation (vvvComputernavigierte vvvendoskopische vvvEingriffe) | vvvAn vvvzwei vvvhochmodern vvvausgestatteten vvvArbeitsplätzen vvvstehen vvvalle vvvzur vvvUntersuchung vvvder vvvoberen vvvAtemwege vvvund vvvder vvvOhren vvvnotwendigen vvvstarren vvvund vvvflexiblen vvvEndoskope vvvzur vvvVerfügung. vvvSämtliche vvvUntersuchungen vvvund vvvOperationen vvvkönnen vvvin vvvHD vvvQualität vvvaufgezeichnet vvvwerden. | vvvEin vvvHigh-End vvvOperationsmikroskop vvvermöglicht vvvdem vvvChirurgen vvvauch vvvbei vvvkomplizierten vvvEingriffen vvvmit vvveinem vvvsehr vvveingeschränkten vvvSichtfeld vvveinen vvvgestochen vvvscharfen vvvBlick vvvauf vvvdas vvvOperationsfeld. | vvvDie vvvLeipziger vvvHNO-Abteilung vvventwickelt vvvseit vvvüber vvvzehn vvvJahren vvvneue vvvOperationsmethoden vvvim vvvBereich vvvder vvvoberen vvvAtemwege vvvund vvvdes vvvOhres. vvvDurch vvvden vvvEinsatz vvvmodernster vvvChirurgie-Laser vvvwird vvves vvvmöglich, vvvpraktisch vvvohne vvvBlutungen vvvund vvvmit vvveinem vvvminimalen vvvTrauma vvvfür vvvdie vvvUmgebung vvvzu vvvoperieren. | vvvEin vvvleistungsfähiger vvvDiodenlaser vvvkommt vvvvor vvvallem vvvbei vvvOperationen vvvinnerhalb vvvder vvvNasenhöhle vvvund vvvan vvvden vvvSchleimhäuten vvvin vvvder vvvMaulhöhle vvvzum vvvEinsatz. vvvDa vvvdie vvvLaserenergie vvvdieser vvvWellenlänge vvveine vvvkurze vvvDistanz vvvin vvvdas vvvGewebe vvveindringt, vvvwerden vvvtiefer vvvliegende vvvBlutgefäße vvvkoaguliert, vvvbevor vvvsie vvvdurch vvvden vvveigentlichen vvvSchnitt vvvdurchtrennt vvvwerden. vvvDies vvvgestattet vvvein vvvnahezu vvvblutungsfreies vvvOperieren. vvvDa 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[subheadline] => stdClass Object
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[slider_custom_labels] => label_any ## label_50 ## label_150 ## label_600 ## label_any
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[manueller_link] => stdClass Object
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[auto_value_code] => fields;
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{
$vals[$i] = 'Auto : ' . $v;
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return $vals;
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$values[$i] = 'Example ' . $i . ' : ' . $v;
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[linktext] => stdClass Object
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[auto_value_code] => fields;
if ( !isset($F['fieldname01']) ) return array('fieldname01 field not found');
$vals = array();
foreach($F['fieldname01']->postdata as $i => $v)
{
$vals[$i] = 'Auto : ' . $v;
}
return $vals;
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[maxlength] =>
[size] => 30
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[import_fv_ccode] => parameters->get('some_param');
foreach($values as $i => $v)
{
$values[$i] = 'Example ' . $i . ' : ' . $v;
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return $values;
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return 'Value length is: '. $value_length;
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[title] => Innere Medizin
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[introtext] => Innere Medizin
Freie Stellen in der Abteilung
Die Innere Medizin als ein Teilgebiet der Medizin, beschäftigt sich mit der Diagnostik und nicht- oder minimal-invasiven Behandlung der Krankheiten innerer Organe. Im Rahmen der Dermatologie befassen wir uns auch mit Erkrankungen der Haut und des äußeren Ohres. Mit der Diagnose und Therapie von Erkrankungen des Herz-Kreislaufsystems beschäftigen wir uns im Fachbereich der Kardiologie. Neun Tierärzte sind mit der internistischen, intensivmedizinischen, kardiologischen und dermatologischen Betreuung von Hunden, Katzen und Heimtieren betraut. Unser zentrales Anliegen ist eine am Wohlergehen des Patienten ausgerichtete, individuelle medizinische Abklärung und Behandlung. Eine modernste Ausstattung ermöglicht hierbei den Einsatz neuester (State-of-the-Art) Untersuchungs- und Behandlungsmethoden.
Zurück zur Abteilungsübersicht
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(vvvZytologie) vvvbzw. vvvGewebeproben (vvvHistopathologie). vvvAnhand vvvdieser vvvBefunde vvverfolgt vvvdie vvvBeurteilung vvvder vvvTumoreigenschaften (vvvsog. vvvTumor-Grading) vvvund vvvdie vvvStadieneinteilung vvvder vvvTumorerkrankung (vvvsog. vvvTumor-Staging). vvvFür vvvdie vvvTherapie vvvvon vvvTumorerkrankungen vvvführen vvvwir vvvverschiedene vvvChemotherapien vvvdurch. vvvDabei vvvkann vvvin vvvder vvvRegel vvvzwischen vvveiner vvvChemotherapie vvvmit vvvdem vvvZiel vvvder vvvTumorbekämpfung (vvvkonventionelle vvvzytostatische vvvChemotherapie) vvvund vvveiner vvvsolchen, vvvdie vvvauf vvvdie vvvStabilisierung vvvder vvvTumorerkrankung vvvabzielt (vvvmetronomische vvvantiangiogene vvvChemotherapie), vvvgewählt vvvwerden. vvvÜber vvvdas vvvindividuelle vvvChemotherapieprotokoll vvventscheiden vvvdabei vvvdie vvvEignung vvvund vvvder vvvzu vvverwartende vvvErfolg vvvfür vvvdie vvventsprechende vvvTumorerkrankung, vvvder vvvallgemeine vvvZustand vvvdes vvvPatienten vvvund vvvdie vvvWünsche vvvdes vvvPatientenbesitzers. vvvSpezialverfahren (vvvz.vvvB. vvvLaserablation vvvvon vvvTumorgewebe vvvim vvvBereich vvvdes vvvHarnblasenhalses, vvvEinlegen vvveines vvvStents vvvzum vvvOffenhalten vvvder vvvHarnröhre) vvvlassen vvvsich vvvebenfalls vvvbei vvvTumorerkrankungen vvveinsetzen. vvvFür vvveine vvvonkologische vvvChirurgie vvvwerden vvvSpezialisten vvvder vvvAbteilung vvvWeichteilchirurgie vvvhinzugezogen. | vvvIm vvvRahmen vvvder vvvFortpflanzungsmedizin vvvbeschäftigen vvvwir vvvuns vvvmit vvvErkrankungen vvvder vvvweiblichen vvvund vvvmännlichen vvvGeschlechtsorgane, vvvder vvvBestimmung vvvdes vvvoptimalen vvvDeckzeitpunkts, vvvder vvvTrächtigkeit vvvund vvvGeburt vvvsowie vvvmit vvvErkrankungen vvvim vvvZusammenhang vvvmit vvvder vvvMilchproduktion (vvvLaktation). | vvvDas vvvTeilgebiet vvvder vvvDermatologie vvvbefasst vvvsich vvvmit vvvErkrankungen vvvder vvvHaut, vvvhierzu vvvzählen vvvebenso vvvdie vvvPfoten vvvsamt vvvKrallen vvvsowie vvvdas vvväußere vvvOhr vvvbis vvvzum vvvTrommelfell vvvund vvvder vvvNasenspiegel. vvvWie vvvbeim vvvMenschen vvvspielen vvvauch vvvin vvvder vvvTiermedizin vvvallergische vvvErkrankungen vvveine vvvimmer vvvgrößer vvvwerdende vvvRolle (vvvz.vvvB. vvvFuttermittel- vvvoder vvvUmweltallergien). vvvAber vvvauch vvvparasitäre vvvInfektionen (vvvMilben vvvund vvvFlöhe), vvvHormonstörungen (vvvz.vvvB. vvvSchilddrüsenunterfunktion vvvoder vvvNebennierenüberfunktion ), vvvPilze vvvoder vvvAutoimmunerkrankungen vvvkönnen vvvsich vvvüber vvvVeränderungen vvvdes vvvHautbildes, vvvder vvvFellqualität vvvoder vvvJuckreiz vvväußern. vvvDer vvvVorbericht (vvvAnamnese) vvvund vvvdie vvvklinische vvvUntersuchung vvvspielen vvvhierbei vvveine vvvganz vvvbesondere vvvRolle. vvvZusätzlich vvvwerden vvvaus vvvveränderten vvvArealen vvvZellproben (vvvAbklatschzytologie vvvoder vvvHautgeschabsel) vvventnommen vvvund vvvdiese vvvunter vvvdem vvvMikroskop vvvbeurteilt. vvvHierbei vvvgeht vvves vvvvor vvvallem vvvum vvvden vvvNachweis vvvvon vvvBakterien, vvvHefepilzen vvvoder vvvMilben. vvvZusätzlich vvvkönnen vvvauch vvvBlutuntersuchungen vvvoder vvvdie vvvEntnahme vvvvon vvvHautstanzen (vvvBiopsie) vvvin vvvNarkose vvvnotwendig vvvsein. vvvNach vvvder vvvDiagnosestellung vvverfolgt vvveine vvvan vvvdie vvvBedürfnisse vvvdes vvvPatienten vvvindividuell vvvangepasste vvvTherapie vvvmit vvventsprechender vvvTherapiekontrolle. | vvvDie vvvhäufigsten vvvVorstellungsgründe vvvin vvvder vvvkardiologischen vvvAbteilung vvvsind vvvSymptome vvvwie vvverschwerte vvvAtmung, vvvHusten, vvvSchwäche vvvbis vvvKollaps vvvoder vvvim vvvVorfeld vvvaufgefallene vvvveränderte vvvBefunde vvvbei vvvder vvvAuskultation (vvvinsbesondere vvvHerzgeräusch, vvvHerzrhythmusstörung) vvvoder vvvbei vvvanderen vvvVoruntersuchungen (vvvz.vvvB. vvvRöntgenuntersuchung, vvvBluttests). vvvZiel vvvder vvvkardiologischen vvvUntersuchung vvvist vvvder vvvEin- vvvoder vvvAusschluss vvveiner vvvHerzerkrankung. vvvJe vvvnach vvvgestellter vvvDiagnose vvvbesprechen vvvwir vvvmit vvvIhnen vvvPrognose, vvvTherapiebedarf vvvund vvvdie vvventsprechende vvvTherapieempfehlung. vvvAuf vvvdem vvvWeg vvvzur vvvDiagnose vvvstehen vvvdie vvvAnamnese (vvvErfassen vvvder vvvVorgeschichte) vvvund vvvdie vvvklinische vvvUntersuchung. vvvAus vvvden vvvdabei vvverhobenen vvvBefunden vvvergibt vvvsich, vvvwelche vvvweiteren vvvdiagnostischen vvvSchritte vvvfür vvvIhr vvvTier vvvempfehlenswert vvvsind. vvvIn vvvFrage vvvkommen vvvin vvverster vvvLinie vvvdie vvvnachfolgend vvvgenannten vvvVerfahren. vvvDiese vvvUntersuchungen vvvwerden vvvin vvvaller vvvRegel vvvgut vvvtoleriert vvvund vvverfordern vvvweder vvvNarkose vvvnoch vvvSedation. | vvvErkrankungen vvvdurch vvvErreger vvvwie vvvViren (vvvz.vvvB. vvvParvovirose, vvvZwingerhusten), vvvBakterien (vvvz.vvvB. vvvinfektiöse vvvBlutarmut, vvvLeptospirose, vvvSalmonellose) vvvund vvvParasiten (vvvz.vvvB. vvvBandwurmbefall, vvvToxoplasmose) vvvsind vvvbei vvvHund vvvund vvvKatze vvvvon vvvgroßer vvvBedeutung. vvvDas vvvSpektrum vvvvon vvvErregern vvvund vvvbetroffenen vvvOrgansystemen vvvist vvvdabei vvvvielfältig. vvvJe vvvnach vvvArt vvvder vvvInfektion vvvkommen vvvverschiedene vvvdiagnostische vvvVerfahren vvvzum vvvEinsatz. vvvDiese vvvbeinhalten vvvden vvvdirekten (vvvz.vvvB. vvvNachweis vvvdes vvvErregers vvvdurch vvvmolekularbiologische vvvMethoden) vvvoder vvvindirekten vvvNachweis vvvdes vvvInfektionserregers (vvvz.vvvB. vvvNachweis vvvvon vvvAntikörpern vvvgegen vvvden vvvErreger), vvvauf vvvdessen vvvGrundlage vvvdie vvvspezifische vvvTherapie vvvabgeleitet vvvwird. | vvvBesondere vvvLeistungen | vvvEndoskopische vvvUntersuchung vvvvon vvvMagen-Darm-, vvvRespirations- vvvund vvvUrogenitaltrakt, vvveinschließlich vvvder vvvEntnahme vvvvon vvvGewebe- vvvund vvvSpülproben vvvsowie vvvFremdkörperentfernungen | vvvInterventionelle vvvVerfahren vvvam vvvMagen-Darm- vvvund vvvUrogenitaltrakt vvveinschließlich vvvBallondilatation vvvvon vvvStrikturen, vvvLasertechniken vvvund vvvdas vvvEinlegen vvvvon vvvStents | vvvLaparoskopische vvvProbenentnahme vvvder vvvLeber vvvund vvvGallenblase | vvvBetreuung vvvvon vvvinternistischen vvvIntensivpatienten vvvinkl. vvvspeziellem vvvErnährungsmanagement vvvüber vvvNahrungssonden vvvoder vvvparenterale vvvErnährung | vvvAspiration vvvund vvvBiopsieentnahme vvvdes vvvKnochenmarks | vvvBeratung vvvund vvvBehandlung vvvonkologischer vvvPatienten, vvvVerabreichung vvvvon vvvChemotherapien | vvvInfektionsstation | vvvBesondere vvvLeistungen vvvder vvvDermatologie | vvvBesondere vvvLeistungen vvvder vvvKardiologie | vvvDie vvvEndoskopie vvvermöglicht vvvdie vvveingehende vvvUntersuchung vvvvon vvvHohlorganen vvvund vvvdie vvvgezielte vvvEntnahme vvvvon vvvGewebe- vvvoder vvvSpülproben vvvunter vvvVerwendung vvveines vvvEndoskops, vvvohne vvvdass vvves vvvhierfür vvveinem vvvchirurgischen vvvEingriff vvvbedarf. vvvDabei vvvkönnen vvvVeränderungen vvvder vvvSchleimhautoberfläche vvvdiagnostiziert vvvund vvvgegebenenfalls vvvauch vvvFremdkörper vvventfernt vvvwerden. vvvVerschiedene vvvEndoskoptypen (vvvflexible vvvund vvvstarre vvvEndoskope) vvvund -vvvgrößen (vvvDurchmesser vvvund vvvLänge) vvvsowie vvventsprechendes vvvZubehör vvvstehen vvvhierfür vvvzur vvvVerfügung. | vvvMinimal-invasive vvvinterventionelle vvvVerfahren vvvkommen vvvbei vvvverschiedenen vvvErkrankungen vvvzum vvvEinsatz vvvund vvvhaben vvvden vvvVorteil, vvvdass vvvein vvvoperativer vvvEingriff vvvmitsamt vvvmöglichen vvvKomplikationen vvvumgangen vvvwerden vvvkann. vvvAm vvvMagen-Darmtrakt vvvkönnen vvvso vvvbeispielsweise vvvBindegewebsspangen (vvvStrikturen) vvvim vvvBereich vvvder vvvSpeiseröhre vvvaufgeweitet vvvwerden, vvvwelche vvvdie vvvAufnahme vvvvon vvvNahrung vvvoft vvverheblich vvvbeeinträchtigen. vvvHierfür vvvwird vvvein vvvspezieller vvvBallonkatheter vvvüber vvvder vvvEngstelle (vvvStriktur) vvvpositioniert vvvund vvvdiese vvvdurch vvvdie vvvBefüllung vvvdes vvvBallons vvvmit vvvLuft vvvoder vvvWasser (vvvunter vvvendoskopischer vvvKontrolle) vvvaufgedehnt. vvvMinimal-invasive vvvLasertechniken vvveignen vvvsich vvvinsbesondere vvvfür vvvdie vvvDurchtrennung vvvvon vvvStrikturen vvvim vvvBereich vvvdes vvvHarn- vvvund vvvGeschlechtsapparates, vvvZertrümmerung vvvvon vvvHarnsteinen (vvvLithotripsie) vvvund vvvdie vvvKorrektur vvveiner vvvverlagerten vvvEinmündung vvvdes vvvHarnleiters vvvin vvvdie vvvHarnblase (vvvEktopie), vvvsofern vvvder vvvbetroffene vvvHarnleiter vvvtunnelartig vvvin vvvder vvvHarnblasenwand vvvverläuft. vvvBei vvvStrikturen vvvoder vvvTumoren, vvvwelche vvvdie vvvHarnröhre vvvverlegen vvvund vvvden vvvHarnabsatz vvvbehindern, vvvbietet vvvsich vvvdie vvvMöglichkeit vvveinen vvvStent vvvin vvvdie vvvHarnröhre (vvvUrethra-Stent) vvveinzulegen, vvvum vvvdiese vvvoffenzuhalten. vvvStents vvvkönnen vvvauch vvvbei vvveiner vvvVerlegung vvvdes vvvHarnleiters (vvvUreter-Stent) vvveingesetzt vvvwerden, vvvum vvveinen vvvstörungsfreien vvvHarnablauf vvvin vvvdie vvvHarnblase vvvzu vvvermöglichen. | vvvDie vvvLaparoskopie vvvist vvvein vvvminimalinvasives vvvVerfahren vvvmit vvvhoher vvvPräzision. vvvEs vvvbeinhaltet vvvdas vvvEinbringen vvveiner vvvStablinsen-Optik (vvvLaparoskop) vvvsowie vvvanderer vvvInstrumente (vvvz.vvvB. vvvZangen vvvfür vvvdie vvvEntnahme vvvvon vvvGewebeproben) vvvdurch vvveinen vvvTrokarzugang (vvvsog. vvvSchlüsselloch-Chirurgie) vvvin vvvder vvvBauchwand. vvvZur vvvBegutachtung vvvvon vvvOrganen vvvund vvvEntnahme vvvvon vvvGewebeproben vvvbedingt vvvdieses vvvVerfahren vvvdas vvvEinblasen (vvvInsufflation) vvvvon vvvGas vvvin vvvdie vvvBauchhöhle. vvvUnter vvvder vvvVerwendung vvveiner vvvLöffelzange vvvwerden vvvGewebeproben vvvder vvvLeber vvventnommen (vvvLeberbiopsie) vvvund vvvanschließend vvvmit vvveiner vvvdünnen vvvKanüle vvvdie vvvGallenblase vvvpunktiert vvvund vvvetwas vvvGalle vvvgewonnen (vvvCholezystozentese). | vvvIm vvvRahmen vvvder vvvVersorgung vvvvon vvvPatienten vvvmit vvvakuten vvvlebensbedrohlichen vvvErkrankungen vvvgewährleisten vvvwir vvvdie vvvintensivmedizinische vvvÜberwachung (vvvz.vvvB. vvvzentraler vvvVenendruck, vvvSauerstoffsättigung, vvvElektrokardiogramm, vvvBlutparameterkontrolle) vvvund vvveine vvvam vvvZustand vvvdes vvvPatienten vvvorientierte vvvindividuelle vvvTherapie vvvwie vvvbeispielsweise vvvSauerstofftherapie, vvvSicherstellung vvvder vvvVersorgung vvvmit vvvNährstoffen vvvbei vvvkritisch vvvkranken vvvPatienten (vvvz.vvvB. vvvüber vvvSondenernährung vvvoder vvvNährstoffversorgung vvvüber vvvdas vvvBlutgefäßsystem ). | vvvDie vvvKnochenmarkspunktion (vvvAspiration) vvvbzw. vvvEntnahme vvveines vvvkleinen vvvKnochenmarkzylinders vvvmittels vvvStanze (vvvBiopsie) vvvwird vvvsehr vvvhäufig vvvzur vvvBeurteilung vvvder vvvBlutbildung vvvund vvvDiagnose vvvvon vvvErkrankungen vvvdes vvvBlutes vvvund vvvder vvvblutbildenden vvvOrgane vvvherangezogen. vvvDie vvvProbengewinnung vvverfolgt vvvdabei vvvmit vvvHilfe vvveiner vvvHohlnadel. | vvvFür vvvdie vvvTherapie vvvvon vvvTumorerkrankungen vvvkommen vvvhäufig vvvverschiedene vvvTherapieformen vvvin vvvBetracht. vvvHier vvvberaten vvvwir vvvSie vvvgern vvvim vvvHinblick vvvauf vvvdie vvvoptimale vvvGestaltung vvvder vvvTumortherapie. | vvvBei vvveiner vvvInfektion vvvmit vvvErregern, vvvdie vvvfür vvvandere vvvHunde vvvund vvvKatzen vvvhochansteckend vvvsein vvvkönnen (vvvz.vvvB. vvvParvovirose, vvvZwingerhusten), vvvwerden vvvPatienten vvvbei vvvuns vvvauf vvveiner vvvausschließlich vvvhierfür vvvvorgesehenen vvvund vvventsprechend vvvausgestatteten vvvInfektionsstation vvvbehandelt, vvvum vvvdas vvvRisiko vvvder vvvÜbertragung vvvsolcher vvvErreger vvveinzudämmen. | vvvZu vvvden vvvbesonderen vvvLeistungen vvvder vvvDermatologie vvvzählen vvvdie vvvEntnahme vvvvon vvvHautgeschabseln vvvzum vvvNachweis vvvvon vvvParasiten, vvvAnfertigung vvveines vvvTrichogramms vvvzur vvvBeurteilung vvvder vvvHaarstruktur, vvvAnlegen vvvvon vvvPilzkulturen, vvvZellproben (vvvZytologien) vvvzum vvvNachweis vvvvon vvvBakterien vvvoder vvvHefen vvvauf vvvder vvvHaut vvvoder vvvim vvvOhr, vvvErstellung vvveiner vvvindividuellen vvvAusschlussdiät vvvbei vvvFuttermittelallergikern, vvvEntnahme vvvvon vvvGewebeproben vvvder vvvHaut (vvvHautbiopsien), vvvAntikörper-basierte (vvvserologische) vvvAllergietests vvvund vvvdie vvvDurchführung vvveiner vvvDesensibilisierung vvvzur vvvgezielten vvvTherapie vvveiner vvvAllergie. | vvvZuchtzulassungsuntersuchung. vvvFür vvvdie vvvRassen, vvvbei vvvdenen vvvvor vvvZuchteinsatz vvveine vvvkardiologische vvvUntersuchung vvvgefordert vvvwird, vvvkönnen vvvwir vvvdiese vvvauch vvvim vvvRahmen vvvdes vvvCollegium vvvCardiologicum vvve.vvvV. vvvsowie vvvPawPeds vvvanbieten. vvvBei vvvder vvvZuchtzulassungsuntersuchungen vvvdenken vvvSie vvvbitte vvvdaran, vvvden vvvStammbaum vvvIhres vvvTieres vvvmitzubringen vvvund vvvmindestens vvv15 vvvMinuten vvvvor vvvdem vvvoffiziellen vvvTermin vvveinzutreffen, vvvdamit vvvdie vvvDaten vvvaufgenommen vvvwerden vvvkönnen. vvvDie vvvKosten vvvfür vvveine vvvreguläre vvvUntersuchung vvvim vvvRahmen vvvdes vvvCardiologicum vvve.vvvV. vvvliegen vvvbei vvv180 €. vvvHerzultraschall (vvvEchokardiografie). vvvDieser vvvSchritt vvvist vvvein vvvintegraler vvvBestandteil vvvder vvvDiagnostik. vvvHier vvvwerden vvvdie vvvStrukturen vvvdes vvvHerzens vvvsowie vvvder vvvBlutfluss vvvdargestellt. vvvDas vvvermöglicht vvvdie vvvDiagnosestellung vvvder vvvmeisten vvvangeborenen vvvund vvverworbenen vvvHerzerkrankungen. vvvRöntgendiagnostik. vvvHier vvvkann vvveine vvvEinschätzung vvvvon vvvHerzgröße vvvund -vvvform vvvsowie vvvinsbesondere vvvder vvvLungendurchblutung vvvvorgenommen vvvwerden. vvvElektrokardiogramm (vvvEKG). vvvIn vvvder vvvTiermedizin vvvdient vvvein vvvEKG vvvin vvverster vvvLinie vvvder vvvAbklärung vvvvon vvvHerzrhythmusstörungen. vvvLangzeit-EKG (vvvHolter-EKG). vvvHier vvvwird vvvüber vvv24 vvvStunden vvvund vvvlänger vvvder vvvHerzrhythmus vvvIhres vvvTieres vvvaufgezeichnet. vvvBesondere vvvBedeutung vvvhat vvvdieser vvvSchritt vvvbei vvvbestimmten vvvHerzrhythmusstörungen vvvund vvvder vvvFrüherkennung vvvbestimmter vvvHerzmuskelerkrankungen vvvbei vvvgefährdeten vvvRassen (vvvz.vvvB. vvvDobermann, vvvBoxer). vvvBlutdruckmessung. vvvDer vvvBlutdruck vvvkann vvvbei vvvHunden vvvund vvvKatzen vvvähnlich vvvwie vvvbei vvvMenschen vvvgemessen vvvwerden vvvund vvvsollte vvvsogar vvvin vvveinem vvvähnlichen vvvBereich vvvliegen. vvvDie vvvUntersuchung vvvsollte vvvin vvvmöglichst vvvruhiger vvvUmgebung vvvund vvventspannter vvvSituation vvverfolgen. vvvDie vvvBlutdruckmanschette vvvwird vvvdabei vvvan vvveiner vvvder vvvvier vvvGliedmaßen (vvvmeist vvvVordergliedmaße) vvvoder vvvam vvvSchwanzansatz vvvangebracht vvvund vvvder vvvsystolische vvvBlutdruck vvvbestimmt. vvvBeratung, vvvTherapieempfehlung, vvvKontrolluntersuchungen. vvvNach vvvder vvvUntersuchung vvvbesprechen vvvwir vvvausführlich vvvmit vvvIhnen vvvdas vvvweitere vvvVorgehen. vvvVor vvvallem vvvdie vvvBedeutung vvvder vvvDiagnose, vvvob vvvund vvvwelche vvvTherapieempfehlung vvvwir vvvgeben vvvund vvvwann vvvKontrolluntersuchungen vvvsinnvoll vvvsind, vvverklären vvvwir vvvIhnen vvvselbstverständlich. vvvVersorgung vvvvon vvvNotfällen. vvvStabilisierung vvvvon vvvPatienten vvvmit vvvAtemnot, vvvHerzbeuteltamponaden vvvoder vvvschweren vvvHerzrhythmusstörungen vvvsind vvvklassische vvvNotfälle vvvin vvvder vvvKardiologie. vvvMedikamentelle vvvNotfalltherapie vvvsowie vvvPunktionen vvvvon vvvErgüssen vvvin vvvBrustkorb vvvoder vvvHerzbeutel vvvwerden vvvdurchgeführt. vvvUnserer vvvIntensivstation vvvist vvvmit vvveiner vvvmodernen, vvvgroßen vvvSauerstoffbox vvvfür vvvdie vvvTherapie vvvvon vvvHunden vvvund vvvKatzen vvvmit vvvAtemnot vvvausgestattet. vvvErgänzend vvvwird vvvIhr vvvTier vvvbis vvvzur vvvStabilisierung vvvintensivmedizinisch vvvüberwacht. | vvvBesondere vvvAusstattung | vvvVideoendoskopie (vvvflexible vvvund vvvstarre vvvEndoskope) | vvvKardiologie | vvvIntensivstation | vvvKlinik-Labor | vvvDioden- vvvund vvvHolmium:YAG-Laser | vvvInterventionelle vvvRadiologie/Interventionelle vvvEndoskopie | vvvDie vvvEndoskopie vvvermöglicht vvvdie vvveingehende vvvUntersuchung vvvvon vvvHohlorganen (vvvz.vvvB. vvvMagen-Darmtrakt, vvvAtemwege, vvvHarn- vvvund vvvGeschlechtsapparat) vvvoder vvvKörperhöhlen (vvvz.vvvB. vvvBauchhöhle) vvvund vvvdie vvvgezielte vvvEntnahme vvvvon vvvGewebe- vvvoder vvvSpülproben vvvunter vvvVerwendung vvveines vvvEndoskops, vvvohne vvvdass vvves vvvhierfür vvveinem vvvchirurgischen vvvEingriff vvvbedarf. vvvDabei vvvkönnen vvvVeränderungen vvvder vvvSchleimhautoberfläche vvvdiagnostiziert vvvund vvvgegebenenfalls vvvauch vvvFremdkörper vvventfernt vvvwerden. vvvVerschiedene vvvEndoskoptypen (vvvflexible vvvund vvvstarre vvvEndoskope) vvvund -vvvgrößen (vvvDurchmesser vvvund vvvLänge) vvvsowie vvventsprechendes vvvZubehör vvvstehen vvvhierfür vvvzur vvvVerfügung. | vvvEchokardiografie (vvvGE vvvVivid vvvE95) vvvPC-EKG vvvLangzeit-EKG-Geräte vvvBlutdruckmessgeräte (vvvDoppler vvvund vvvHigh-Definition-Oszillometrie) vvvAusstattung vvvzur vvvNotfalltherapie (vvvSauerstoff, vvvMedikamente, vvvPunktionsbedarf) | vvvDie vvvintensivmedizinische vvvVersorgung vvvkritisch vvvkranker vvvPatienten vvverfolgt vvvauf vvveiner vvventsprechend vvvhierfür vvvausgestatteten vvvIntensivstation, vvvmit vvvder vvvMöglichkeit vvveiner vvv24-stündigen, vvvengmaschigen vvvÜberwachung vvvund vvvTherapie vvvdes vvvPatienten. vvvZur vvvAusstattung vvvder vvvIntensivstation vvvgehören vvvunter vvvanderem vvvein vvvspezieller vvvKäfig vvvfür vvvdie vvvSauerstofftherapie, vvvApparate vvvfür vvvdie vvvErfassung vvvspezifischer vvvParameter vvvzur vvvPatientenüberwachung (vvvz.vvvB. vvvElektrokardiogramm, vvvzentraler vvvVenendruck, vvvPulsoximetrie, vvvperipherer vvvBlutdruck), vvvspezielle vvvAbsaugevorrichtungen, vvvVorrichtungen vvvzur vvvWärmetherapie, vvvNotfallmedikamente vvvund vvveine vvvAnzahl vvvverschiedener vvvPatientenboxen vvvmit vvvweichen, vvvgepolsterten vvvUnterlagen. | vvvDie vvvmeisten vvvlabordiagnostischen vvvUntersuchungen (vvvz.vvvB. vvvHämatologie, vvvBlutchemie, vvvUntersuchung vvvvon vvvHarn vvveinschließlich vvvHarnsediment, vvvGerinnungsprofil vvvund vvvweitere vvvspezielle vvvLabortests) vvvwerden vvvin vvvunserem vvvKlinik-Labor vvvdurch vvverfahrenes, vvvmedizinisch-technisches vvvLaborpersonal vvvdurchgeführt. vvvDas vvvLabor vvvarbeitet vvvdabei vvvmit vvveiner vvvder vvvmodernsten vvvAusstattungen vvvund vvvalle vvvlabordiagnostischen vvvVerfahren vvvunterliegen vvveiner vvvständigen vvvQualitätskontrolle. | vvvMedizinische vvvLasertechniken vvveignen vvvsich vvvinsbesondere vvvfür vvvdie vvvDurchtrennung vvvvon vvvbindegewebigen vvvSpangen (vvvStrikturen) vvvim vvvBereich vvvdes vvvHarn- vvvund vvvGeschlechtsapparates, vvvZertrümmerung vvvvon vvvHarnsteinen (vvvLithotripsie) vvvund vvvdie vvvKorrektur vvveiner vvvverlagerten vvvEinmündung vvvdes vvvHarnleiters vvvin vvvdie vvvHarnblase (vvvEktopie). | vvvMinimal-invasive vvvinterventionelle vvvVerfahren vvvhaben vvvden vvvVorteil, vvvdass vvvein vvvgrößerer vvvoperativer vvvEingriff vvvumgangen vvvwerden vvvkann. vvvSo vvvkönnen vvvbeispielsweise vvvBindegewebsspangen (vvvStrikturen) vvvim vvvBereich vvvder vvvSpeiseröhre vvvmit vvveinem vvvBallonkatheter vvvunter vvvendoskopischer vvvKontrolle vvvaufgeweitet vvvwerden. vvvMinimal-invasive vvvLasertechniken vvverlauben vvvdas vvvZertrümmern vvvvon vvvSteinen (vvvLithotripsie). vvvDurch vvvihre vvvgroße vvvKoagulationswirkung vvvund vvvSchneidequalität vvveignen vvvsich vvvmedizinische vvvLaserverfahren vvvebenfalls vvvfür vvvdie vvvDurchtrennung vvvvon vvvGewebe (vvvz.vvvB. vvvFehlbildungen, vvvnarbige vvvGewebespangen). vvvBei vvvStrikturen vvvoder vvvTumoren, vvvwelche vvvdie vvvHarnröhre vvvverlegen vvvund vvvden vvvHarnabsatz vvvbehindern, vvvbietet vvvsich vvvdie vvvMöglichkeit vvveines vvvHarnröhren-Stents (vvvUrethra-Stent), vvvum vvvdie vvvHarnröhre vvvoffenzuhalten. vvvStents vvvwerden vvvauch vvvbei vvveiner vvvVerlegung vvvdes vvvHarnleiters (vvvUreter-Stent) vvveingesetzt, vvvum vvvden vvvHarnabfluss vvvaufrechtzuerhalten. | vvvForschungsschwerpunkte | vvvDiagnose vvvund vvvTherapie vvvchronischer vvvEnteropathien vvvbei vvvHund vvvund vvvKatze | vvvMukosales vvvImmunsystem, vvvEntzündungsmediatoren vvvund vvvRezeptoren vvvder vvvangeborenen vvvImmunität | vvvSepsis vvvund vvvdas vvvSystemic-Inflammatory-Response-Syndrom (vvvSIRS) | vvvNicht-invasive vvvDiagnostik vvvund vvvTherapie vvvdes vvvÜbergangszellkarzinoms vvvbeim vvvHund | vvvCobalaminmangel vvvbeim vvvHund | vvvDer vvvGehörgang vvvbrachyzephaler vvvHunde | vvvChronische vvvEnteropathien, vvvwie vvvdie vvvchronisch-entzündliche vvvDarmerkrankung, vvvkennzeichnen vvvsich vvvdurch vvveine vvvhäufig vvvwiederkehrende vvvklinische vvvSymptomatik vvvinfolge vvveiner vvvEntzündung vvvder vvvDarmschleimhaut, vvvderen vvvUrsache vvvwahrscheinlich vvvkomplexer vvvNatur vvvund vvvbislang vvvnicht vvvabschließend vvvgeklärt vvvist. vvvDie vvvAbklärung vvvvon vvvPatienten vvvmit vvveiner vvvchronisch-entzündlichen vvvDarmerkrankung vvvist vvvhäufig vvvlangwierig vvvund vvverfordert vvvschlussendlich vvvdie vvvEntnahme vvvmehrerer vvvGewebeproben vvvder vvvDarmschleimhaut. vvvAuch vvvdie vvvTherapie vvvdieser vvvErkrankung vvvsowie vvvdie vvvAbschätzung vvvdes vvvKrankheitsverlaufs vvvist vvvmitunter vvvschwierig. vvvDie vvvErforschung vvvnicht-invasiver, vvvpotenziell vvvklinisch-brauchbarer vvvBiomarker (vvvZellstrukturen, vvvMoleküle), vvvwelche vvvdie vvvDiagnose vvvund vvvTherapie vvvchronischer vvvEnteropathien vvvobjektiv vvvunterstützen vvvkönnen, vvvsind vvvein vvvzentraler vvvBestandteil vvvunserer vvvForschung. | vvvDie vvvangeborene vvvImmunität vvvist vvvvon vvvzentraler vvvBedeutung vvvfür vvvdas vvvSchleimhautimmunsystem, vvvbeispielsweise vvvder vvvDarmschleimhaut (vvvsog. vvvGut-associated vvvlymphoid vvvtissue, vvvkurz vvvGALT). vvvVerschiedene vvvfreie vvvSubstanzen (vvvMediatoren) vvvund vvvOberflächenmoleküle (vvvRezeptoren) vvvbilden vvvdie vvvGrundlage vvvder vvvZell-Zell-Kommunikation vvvim vvvSchleimhautimmunsystem. vvvEin vvvBestandteil vvvunserer vvvForschung vvvist vvvdie vvvUntersuchung vvvvon vvvVeränderungen vvvim vvvVorkommen vvvbzw. vvvder vvvFunktion vvvvon vvvEntzündungsmediatoren vvvund vvvRezeptoren vvvbei vvvimmunbedingten vvvErkrankungen, vvvwie vvvdie vvvchronisch-entzündliche vvvDarmerkrankung vvvbeim vvvHund, vvvmit vvvdem vvvZiel, vvvAnsätze vvvfür vvvneuartige vvvTherapiestrategien vvvzu vvventwickeln. | vvvDas vvvSystemic-Inflammatory-Response-Syndrom (vvvSIRS) vvvist vvvdie vvventzündliche vvvReaktion vvvdes vvvKörpers vvvim vvvZuge vvveiner vvvschwerwiegenden vvvErkrankung (vvvz.vvvB. vvvEntzündung vvvder vvvBauchspeicheldrüse vvvoder vvvder vvvLunge, vvvhochgradige vvvVerbrennungen). vvvUnter vvvSepsis vvvversteht vvvman vvvein vvvSIRS vvvmit vvvnachgewiesener vvvInfektion (vvvz.vvvB. vvvbakteriell), vvvwelche vvvgenerell vvvmit vvveiner vvvschlechteren vvvPrognose vvvverbunden vvvist vvvund vvvdaher vvveiner vvvintensiveren vvvTherapie vvvbedarf. vvvDie vvvDifferenzierung vvvbeider vvvErkrankungen vvvist vvvklinisch vvvhäufig vvvschwierig. vvvVon vvvklinischem vvvNutzen vvvwäre vvvin vvvdiesem vvvRahmen vvvein vvvBiomarker vvvoder vvvein vvvBiomarkerprofil, vvvwelches vvvdie vvvUnterscheidung vvvbeider vvvErkrankungsformen vvvsowie vvveine vvvAbschätzung vvvder vvvPrognose vvvdes vvveinzelnen vvvPatienten vvverlaubt. vvvUnsere vvvForschung vvvbeschäftigt vvvsich vvvdaher vvvmit vvvder vvvUntersuchung vvvbestimmter vvvnicht-invasiver vvvBiomarker, vvvim vvvHinblick vvvauf vvvderen vvvklinische vvvBrauchbarkeit vvvfür vvvdie vvvDiagnose vvvund vvvTherapie vvvder vvvSIRS vvvbzw. vvvSepsis vvvbeim vvvHund. | vvvDas vvvÜbergangszellkarzinom vvvist vvvder vvvhäufigste vvvTumor vvvder vvvHarnblase vvvbeim vvvHund. vvvWie vvvauch vvvbei vvvanderen vvvTumoren, vvvverläuft vvvdie vvvErkrankung vvvin vvvder vvvRegel vvvfür vvveinige vvvZeit vvvohne vvvmerkliche vvvSymptome (vvvsubklinisch). vvvDaher vvvwird vvvder vvvTumor vvvhäufig vvverst vvvim vvvfortgeschrittenen vvvKrankheitsstadium vvverkannt, vvvwenn vvvdie vvvklinischen vvvSymptome (vvvz.vvvB. vvvProbleme vvvbeim vvvHarnabsatz, vvvBlut vvvim vvvHarn) vvvauffallen. vvvEin vvvnicht-invasiver vvvLabortest, vvvwelcher vvvdie vvvTumorerkrankung vvvbereits vvvim vvvfrühen vvvKrankheitsstadium vvvanzuzeigen vvvvermag, vvvist vvvdaher vvvvon vvvgroßem vvvklinischen vvvInteresse. vvvEin vvvTeil vvvunserer vvvForschungsarbeit vvvbezieht vvvsich vvvauf vvvdie vvvUntersuchung vvvder vvvBrauchbarkeit vvvausgewählter vvvLabortests vvvfür vvvdie vvvfrühzeitige vvvDiagnose (vvvsog. vvvTumor-Screening) vvvdes vvvÜbergangszellkarzinoms vvvbeim vvvHund. | vvvVitamin vvvB12 (vvvCobalamin) vvvist vvvein vvvwichtiges vvvSubstrat vvvfür vvvverschiedene vvvStoffwechselprozesse (vvvz.vvvB. vvvBlutbildung, vvvFunktion vvvvon vvvNervenzellen, vvvRegeneration vvvvon vvvSchleimhäuten) vvvsowohl vvvbei vvvHund vvvund vvvKatze vvvals vvvauch vvvbeim vvvMenschen. vvvEin vvvVitamin vvvB12-Mangel vvvkann vvvdaher vvvnachhaltige vvvKonsequenzen vvvhaben. vvvIm vvvRahmen vvvunserer vvvForschung vvvwidmen vvvwir vvvuns vvvneben vvvder vvvUntersuchung vvvrassespezifischer vvvVitamin vvvB12-Mangelzustände vvvauch vvvmit vvvder vvvFrage vvvder vvvoptimalen vvvTherapiestrategie vvvbei vvveinem vvvsolchen vvvMangel. | vvvEs vvvist vvvbereits vvvbekannt, vvvdass vvves vvvdurch vvvdie vvvbesondere vvvSchädelform vvvkurzschnäuziger vvvHunderassen (vvvBrachyzephalie), vvvwie vvvbeispielsweise vvvMops vvvoder vvvFranzösische vvvBulldogge, vvvzu vvveiner vvverschwerten vvvAtmung vvvkommen vvvkann. vvvDurch vvvMessungen vvvan vvvcomputertomographischen vvvBildern vvverforschen vvvwir, vvvob vvvzusätzlich vvveine vvvEinengung vvvdes vvvGehörgangs vvvund vvvsomit vvveine vvvNeigung vvvzu vvvErkrankungen vvvdes vvväußeren vvvOhres (vvvOtitis vvvexterna) vvvbesteht.
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{
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$vals = array();
foreach($F['fieldname01']->postdata as $i => $v)
{
$vals[$i] = 'Auto : ' . $v;
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[import_fv_ccode] => parameters->get('some_param');
foreach($values as $i => $v)
{
$values[$i] = 'Example ' . $i . ' : ' . $v;
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return $values;
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[text] => Innere Medizin
Freie Stellen in der Abteilung
Die Innere Medizin als ein Teilgebiet der Medizin, beschäftigt sich mit der Diagnostik und nicht- oder minimal-invasiven Behandlung der Krankheiten innerer Organe. Im Rahmen der Dermatologie befassen wir uns auch mit Erkrankungen der Haut und des äußeren Ohres. Mit der Diagnose und Therapie von Erkrankungen des Herz-Kreislaufsystems beschäftigen wir uns im Fachbereich der Kardiologie. Neun Tierärzte sind mit der internistischen, intensivmedizinischen, kardiologischen und dermatologischen Betreuung von Hunden, Katzen und Heimtieren betraut. Unser zentrales Anliegen ist eine am Wohlergehen des Patienten ausgerichtete, individuelle medizinische Abklärung und Behandlung. Eine modernste Ausstattung ermöglicht hierbei den Einsatz neuester (State-of-the-Art) Untersuchungs- und Behandlungsmethoden.
Zurück zur Abteilungsübersicht
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[1] => Endokrinologie
[2] => Nephrologie und Urologie
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[0] => Erkrankungen des Magen-Darm-Trakts, einschließlich der Leber und Bauchspeicheldrüse, kommen bei Hund und Katze sehr häufig vor. Hierzu zählen beispielsweise akute und chronische Entzündungen des Magens (Gastritis), Dünndarms (Enteritis) oder Dickdarms (Kolitis), Motilitätsstörungen, Infektionserkrankungen (z.B. mit Viren oder bakteriellen Erregern), ein Befall mit Magen-Darm-Parasiten (Endoparasitosen), Fremdkörpererkrankungen, Magen- oder Dünndarmgeschwüren (Ulzera), Spangenbildungen (Strikturen) im Bereich der Speiseröhre oder des Dickdarms, Entzündungen oder Gefäßfehlbildungen der Leber und die Entzündung oder ein Funktionsverlust der Bauchspeicheldrüse.
Aufbauend auf einer gründlichen Erhebung des Vorberichts (Anamnese) und einer eingehenden klinischen Untersuchung des Patienten, bedürfen Erkrankungen des Magen-Darm-Trakts häufig weiterer diagnostischer Schritte zur Diagnosefindung. Hierzu gehören u.a. Blut- und andere Laboruntersuchungen, bildgebende Verfahren wie Röntgen, Ultraschall und Spiegelung (Endoskopie) des Magen-Darm-Trakts und die Untersuchung von Zell- und Gewebeproben sowie mitunter auch diagnostische Therapieanwendungen (z.B. Eliminationsdiät). Diese Befunde erlauben die Diagnosestellung und ermöglichen eine optimale Behandlung des Patienten. Nach der Diagnosestellung erfolgt eine an die Bedürfnisse des Patienten individuell angepasste Therapie mit entsprechender Therapiekontrolle.
Im Bereich der Gastroenterologie, speziell der chronisch-entzündlichen Darmerkrankung (sog. idiopathische Inflammatory Bowel Disease, kurz IBD) bei Hund und Katze, liegt unser Forschungsschwerpunkt.
[1] => Erkrankungen der inneren Drüsen (z.B. Schilddrüse, Bauchspeicheldrüse, Nebennieren, Nebenschilddrüsen) kommen bei Hund und Katze häufig vor und führen in der Regel zu hormonellen Störungen. Hierzu zählen beispielsweise die Hyperthyreose (Schilddrüsenüberfunktion) der Katze und die Hypothyreose (Schilddrüsenunterfunktion) beim Hund, der Diabetes mellitus (Zuckerkrankheit) bei Hund und Katze, die Nebennierenunterfunktion (Morbus Addison) beim Hund und die Nebennierenüberfunktion (Morbus Cushing, Conn-Syndrom) sowie die Unter- bzw. Überfunktion der Nebenschilddrüsen (Hypo- bzw. Hyperparathyreoidismus).
Neben einem gründlichen Vorbericht (Anamnese) und einer eingehenden klinischen Untersuchung des Patienten haben labordiagnostische Untersuchungen in der endokrinologischen Diagnostik eine große Bedeutung. Häufig werden zusätzlich die Befunde bildgebender Verfahren wie Röntgen, Ultraschall oder Schnittbildverfahren (CT oder MRT) hinzugezogen. Nach der Diagnosestellung erfolgt eine an die Bedürfnisse des Patienten individuell angepasste Therapie mit entsprechender Therapiekontrolle.
[2] => Die diagnostische Abklärung und Behandlung von Erkrankungen der Nieren bzw. der oberen (Nierenbecken, Harnleiter) und unteren Harnwege (Harnblase, Harnröhre), welche bei Hund und Katze relativ häufig auftreten, obliegen dem Spezialgebiet der Nephrologie und Urologie. Zu diesen Erkrankungen zählen unter anderem die akute bzw. chronische Nierenkrankheit (Niereninsuffizienz), Entzündung der Nieren (Glomerulonephritis) bzw. des Nierenbeckens (Pyelonephritis), Harnsteine im Bereich des Nierenbeckens, der Harnleiter oder Harnblase (Urolithiasis), angeborene Fehlbildungen der Harnleiter wie eine Verlagerung (Ektopie) oder Einengung (Stenose) der Mündung in die Harnblase, bakterielle oder sterile Entzündung der Harnblase (Zystitis), Spangenbildung (Striktur) im Bereich der Harnleiter oder Harnröhre sowie eine Harninkontinenz durch verminderten Schließdruck des Harnröhrenschließmuskels (Sphinktermuskelinkompetenz).
Gestützt auf einen gründlichen Vorbericht (Anamnese) und die klinische Untersuchung des Patienten spielen die Befunde labordiagnostischer und bildgebender Verfahren wie Röntgen, Ultraschall, Spiegelung (Endoskopie) der Harnwege oder Schnittbildverfahren (CT) eine große Rolle in der Diagnosefindung. Neben der medikamentösen Therapie finden zunehmend auch minimal-invasive interventionelle Verfahren (z.B. Laserchirurgie) Anwendung.
[3] => Erkrankungen der Lunge, einschließlich der unteren Atemwege, des Mittelfells und der Pleura kommen auch bei Hund und Katze mit relativer Häufigkeit vor. Hierzu zählen Entzündungen der Lunge (Pneumonie) oder Bronchien (Bronchitis), Verkrampfung der unteren Atemwege (Asthma), Fremdkörpererkrankungen, Ansammlung von Flüssigkeit im Lungengewebe (Lungenödem) oder in der Brusthöhle (Pleuraerguss) und die verstärkte Einlagerung von Bindegewebe in die Lunge (Lungenfibrose).
Neben dem Vorbericht (Anamnese) und der klinischen Untersuchung des Patienten werden in der Regel die Befunde labordiagnostischer und bildgebender Verfahren wie Röntgen, Ultraschall oder Schnittbildverfahren (CT) und die Spiegelung (Endoskopie) mit diagnostischer Spülung (Lavage) der Atemwege zur Diagnosestellung herangezogen. In seltenen Fällen ist eine minimal-invasive Probenentnahme von Lungengewebe (Biopsie) angezeigt. Neben der medikamentösen Therapie finden auch minimal-invasive interventionelle Verfahren (z.B. das Einlegen eines Stents zum Offenhalten der Luftröhre) Anwendung.
[4] => Im Rahmen der internistischen Intensivmedizin versorgen wir Patienten mit akuten lebensbedrohlichen Erkrankungen verschiedener Organsysteme (z.B. Vergiftung, akutes Nieren- oder Leberversagen, hochgradige Blutung, akute Lungenschädigung). Hierbei gewährleisten wir die intensivmedizinische Überwachung und eine gemäß dem Zustand des Patienten individuell gestaltete Therapie, einschließlich Sauerstofftherapie und der Ernährung über verschiedene Nahrungssonden oder der Nährstoffversorgung über das Blutgefäßsystem (parenterale Ernährung).
[5] => Mit der Diagnose und Behandlung von Tumoren (Neoplasien) verschiedener Organe beschäftigen wir uns im Rahmen der medizinischen Onkologie.
Über den Vorbericht (Anamnese) und die klinische Untersuchung des Patienten hinaus, bedarf die Abklärung von Tumorerkrankungen in der Regel weiterer diagnostischer Schritte wie Blutuntersuchung, bildgebende Verfahren (z.B. Röntgen, Ultraschall, Schnittbildverfahren, Endoskopie) und die Entnahme von Zell- (Zytologie) bzw. Gewebeproben (Histopathologie). Anhand dieser Befunde erfolgt die Beurteilung der Tumoreigenschaften (sog. Tumor-Grading) und die Stadieneinteilung der Tumorerkrankung (sog. Tumor-Staging).
Für die Therapie von Tumorerkrankungen führen wir verschiedene Chemotherapien durch. Dabei kann in der Regel zwischen einer Chemotherapie mit dem Ziel der Tumorbekämpfung (konventionelle zytostatische Chemotherapie) und einer solchen, die auf die Stabilisierung der Tumorerkrankung abzielt (metronomische antiangiogene Chemotherapie), gewählt werden. Über das individuelle Chemotherapieprotokoll entscheiden dabei die Eignung und der zu erwartende Erfolg für die entsprechende Tumorerkrankung, der allgemeine Zustand des Patienten und die Wünsche des Patientenbesitzers. Spezialverfahren (z.B. Laserablation von Tumorgewebe im Bereich des Harnblasenhalses, Einlegen eines Stents zum Offenhalten der Harnröhre) lassen sich ebenfalls bei Tumorerkrankungen einsetzen. Für eine onkologische Chirurgie werden Spezialisten der Abteilung Weichteilchirurgie hinzugezogen.
[6] => Im Rahmen der Fortpflanzungsmedizin beschäftigen wir uns mit Erkrankungen der weiblichen und männlichen Geschlechtsorgane, der Bestimmung des optimalen Deckzeitpunkts, der Trächtigkeit und Geburt sowie mit Erkrankungen im Zusammenhang mit der Milchproduktion (Laktation).
[7] => Das Teilgebiet der Dermatologie befasst sich mit Erkrankungen der Haut, hierzu zählen ebenso die Pfoten samt Krallen sowie das äußere Ohr bis zum Trommelfell und der Nasenspiegel. Wie beim Menschen spielen auch in der Tiermedizin allergische Erkrankungen eine immer größer werdende Rolle (z.B. Futtermittel- oder Umweltallergien). Aber auch parasitäre Infektionen (Milben und Flöhe), Hormonstörungen (z.B. Schilddrüsenunterfunktion [Hypothyreose] oder Nebennierenüberfunktion [Morbus Cushing]), Pilze oder Autoimmunerkrankungen können sich über Veränderungen des Hautbildes, der Fellqualität oder Juckreiz äußern.
Der Vorbericht (Anamnese) und die klinische Untersuchung spielen hierbei eine ganz besondere Rolle. Zusätzlich werden aus veränderten Arealen Zellproben (Abklatschzytologie oder Hautgeschabsel) entnommen und diese unter dem Mikroskop beurteilt. Hierbei geht es vor allem um den Nachweis von Bakterien, Hefepilzen oder Milben. Zusätzlich können auch Blutuntersuchungen oder die Entnahme von Hautstanzen (Biopsie) in Narkose notwendig sein. Nach der Diagnosestellung erfolgt eine an die Bedürfnisse des Patienten individuell angepasste Therapie mit entsprechender Therapiekontrolle.
[8] => Die häufigsten Vorstellungsgründe in der kardiologischen Abteilung sind Symptome wie erschwerte Atmung, Husten, Schwäche bis Kollaps oder im Vorfeld aufgefallene veränderte Befunde bei der Auskultation (insbesondere Herzgeräusch, Herzrhythmusstörung) oder bei anderen Voruntersuchungen (z.B. Röntgenuntersuchung, Bluttests). Ziel der kardiologischen Untersuchung ist der Ein- oder Ausschluss einer Herzerkrankung. Je nach gestellter Diagnose besprechen wir mit Ihnen Prognose, Therapiebedarf und die entsprechende Therapieempfehlung.
Auf dem Weg zur Diagnose stehen die Anamnese (Erfassen der Vorgeschichte) und die klinische Untersuchung. Aus den dabei erhobenen Befunden ergibt sich, welche weiteren diagnostischen Schritte für Ihr Tier empfehlenswert sind. In Frage kommen in erster Linie die nachfolgend genannten Verfahren. Diese Untersuchungen werden in aller Regel gut toleriert und erfordern weder Narkose noch Sedation.
[9] => Erkrankungen durch Erreger wie Viren (z.B. Parvovirose, Zwingerhusten), Bakterien (z.B. infektiöse Blutarmut, Leptospirose, Salmonellose) und Parasiten (z.B. Bandwurmbefall, Toxoplasmose) sind bei Hund und Katze von großer Bedeutung. Das Spektrum von Erregern und betroffenen Organsystemen ist dabei vielfältig. Je nach Art der Infektion kommen verschiedene diagnostische Verfahren zum Einsatz. Diese beinhalten den direkten (z.B. Nachweis des Erregers durch molekularbiologische Methoden) oder indirekten Nachweis des Infektionserregers (z.B. Nachweis von Antikörpern gegen den Erreger), auf dessen Grundlage die spezifische Therapie abgeleitet wird.
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[1] => Interventionelle Verfahren am Magen-Darm- und Urogenitaltrakt einschließlich Ballondilatation von Strikturen, Lasertechniken und das Einlegen von Stents
[2] => Laparoskopische Probenentnahme der Leber und Gallenblase
[3] => Betreuung von internistischen Intensivpatienten inkl. speziellem Ernährungsmanagement über Nahrungssonden oder parenterale Ernährung
[4] => Aspiration und Biopsieentnahme des Knochenmarks
[5] => Beratung und Behandlung onkologischer Patienten, Verabreichung von Chemotherapien
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[0] => Die Endoskopie ermöglicht die eingehende Untersuchung von Hohlorganen und die gezielte Entnahme von Gewebe- oder Spülproben unter Verwendung eines Endoskops, ohne dass es hierfür einem chirurgischen Eingriff bedarf. Dabei können Veränderungen der Schleimhautoberfläche diagnostiziert und gegebenenfalls auch Fremdkörper entfernt werden. Verschiedene Endoskoptypen (flexible und starre Endoskope) und -größen (Durchmesser und Länge) sowie entsprechendes Zubehör stehen hierfür zur Verfügung.
[1] => Minimal-invasive interventionelle Verfahren kommen bei verschiedenen Erkrankungen zum Einsatz und haben den Vorteil, dass ein operativer Eingriff mitsamt möglichen Komplikationen umgangen werden kann. Am Magen-Darmtrakt können so beispielsweise Bindegewebsspangen (Strikturen) im Bereich der Speiseröhre aufgeweitet werden, welche die Aufnahme von Nahrung oft erheblich beeinträchtigen. Hierfür wird ein spezieller Ballonkatheter über der Engstelle (Striktur) positioniert und diese durch die Befüllung des Ballons mit Luft oder Wasser (unter endoskopischer Kontrolle) aufgedehnt.
Minimal-invasive Lasertechniken eignen sich insbesondere für die Durchtrennung von Strikturen im Bereich des Harn- und Geschlechtsapparates, Zertrümmerung von Harnsteinen (Lithotripsie) und die Korrektur einer verlagerten Einmündung des Harnleiters in die Harnblase (Ektopie), sofern der betroffene Harnleiter tunnelartig in der Harnblasenwand verläuft.
Bei Strikturen oder Tumoren, welche die Harnröhre verlegen und den Harnabsatz behindern, bietet sich die Möglichkeit einen Stent in die Harnröhre (Urethra-Stent) einzulegen, um diese offenzuhalten. Stents können auch bei einer Verlegung des Harnleiters (Ureter-Stent) eingesetzt werden, um einen störungsfreien Harnablauf in die Harnblase zu ermöglichen.
[2] => Die Laparoskopie ist ein minimalinvasives Verfahren mit hoher Präzision. Es beinhaltet das Einbringen einer Stablinsen-Optik (Laparoskop) sowie anderer Instrumente (z.B. Zangen für die Entnahme von Gewebeproben) durch einen Trokarzugang (sog. Schlüsselloch-Chirurgie) in der Bauchwand. Zur Begutachtung von Organen und Entnahme von Gewebeproben bedingt dieses Verfahren das Einblasen (Insufflation) von Gas in die Bauchhöhle. Unter der Verwendung einer Löffelzange werden Gewebeproben der Leber entnommen (Leberbiopsie) und anschließend mit einer dünnen Kanüle die Gallenblase punktiert und etwas Galle gewonnen (Cholezystozentese).
[3] => Im Rahmen der Versorgung von Patienten mit akuten lebensbedrohlichen Erkrankungen gewährleisten wir die intensivmedizinische Überwachung (z.B. zentraler Venendruck, Sauerstoffsättigung, Elektrokardiogramm, Blutparameterkontrolle) und eine am Zustand des Patienten orientierte individuelle Therapie wie beispielsweise Sauerstofftherapie, Sicherstellung der Versorgung mit Nährstoffen bei kritisch kranken Patienten (z.B. über Sondenernährung oder Nährstoffversorgung über das Blutgefäßsystem [partielle oder totale parenterale Ernährung]).
[4] => Die Knochenmarkspunktion (Aspiration) bzw. Entnahme eines kleinen Knochenmarkzylinders mittels Stanze (Biopsie) wird sehr häufig zur Beurteilung der Blutbildung und Diagnose von Erkrankungen des Blutes und der blutbildenden Organe herangezogen. Die Probengewinnung erfolgt dabei mit Hilfe einer Hohlnadel.
[5] => Für die Therapie von Tumorerkrankungen kommen häufig verschiedene Therapieformen in Betracht. Hier beraten wir Sie gern im Hinblick auf die optimale Gestaltung der Tumortherapie.
[6] => Bei einer Infektion mit Erregern, die für andere Hunde und Katzen hochansteckend sein können (z.B. Parvovirose, Zwingerhusten), werden Patienten bei uns auf einer ausschließlich hierfür vorgesehenen und entsprechend ausgestatteten Infektionsstation behandelt, um das Risiko der Übertragung solcher Erreger einzudämmen.
[7] => Zu den besonderen Leistungen der Dermatologie zählen die Entnahme von Hautgeschabseln zum Nachweis von Parasiten, Anfertigung eines Trichogramms zur Beurteilung der Haarstruktur, Anlegen von Pilzkulturen, Zellproben (Zytologien) zum Nachweis von Bakterien oder Hefen auf der Haut oder im Ohr, Erstellung einer individuellen Ausschlussdiät bei Futtermittelallergikern, Entnahme von Gewebeproben der Haut (Hautbiopsien), Antikörper-basierte (serologische) Allergietests und die Durchführung einer Desensibilisierung zur gezielten Therapie einer Allergie.
[8] => Zuchtzulassungsuntersuchung. Für die Rassen, bei denen vor Zuchteinsatz eine kardiologische Untersuchung gefordert wird, können wir diese auch im Rahmen des Collegium Cardiologicum e.V. sowie PawPeds anbieten.
Bei der Zuchtzulassungsuntersuchungen denken Sie bitte daran, den Stammbaum Ihres Tieres mitzubringen und mindestens 15 Minuten vor dem offiziellen Termin einzutreffen, damit die Daten aufgenommen werden können. Die Kosten für eine reguläre Untersuchung im Rahmen des Cardiologicum e.V. liegen bei 180 €.
Herzultraschall (Echokardiografie). Dieser Schritt ist ein integraler Bestandteil der Diagnostik. Hier werden die Strukturen des Herzens sowie der Blutfluss dargestellt. Das ermöglicht die Diagnosestellung der meisten angeborenen und erworbenen Herzerkrankungen.
Röntgendiagnostik. Hier kann eine Einschätzung von Herzgröße und -form sowie insbesondere der Lungendurchblutung vorgenommen werden.
Elektrokardiogramm (EKG). In der Tiermedizin dient ein EKG in erster Linie der Abklärung von Herzrhythmusstörungen.
Langzeit-EKG (Holter-EKG). Hier wird über 24 Stunden und länger der Herzrhythmus Ihres Tieres aufgezeichnet. Besondere Bedeutung hat dieser Schritt bei bestimmten Herzrhythmusstörungen und der Früherkennung bestimmter Herzmuskelerkrankungen bei gefährdeten Rassen (z.B. Dobermann, Boxer).
Blutdruckmessung. Der Blutdruck kann bei Hunden und Katzen ähnlich wie bei Menschen gemessen werden und sollte sogar in einem ähnlichen Bereich liegen. Die Untersuchung sollte in möglichst ruhiger Umgebung und entspannter Situation erfolgen. Die Blutdruckmanschette wird dabei an einer der vier Gliedmaßen (meist Vordergliedmaße) oder am Schwanzansatz angebracht und der systolische Blutdruck bestimmt.
Beratung, Therapieempfehlung, Kontrolluntersuchungen. Nach der Untersuchung besprechen wir ausführlich mit Ihnen das weitere Vorgehen. Vor allem die Bedeutung der Diagnose, ob und welche Therapieempfehlung wir geben und wann Kontrolluntersuchungen sinnvoll sind, erklären wir Ihnen selbstverständlich.
Versorgung von Notfällen. Stabilisierung von Patienten mit Atemnot, Herzbeuteltamponaden oder schweren Herzrhythmusstörungen sind klassische Notfälle in der Kardiologie. Medikamentelle Notfalltherapie sowie Punktionen von Ergüssen in Brustkorb oder Herzbeutel werden durchgeführt. Unserer Intensivstation ist mit einer modernen, großen Sauerstoffbox für die Therapie von Hunden und Katzen mit Atemnot ausgestattet. Ergänzend wird Ihr Tier bis zur Stabilisierung intensivmedizinisch überwacht.
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[1] => Kardiologie
[2] => Intensivstation
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[4] => Dioden- und Holmium:YAG-Laser
[5] => Interventionelle Radiologie/Interventionelle Endoskopie
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[0] => Diagnose und Therapie chronischer Enteropathien bei Hund und Katze
[1] => Mukosales Immunsystem, Entzündungsmediatoren und Rezeptoren der angeborenen Immunität
[2] => Sepsis und das Systemic-Inflammatory-Response-Syndrom (SIRS)
[3] => Nicht-invasive Diagnostik und Therapie des Übergangszellkarzinoms beim Hund
[4] => Cobalaminmangel beim Hund
[5] => Der Gehörgang brachyzephaler Hunde
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[0] => Die Endoskopie ermöglicht die eingehende Untersuchung von Hohlorganen (z.B. Magen-Darmtrakt, Atemwege, Harn- und Geschlechtsapparat) oder Körperhöhlen (z.B. Bauchhöhle) und die gezielte Entnahme von Gewebe- oder Spülproben unter Verwendung eines Endoskops, ohne dass es hierfür einem chirurgischen Eingriff bedarf. Dabei können Veränderungen der Schleimhautoberfläche diagnostiziert und gegebenenfalls auch Fremdkörper entfernt werden. Verschiedene Endoskoptypen (flexible und starre Endoskope) und -größen (Durchmesser und Länge) sowie entsprechendes Zubehör stehen hierfür zur Verfügung.
[1] =>
- Echokardiografie (GE Vivid E95)
- PC-EKG
- Langzeit-EKG-Geräte
- Blutdruckmessgeräte (Doppler und High-Definition-Oszillometrie)
- Ausstattung zur Notfalltherapie (Sauerstoff, Medikamente, Punktionsbedarf)
[2] => Die intensivmedizinische Versorgung kritisch kranker Patienten erfolgt auf einer entsprechend hierfür ausgestatteten Intensivstation, mit der Möglichkeit einer 24-stündigen, engmaschigen Überwachung und Therapie des Patienten. Zur Ausstattung der Intensivstation gehören unter anderem ein spezieller Käfig für die Sauerstofftherapie, Apparate für die Erfassung spezifischer Parameter zur Patientenüberwachung (z.B. Elektrokardiogramm, zentraler Venendruck, Pulsoximetrie, peripherer Blutdruck), spezielle Absaugevorrichtungen, Vorrichtungen zur Wärmetherapie, Notfallmedikamente und eine Anzahl verschiedener Patientenboxen mit weichen, gepolsterten Unterlagen.
[3] => Die meisten labordiagnostischen Untersuchungen (z.B. Hämatologie, Blutchemie, Untersuchung von Harn einschließlich Harnsediment, Gerinnungsprofil und weitere spezielle Labortests) werden in unserem Klinik-Labor durch erfahrenes, medizinisch-technisches Laborpersonal durchgeführt. Das Labor arbeitet dabei mit einer der modernsten Ausstattungen und alle labordiagnostischen Verfahren unterliegen einer ständigen Qualitätskontrolle.
[4] => Medizinische Lasertechniken eignen sich insbesondere für die Durchtrennung von bindegewebigen Spangen (Strikturen) im Bereich des Harn- und Geschlechtsapparates, Zertrümmerung von Harnsteinen (Lithotripsie) und die Korrektur einer verlagerten Einmündung des Harnleiters in die Harnblase (Ektopie).
[5] => Minimal-invasive interventionelle Verfahren haben den Vorteil, dass ein größerer operativer Eingriff umgangen werden kann. So können beispielsweise Bindegewebsspangen (Strikturen) im Bereich der Speiseröhre mit einem Ballonkatheter unter endoskopischer Kontrolle aufgeweitet werden. Minimal-invasive Lasertechniken erlauben das Zertrümmern von Steinen (Lithotripsie). Durch ihre große Koagulationswirkung und Schneidequalität eignen sich medizinische Laserverfahren ebenfalls für die Durchtrennung von Gewebe (z.B. Fehlbildungen, narbige Gewebespangen). Bei Strikturen oder Tumoren, welche die Harnröhre verlegen und den Harnabsatz behindern, bietet sich die Möglichkeit eines Harnröhren-Stents (Urethra-Stent), um die Harnröhre offenzuhalten. Stents werden auch bei einer Verlegung des Harnleiters (Ureter-Stent) eingesetzt, um den Harnabfluss aufrechtzuerhalten.
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[0] => Chronische Enteropathien, wie die chronisch-entzündliche Darmerkrankung, kennzeichnen sich durch eine häufig wiederkehrende klinische Symptomatik infolge einer Entzündung der Darmschleimhaut, deren Ursache wahrscheinlich komplexer Natur und bislang nicht abschließend geklärt ist. Die Abklärung von Patienten mit einer chronisch-entzündlichen Darmerkrankung ist häufig langwierig und erfordert schlussendlich die Entnahme mehrerer Gewebeproben der Darmschleimhaut. Auch die Therapie dieser Erkrankung sowie die Abschätzung des Krankheitsverlaufs ist mitunter schwierig. Die Erforschung nicht-invasiver, potenziell klinisch-brauchbarer Biomarker (Zellstrukturen, Moleküle), welche die Diagnose und Therapie chronischer Enteropathien objektiv unterstützen können, sind ein zentraler Bestandteil unserer Forschung.
[1] => Die angeborene Immunität ist von zentraler Bedeutung für das Schleimhautimmunsystem, beispielsweise der Darmschleimhaut (sog. Gut-associated lymphoid tissue, kurz GALT). Verschiedene freie Substanzen (Mediatoren) und Oberflächenmoleküle (Rezeptoren) bilden die Grundlage der Zell-Zell-Kommunikation im Schleimhautimmunsystem. Ein Bestandteil unserer Forschung ist die Untersuchung von Veränderungen im Vorkommen bzw. der Funktion von Entzündungsmediatoren und Rezeptoren bei immunbedingten Erkrankungen, wie die chronisch-entzündliche Darmerkrankung beim Hund, mit dem Ziel, Ansätze für neuartige Therapiestrategien zu entwickeln.
[2] => Das Systemic-Inflammatory-Response-Syndrom (SIRS) ist die entzündliche Reaktion des Körpers im Zuge einer schwerwiegenden Erkrankung (z.B. Entzündung der Bauchspeicheldrüse oder der Lunge, hochgradige Verbrennungen). Unter Sepsis versteht man ein SIRS mit nachgewiesener Infektion (z.B. bakteriell), welche generell mit einer schlechteren Prognose verbunden ist und daher einer intensiveren Therapie bedarf. Die Differenzierung beider Erkrankungen ist klinisch häufig schwierig. Von klinischem Nutzen wäre in diesem Rahmen ein Biomarker oder ein Biomarkerprofil, welches die Unterscheidung beider Erkrankungsformen sowie eine Abschätzung der Prognose des einzelnen Patienten erlaubt. Unsere Forschung beschäftigt sich daher mit der Untersuchung bestimmter nicht-invasiver Biomarker, im Hinblick auf deren klinische Brauchbarkeit für die Diagnose und Therapie der SIRS bzw. Sepsis beim Hund.
[3] => Das Übergangszellkarzinom ist der häufigste Tumor der Harnblase beim Hund. Wie auch bei anderen Tumoren, verläuft die Erkrankung in der Regel für einige Zeit ohne merkliche Symptome (subklinisch). Daher wird der Tumor häufig erst im fortgeschrittenen Krankheitsstadium erkannt, wenn die klinischen Symptome (z.B. Probleme beim Harnabsatz, Blut im Harn) auffallen. Ein nicht-invasiver Labortest, welcher die Tumorerkrankung bereits im frühen Krankheitsstadium anzuzeigen vermag, ist daher von großem klinischen Interesse. Ein Teil unserer Forschungsarbeit bezieht sich auf die Untersuchung der Brauchbarkeit ausgewählter Labortests für die frühzeitige Diagnose (sog. Tumor-Screening) des Übergangszellkarzinoms beim Hund.
[4] => Vitamin B12 (Cobalamin) ist ein wichtiges Substrat für verschiedene Stoffwechselprozesse (z.B. Blutbildung, Funktion von Nervenzellen, Regeneration von Schleimhäuten) sowohl bei Hund und Katze als auch beim Menschen. Ein Vitamin B12-Mangel kann daher nachhaltige Konsequenzen haben. Im Rahmen unserer Forschung widmen wir uns neben der Untersuchung rassespezifischer Vitamin B12-Mangelzustände auch mit der Frage der optimalen Therapiestrategie bei einem solchen Mangel.
[5] => Es ist bereits bekannt, dass es durch die besondere Schädelform kurzschnäuziger Hunderassen (Brachyzephalie), wie beispielsweise Mops oder Französische Bulldogge, zu einer erschwerten Atmung kommen kann. Durch Messungen an computertomographischen Bildern erforschen wir, ob zusätzlich eine Einengung des Gehörgangs und somit eine Neigung zu Erkrankungen des äußeren Ohres (Otitis externa) besteht.
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[text] => Innere Medizin Freie Stellen in der Abteilung Die Innere Medizin als ein Teilgebiet der Medizin, beschäftigt sich mit der Diagnostik und nicht- oder minimal-invasiven Behandlung der Krankheiten ...
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slug:1701:abteilung-innere-medizin
catid:497
maincat_alias:abteilungen
Innere Medizin
+ Dermatologie
+ Onkologie
› Zur Abteilung
stdClass Object
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[_row] => stdClass Object
(
[id] => 2805
[asset_id] => 4219
[title] => Kardiologie
[alias] => abteilung-kardiologie
[introtext] => Kardiologie
Freie Stelle in der Kardiologie
Die Kardiologie ist ein Teilgebiet der Inneren Medizin. Das Herz beschäftigt uns Menschen bereits seit Jahrhunderten – bis in die 1970er Jahre hatten die Tiere allerdings keinen Nutzen davon. Die moderne Kardiologie beginnt 1628, als der englische Arzt William Harvey ein Buch über Herz und Blutgefäße von Tieren veröffentlichte. Augustus Desiré Waller konnte 1887 erstmalig die elektrische Herzaktivität aufzeichnen, was er wiederholt an seinem Hund Jimmy demonstriert hat: Dieser stand mit seinen Pfoten in Gefäßen mit Salzlösung und die Herzströme konnten so abgeleitet werden. 1903 entwickelte der Holländer Willem Einthoven basierend auf seiner Forschung das EKG (Elektrokardiogramm) für die klinische Anwendung. Die Echokardiografie, der Herzultraschall, wird bei Menschen seit 1950 durchgeführt, beim Tier seit 1970 und ist heute ein unverzichtbarer Teil einer kardiologischen Untersuchung.
In der Kardiologie wird das Herz-Kreislauf-System untersucht. Häufige Symptome von Herzerkrankungen sind erschwerte Atmung, Husten (Hund), Leistungsintoleranz oder Schwäche bis hin zu Ohnmachtsanfällen. Ein weiterer häufiger Vorstellungsgrund sind Auffälligkeiten beim Abhorchen, die Ihr Haustierarzt festgestellt hat. Bei Katzen kann zudem eine akute schmerzhafte Lähmung der Hinterbeine durch Blutgerinnsel auftreten.
Die gesunde Herzfunktion ist von vielen Faktoren abhängig. Die Herzklappen müssen korrekt öffnen und schließen, die mechanische Pumpleistung des Herzmuskels muss ausreichend sein und die elektrischen Funktionen, die sogenannte Reizleitung, muss einen angemessenen Herzrhythmus gewährleisten. Bei Erkrankungen des Herzens können diese Funktionen einzeln oder in Kombination beeinträchtigt sein. Mit Herzultraschall und EKG stehen uns diagnostische Möglichkeiten zur Verfügung, die es uns ermöglichen, schnell und schonend für den Patienten, das heißt nicht invasiv, also ohne in den Körper einzudringen, die verschiedenen Fehlfunktionen zu diagnostizieren.
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[created] => stdClass Object
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[acc_content_panel] => stdClass Object
(
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[field_type] => minnegroupmarker
[name] => acc_content_panel
[label] => Acc Content Panel
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[attribs] => {"marker_type":"acc_panel","cont_cssclass":"","cont_label":"Hauptinhalt - Texte mit Bildern","custom_html_sep":"
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[has_access] => 1
)
[text] => stdClass Object
(
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[field_type] => maintext
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)
[sortierung] => stdClass Object
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)
[acc_infoblock_panel] => stdClass Object
(
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)
[subheadline] => stdClass Object
(
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[value] => Array
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)
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[placeholder] =>
[maxlength] =>
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[pretext_form] =>
[posttext_form] =>
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[decimal_digits_sep] => .
[decimal_thousands_sep] => ,
[output_prefix] =>
[output_suffix] =>
[output_custom_func] => $value_length = mb_strlen($value, 'UTF-8');
return 'Value length is: '. $value_length;
[prx_sfx_open_close_configs] =>
[remove_space] => 0
[pretext] =>
[posttext] =>
[separatorf] => 1
[opentag] =>
[closetag] =>
[trigger_onprepare_content] => 0
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[microdata_itemprop] =>
[useogp] => 0
[ogpinview] => Array
(
[0] => __SAVED__
)
[ogpusage] => 1
[ogpmaxlen] => 300
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[filter_compare_type] => 0
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[filter_values_require_all_tip] => 0
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[faceted_filter] => 2
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[filter_firstoptiontext] => FLEXI_ALL
[slider_display_config] => 1
[slider_custom_range] => 'min': '', '25%': '50', '50%': '150', '75%': '600', 'max': ''
[slider_custom_labels] => label_any ## label_50 ## label_150 ## label_600 ## label_any
[slider_custom_labels_jtext] => 0
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[slider_custom_range_s] => 'min': '', '25%': 500, '50%': 2000, '75%': 10000, 'max': ''
[slider_custom_labels_s] => label_any ## label_500 ## label_2000 ## label_10000 ## label_any
[slider_custom_labels_jtext_s] => 0
)
[initialized:protected] => 1
[separator] => .
)
[display] =>
)
[manueller_link] => stdClass Object
(
[id] => 72
[asset_id] => 473
[field_type] => text
[name] => manueller_link
[label] => Link
[description] =>
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[item_id] => 2805
[value] => Array
(
)
[parameters] => Joomla\Registry\Registry Object
(
[data:protected] => stdClass Object
(
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[allow_multiple] => 0
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[default_value] =>
[default_value_use] => 0
[inputmask] =>
[validation] => HTML
[regexmask] =>
[custommask] =>
[auto_value] => 0
[auto_value_code] => fields;
if ( !isset($F['fieldname01']) ) return array('fieldname01 field not found');
$vals = array();
foreach($F['fieldname01']->postdata as $i => $v)
{
$vals[$i] = 'Auto : ' . $v;
}
return $vals;
[display_label_form] => 1
[no_acc_msg_form] =>
[placeholder] =>
[maxlength] =>
[size] => 30
[extra_attributes] =>
[pretext_form] =>
[posttext_form] =>
[import_fv_remap_mode] => 0
[import_fv_remap] =>
[import_fv_ccode_mode] => 0
[import_fv_ccode] => parameters->get('some_param');
foreach($values as $i => $v)
{
$values[$i] = 'Example ' . $i . ' : ' . $v;
}
return $values;
[display_label] => 1
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[no_acc_msg] =>
[include_in_csv_export] => 0
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[decimal_digits_sep] => .
[decimal_thousands_sep] => ,
[output_prefix] =>
[output_suffix] =>
[output_custom_func] => $value_length = mb_strlen($value, 'UTF-8');
return 'Value length is: '. $value_length;
[prx_sfx_open_close_configs] =>
[remove_space] => 0
[pretext] =>
[posttext] =>
[separatorf] => 1
[opentag] =>
[closetag] =>
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[trigger_plgs_incatview] => 0
[microdata_itemprop] =>
[useogp] => 0
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[filter_compare_type] => 0
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[filter_values_require_all_tip] => 0
[display_label_filter] => 2
[display_filter_as] => 0
[faceted_filter] => 2
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[hide_disabled_values] => 0
[filter_usefirstoption] => 0
[filter_firstoptiontext] => FLEXI_ALL
[slider_display_config] => 1
[slider_custom_range] => 'min': '', '25%': '50', '50%': '150', '75%': '600', 'max': ''
[slider_custom_labels] => label_any ## label_50 ## label_150 ## label_600 ## label_any
[slider_custom_labels_jtext] => 0
[pretext_filter] =>
[posttext_filter] =>
[opentag_filter] =>
[closetag_filter] =>
[display_label_filter_s] => 2
[display_filter_as_s] => 0
[faceted_filter_s] => 2
[show_matching_items_s] => 1
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[filter_usefirstoption_s] => 0
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[text] => Kardiologie
Freie Stelle in der Kardiologie
Die Kardiologie ist ein Teilgebiet der Inneren Medizin. Das Herz beschäftigt uns Menschen bereits seit Jahrhunderten – bis in die 1970er Jahre hatten die Tiere allerdings keinen Nutzen davon. Die moderne Kardiologie beginnt 1628, als der englische Arzt William Harvey ein Buch über Herz und Blutgefäße von Tieren veröffentlichte. Augustus Desiré Waller konnte 1887 erstmalig die elektrische Herzaktivität aufzeichnen, was er wiederholt an seinem Hund Jimmy demonstriert hat: Dieser stand mit seinen Pfoten in Gefäßen mit Salzlösung und die Herzströme konnten so abgeleitet werden. 1903 entwickelte der Holländer Willem Einthoven basierend auf seiner Forschung das EKG (Elektrokardiogramm) für die klinische Anwendung. Die Echokardiografie, der Herzultraschall, wird bei Menschen seit 1950 durchgeführt, beim Tier seit 1970 und ist heute ein unverzichtbarer Teil einer kardiologischen Untersuchung.
In der Kardiologie wird das Herz-Kreislauf-System untersucht. Häufige Symptome von Herzerkrankungen sind erschwerte Atmung, Husten (Hund), Leistungsintoleranz oder Schwäche bis hin zu Ohnmachtsanfällen. Ein weiterer häufiger Vorstellungsgrund sind Auffälligkeiten beim Abhorchen, die Ihr Haustierarzt festgestellt hat. Bei Katzen kann zudem eine akute schmerzhafte Lähmung der Hinterbeine durch Blutgerinnsel auftreten.
Die gesunde Herzfunktion ist von vielen Faktoren abhängig. Die Herzklappen müssen korrekt öffnen und schließen, die mechanische Pumpleistung des Herzmuskels muss ausreichend sein und die elektrischen Funktionen, die sogenannte Reizleitung, muss einen angemessenen Herzrhythmus gewährleisten. Bei Erkrankungen des Herzens können diese Funktionen einzeln oder in Kombination beeinträchtigt sein. Mit Herzultraschall und EKG stehen uns diagnostische Möglichkeiten zur Verfügung, die es uns ermöglichen, schnell und schonend für den Patienten, das heißt nicht invasiv, also ohne in den Körper einzudringen, die verschiedenen Fehlfunktionen zu diagnostizieren.
Kontaktformular zur Kardiologie-Abteilung
Zurück zur Abteilungsübersicht
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[3] => Langzeit-EKG (Holter- oder 24 h-EKG)
[4] => Röntgenuntersuchung/Strahlendiagnostik
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[7] => Versorgung von Notfällen
[8] => Zuchtzulassungsuntersuchung
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[0] => An erster Stelle steht eine gründliche Erfassung der Vorgeschichte, der Anamnese. Die klinische Untersuchung beginnt mit der Auskultation (Abhorchen) des Herzens, die Beurteilung der Pulsqualität durch Tasten, die Einschätzung der Schleimhautdurchblutung sowie der Atmung. Herzgeräusche oder Herzrhythmusstörungen können Hinweise auf eine Herzerkrankung sein und sollten stets durch eine weiterführende Diagnostik abgeklärt werden. Für die Einschätzung der Herzgesundheit spielt auch die Herzfrequenz eine wichtige Rolle. Die Pulsqualität liefert wichtige Hinweise auf den Herzauswurf. Durch die Beurteilung des Atmungstyps und die Auskultation der oberen Atemwege und der Lunge können Veränderungen festgestellt werden, die Folge oder auch Ursache einer Herzerkrankung sein können.
[1] => Ein integraler Bestandteil der kardiologischen Diagnostik ist der Herzultraschall (Echokardiografie). Diese Untersuchung erfolgt in der Regel ohne Beruhigungsmittel in seitlicher Lagerung des Patienten auf einem speziellen Tisch. Es ist eine nicht invasive Untersuchungsmethode. Mit einem Ultraschallkopf wird das Herz von unterschiedlichen Positionen an einem sehr modernen, hochspezialisierten Gerät untersucht. Dabei kann die Herzgröße zu verschiedenen Zeitpunkten im Herzzyklus gemessen werden. Undichtigkeiten von Herzklappen, Druckunterschiede zwischen Herzkammern, angeborene oder erworbene Engstellen im Herz sowie die Funktion des Herzmuskels können mit Dopplerultraschall beurteilt werden. Weitere mögliche Verfahren sind der Gewebedoppler sowie eine Kontrastmittel-Echokardiografie.
In rechter Seitenlage werden dem Patienten fünf Elektroden an den Gliedmaßen angelegt und die elektrische Aktivität des Herzens abgeleitet. In einem Zeitraum von nur wenigen Minuten kann man mit diesem Kurzzeit-EKG vor allem Herzrhythmusstörungen (Erregungsbildungs- und Leitungsstörungen) erfassen.
[3] => An der Brustwand werden Klebeelektroden befestigt, die mit einem Verband oder Body gesichert werden und mit einem tragbaren EKG-Gerät verbunden sind. Damit soll das Tier seinem normalen Tagesablauf (außer Baden) nachgehen. Ein Langzeit-EKG hilft insbesondere bei der Beurteilung von Herzrhythmusstörungen über einen längeren Zeitraum (z. B. bei rassetypischen Herzmuskelerkrankungen von Dobermännern und Boxern), zur Diagnostik von Ohnmachtsanfällen (Synkopen) von Hunden und Katzen und auch zur Kontrolle nach bereits begonnener Therapie gegen Herzrhythmusstörungen.
[4] => Für die Röntgenuntersuchung wird der Patient auf einem Tisch gelagert und einmal in Seitenlage und einmal in Brust-Bauch-Lage geröntgt (ebenfalls in der Regel ohne Beruhigungsmittel am wachen Patienten). Der häufigste Grund für ein Röntgenbild ist beim Hund Husten, bei der Katze Atemnot. Je nach Fragestellung kann auch eine Durchleuchtung angezeigt sein. Die Röntgenuntersuchung des Brustkorbs gestattet eine Einschätzung des Brustkorbes mit all seinen Organen. Insbesondere die Lunge und deren Durchblutung sind hier von Interesse, da diese im Herzultraschall nur unzureichend dargestellt werden können. So können Folgen einer Herzerkrankung oder Begleiterkrankungen erkannt werden. Die Beurteilung der Herzsilhouette kann Hinweise auf eine Herzinsuffizienz oder Klappenerkrankungen geben.
Der Blutdruck kann bei Hunden und Katzen ähnlich wie bei Menschen gemessen werden und sollte sogar in einem ähnlichen Bereich liegen, der obere (systolische) Blutdruck zwischen 110 und 140 mmHg, der untere (diastolische) Blutdruck bei 60 bis 80 mmHg. Die Untersuchung sollte in möglichst ruhiger Umgebung und entspannter Situation am wachen Patienten erfolgen. Die Blutdruckmanschette wird dabei an einer der vier Gliedmaßen (meist Vordergliedmaße) oder am Schwanzansatz angebracht.
[6] => Nicht nur zur Erhebung des Vorberichts, sondern auch nach Diagnosestellung ist die Kommunikation zwischen Ihnen als Tierhalter und uns ein außerordentlich wichtiges Element. Nach der Untersuchung besprechen wir ausführlich mit Ihnen das weitere Vorgehen, die Bedeutung der Diagnose, ob und welche Therapieempfehlung wir geben und wann Kontrolluntersuchungen sinnvoll sind.
[7] => Patienten mit Atemnot, Herzbeuteltamponaden (Erguss im Herzbeutel, der die Herzfunktion beeinträchtigt) oder schweren Herzrhythmusstörungen sind klassische Notfälle in der Kardiologie. Eine medikamentelle Notfalltherapie sowie Punktionen von Ergüssen in Brustkorb oder Herzbeutel werden durchgeführt. Außerdem sind wir im Bereich der stationären Therapie auf unserer Intensivstation mit einer modernen und großen Sauerstoffbox für die Therapie von Hunden und Katzen mit Atemnot ausgestattet. Ihr Tier wird bis zur Stabilisierung intensivmedizinisch überwacht.
[8] => Für die Rassen, bei denen vor Zuchteinsatz eine kardiologische Untersuchung gefordert wird, können wir diese auch im Rahmen des Collegium Cardiologicum e. V. (CC) sowie PawPeds anbieten (www.collegium-cardiologicum.de).
Bei der Zuchtzulassungsuntersuchung denken Sie bitte daran, den Stammbaum Ihres Tieres mitzubringen und mindestens 15 Minuten vor dem offiziellen Termin einzutreffen, damit die Daten aufgenommen werden können. Die Kosten für einen Herzultraschall im Rahmen des Collegium Cardiologicum e.V. liegen bei 185 €. Weitere Kosten entstehen, wenn für bestimmte Rassen weiteren Untersuchungen (EKG/Langzeit-EKG) gefordert werden.
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slug:2805:abteilung-kardiologie
catid:497
maincat_alias:abteilungen
Kardiologie
› Zur Abteilung
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[title] => Neurologie und Neurochirurgie
[alias] => neurologie
[introtext] => Neurologie und Neurochirurgie
Aktuelle Informationen aus der Abteilung
Die Abteilung Neurologie und Neurochirurgie behandelt Tiere mit Erkrankungen des Gehirns, des Rückenmarks und der Nerven. Erkrankungen dieser Strukturen können zu epileptischen Anfällen, Koordinationsstörungen, Verhaltensänderungen und Lähmungen führen. Oft bestehen die Ursachen dafür in Verletzungen infolge von Unfällen (Stürze aus größerer Höhe, Verkehrsunfälle), aber auch in Durchblutungsstörungen, Tumoren, Entzündungen oder Infektionen des Gehirns und/oder des Rückenmarks.
Eine der häufigsten neurologischen Erkrankungen ist der Bandscheibenvorfall, bei dem oft ein schnelles tierärztliches Handeln die Grundlage dafür ist, dass der gelähmte Patient nach erfolgreicher Operation wieder laufen kann.
Neben Patienten mit diesen häufigeren Problemen werden auch Tiere mit ungewöhnlichen und sehr seltenen Erkrankungen des Nervensystems behandelt, die nur unter Anwendung modernster Untersuchungsmethoden festzustellen sind.
Offene Stellen in der Abteilung
Zurück zur Abteilungsübersicht
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vvvKlinik vvvkümmern vvvsich vvvdaher vvvspezialisierte vvvNarkoseärzte vvvum vvvdie vvvAnästhesie vvvIhres vvvTieres. | vvvForschungsschwerpunkte | vvvEnzephalitis vvvdes vvvHundes | vvvSteroid vvvresponsive vvvMeningitis-Arteritis | vvvGehirnbiopsie | vvvHydrozephalus | vvvRückenmarkstraumata | vvvGehirntemplate | vvvStammzell-Therapie | vvvDie vvvEnzephalitis vvvist vvvbeim vvvHund vvvin vvvder vvvMehrzahl vvvimmunvermittelt. vvvUnsere vvvForschung vvvbeschäftigt vvvsich vvvsowohl vvvmit vvvMethoden vvveiner vvvsichereren vvvDiagnosestellung vvvals vvvdies vvvbisher vvvmögliche vvvist, vvvals vvvauch vvvmit vvvnebenwirkungsärmeren vvvTherapieoptionen vvvzur vvvLangzeitbehandlung vvvdieser vvvErkrankung. | vvvUnterschiedliche vvvTherapien vvvwerden vvvgetestet vvvund vvvihr vvvTherapieerfolg vvvwird vvvobjektiv vvvverglichen. | vvvWir vvventwickeln vvvund vvvtesten vvvneue vvvstereotaktische vvvBiopsieverfahren, vvvum vvvGewebeproben vvvnoch vvvzielgenauer vvvund vvvfür vvvden vvvPatienten vvvrisikoärmer vvvauch vvvvon vvvkritischen vvvGehirnarealen vvvgewinnen vvvzu vvvkönnen. | vvvWir vvvuntersuchen, vvvob vvvsich vvvdie vvvErfolgsraten vvvnach vvveiner vvvImplantation vvveines vvvventrikuloperitonealen vvvShuntes vvvin vvvAbhängigkeit vvvvon vvvdem vvvverwendeten vvvShunttyp vvvund vvvunter vvvBerücksichtigung vvvdes vvvindividuellen vvvintrakraniellen vvvDruckes vvvverbessern vvvlassen. | vvvWir vvvbeteiligen vvvuns vvvan vvvinternationalen vvvForschungsprojekten, vvvwelche vvvunterschiedliche vvvPharmaka vvvtesten, vvvum vvvdie vvvHeilungschancen vvvnach vvveinem vvvRückenmarkstrauma vvvverbessern vvvzu vvvkönnen. | vvvWir vvvsind vvvan vvveinem vvvForschungsprojekt vvvzur vvvErstellung vvveines vvvMRT-Templates vvvdes vvvkaninen vvvGehirnes vvvbeteiligt. vvvDieser vvvnormalisierte vvvGehirnatlas vvvsoll vvves vvvermöglichen, vvvpathologische vvvAbweichungen vvvbei vvverkrankten vvvPatienten vvvzuverlässiger vvvzu vvverkennen. | vvvWir vvventwickeln vvvneue vvvTherapieansätze vvvfür vvvprognostisch vvvungünstige vvvErkrankungen vvvwie vvvdie vvvEnzephalitis vvvdes vvvHundes. | vvvBesondere vvvAusstattung | vvvComputertomographie | vvv3-Tesla vvvMagnetresonanztomographie | vvvElektrodiagnostikeinheit | vvvIntraventrikulärer vvvDruckmesser | vvvDie vvvComputertomografie vvvist vvvein vvvVerfahren, vvvbei vvvdem vvvunter vvvNutzung vvvvon vvvRöntgenstrahlen vvvSchnittbilder vvvjeder vvvbeliebigen vvvKörperregion vvvangefertigt vvvwerden vvvkönnen. vvvSie vvvdient vvvinsbesondere vvvder vvvDarstellung vvvknöcherner vvvStrukturen. | vvvDie vvvMagnetresonanztomographie vvvist vvvein vvvVerfahren, vvvbei vvvdem vvvunter vvvNutzung vvvvon vvvMagnetfeldern vvvSchnittbilder vvvder vvvinneren vvvOrgane vvvund vvvder vvvMuskulatur vvvangefertigt vvvwerden vvvkönnen. | vvvDieses vvvGerät vvvermöglicht vvvdie vvvMessung vvvder vvvelektrischen vvvAktivität vvvvon vvvGehirn (vvvElektroenzephalogramm; vvvEEG), vvvOhr (vvvAudiogramm; vvvBAER), vvvMuskeln (vvvElektromyogramm; vvvEMG) vvvund vvvNerven (vvvElektroneurografie; vvvNLG). | vvvDieses vvvGerät vvvmisst vvvmit vvveiner vvvsehr vvvkleinen, vvvin vvvdas vvvGehirn vvveingebrachten vvvSonde vvvden vvvDruck vvvim vvvGehirn vvvund vvvermöglicht vvvso, vvvdie vvvBehandlung vvvnach vvveiner vvvKopfverletzung vvvoder vvvbei vvveinem vvvWasserkopf vvvden vvvindividuellen vvvBedürfnissen vvvdes vvvPatienten vvvanzupassen.
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[addcat_title] =>
[add_canonical] =>
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[__field32] =>
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[__field34] =>
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[show_intro] =>
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[text] => Neurologie und Neurochirurgie
Aktuelle Informationen aus der Abteilung
Die Abteilung Neurologie und Neurochirurgie behandelt Tiere mit Erkrankungen des Gehirns, des Rückenmarks und der Nerven. Erkrankungen dieser Strukturen können zu epileptischen Anfällen, Koordinationsstörungen, Verhaltensänderungen und Lähmungen führen. Oft bestehen die Ursachen dafür in Verletzungen infolge von Unfällen (Stürze aus größerer Höhe, Verkehrsunfälle), aber auch in Durchblutungsstörungen, Tumoren, Entzündungen oder Infektionen des Gehirns und/oder des Rückenmarks.
Eine der häufigsten neurologischen Erkrankungen ist der Bandscheibenvorfall, bei dem oft ein schnelles tierärztliches Handeln die Grundlage dafür ist, dass der gelähmte Patient nach erfolgreicher Operation wieder laufen kann.
Neben Patienten mit diesen häufigeren Problemen werden auch Tiere mit ungewöhnlichen und sehr seltenen Erkrankungen des Nervensystems behandelt, die nur unter Anwendung modernster Untersuchungsmethoden festzustellen sind.
Offene Stellen in der Abteilung
Zurück zur Abteilungsübersicht
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[0] => Therapie komplexer neurologischer Erkrankungen
[1] => Myelographie
[2] => Schnittbildverfahren
[3] => Optische Navigation
[4] => Elektrodiagnostik
[5] => Liquoranalyse
[6] => Wirbelsäulenoperationen
[7] => Gehirnchirurgie
[8] => Neuroanästhesie
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[0] => Wir behandeln schwierig zu therapierende Erkrankungen wie therapieresistente Epilepsie, Myasthenia gravis und Syringohydromyelie.
[1] => Es handelt sich hierbei um eine spezielle Röntgentechnik der Wirbelsäule, bei der ein Kontrastmittel in den Wirbelkanal gespritzt und anschließend eine Röntgenuntersuchung durchgeführt wird. Erkrankungen im Wirbelkanal, insbesondere Einengungen des Rückenmarks, können dadurch sichtbar gemacht werden.
[2] => Unter diesem Begriff werden die Computertomografie (CT) und die Magnetresonanztomografie (MRT) zusammengefasst. Mit beiden Verfahren werden veränderte Strukturen im Inneren des Körpers sichtbar gemacht. Die Computertomografie dient vorwiegend der Darstellung knöcherner Veränderungen der Wirbelsäule und des Schädels sowie in Kombination mit einer Myelographie dem Nachweis von Bandscheibenvorfällen. Die Magnetresonanztomografie eignet sich ideal zum Nachweis von Veränderungen im Weichteilgewebe wie etwa dem Gehirn und dem Rückenmark.
[3] => Mit dieser Methode werden computergestützt zielgenau Gewebeproben von erkrankten Regionen des Gehirnes entnommen, wobei das umliegende gesunde Gewebe weitgehend geschont wird.
[4] => Durch Messungen der elektrischen Aktivität von Muskeln und Nerven lassen sich Erkrankungen des peripheren Nervensystems, deren Ursachen also nicht in Gehirn oder Rückenmark liegen, diagnostizieren. Auch kann mit solchen Messungen objektiv untersucht werden, ob ein Tier ein beeinträchtigtes Hörvermögen hat oder im ungünstigsten Fall sogar völlig taub ist (Audiogramm).
[5] => Bei der Liquoranalyse wird Gehirn- bzw. Rückenmarksflüssigkeit durch eine Punktion gewonnen und analysiert, um so bestimmte Erkrankungen des Nervensystems feststellen zu können.
[6] => Wir führen alle etablierten Operationen durch, um Erkrankungen der Wirbelsäule und des Rückenmarkes zu behandeln. Häufigste Gründe für Operationen der Wirbelsäule stellen Bandscheibenvorfälle, die "Wobbler-Erkrankung" und die lumbosakrale Stenose dar. In unserer Klinik stehen spezielle chirurgische Operationsmethoden wie zum Beispiel das C-Lox System zur Versorgung von chronischen Bandscheibenvorfällen in der Halswirbelsäule, das Kishigami Atlantoaxiale Tension Band und Osteosyntheseeinheiten zur Versorgung von Wirbelfrakturen zur Verfügung.
[7] => Wir führen Operationen am Gehirn durch, um angeborene Erkrankungen, die Folgen von Kopfverletzungen oder Tumorerkrankungen zu behandeln. Eine spezielle Operationsmethode am Gehirn ist die Implantation eines ventrikuloperitonealen Shuntes zur Behandlung eines Wasserkopfes Dabei wird ein von außen nicht sichtbarer Schlauch aus dem Gehirn unter der Haut bis in den Bauchraum gelegt, um die überschüssige Flüssigkeit aus dem Gehirn abzuleiten.
[8] => Zur Durchführung von neurochirurgischen Eingriffen an Gehirn und Rückenmark sind spezielle Narkoseverfahren und eine dem Eingriff angepasste Narkoseüberwachung nötig, um der Gefahr von intraoperativen Narkosezwischenfällen vorzubeugen. In unserer Klinik kümmern sich daher spezialisierte Narkoseärzte um die Anästhesie Ihres Tieres.
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[0] => Enzephalitis des Hundes
[1] => Steroid responsive Meningitis-Arteritis
[2] => Gehirnbiopsie
[3] => Hydrozephalus
[4] => Rückenmarkstraumata
[5] => Gehirntemplate
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[0] => Die Enzephalitis ist beim Hund in der Mehrzahl immunvermittelt. Unsere Forschung beschäftigt sich sowohl mit Methoden einer sichereren Diagnosestellung als dies bisher mögliche ist, als auch mit nebenwirkungsärmeren Therapieoptionen zur Langzeitbehandlung dieser Erkrankung.
[1] => Unterschiedliche Therapien werden getestet und ihr Therapieerfolg wird objektiv verglichen.
[2] => Wir entwickeln und testen neue stereotaktische Biopsieverfahren, um Gewebeproben noch zielgenauer und für den Patienten risikoärmer auch von kritischen Gehirnarealen gewinnen zu können.
[3] => Wir untersuchen, ob sich die Erfolgsraten nach einer Implantation eines ventrikuloperitonealen Shuntes in Abhängigkeit von dem verwendeten Shunttyp und unter Berücksichtigung des individuellen intrakraniellen Druckes verbessern lassen.
[4] => Wir beteiligen uns an internationalen Forschungsprojekten, welche unterschiedliche Pharmaka testen, um die Heilungschancen nach einem Rückenmarkstrauma verbessern zu können.
[5] => Wir sind an einem Forschungsprojekt zur Erstellung eines MRT-Templates des kaninen Gehirnes beteiligt. Dieser normalisierte Gehirnatlas soll es ermöglichen, pathologische Abweichungen bei erkrankten Patienten zuverlässiger zu erkennen.
[6] => Wir entwickeln neue Therapieansätze für prognostisch ungünstige Erkrankungen wie die Enzephalitis des Hundes.
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[1] => Die Magnetresonanztomographie ist ein Verfahren, bei dem unter Nutzung von Magnetfeldern Schnittbilder der inneren Organe und der Muskulatur angefertigt werden können.
[2] => Dieses Gerät ermöglicht die Messung der elektrischen Aktivität von Gehirn (Elektroenzephalogramm; EEG), Ohr (Audiogramm; BAER), Muskeln (Elektromyogramm; EMG) und Nerven (Elektroneurografie; NLG).
[3] => Dieses Gerät misst mit einer sehr kleinen, in das Gehirn eingebrachten Sonde den Druck im Gehirn und ermöglicht so, die Behandlung nach einer Kopfverletzung oder bei einem Wasserkopf den individuellen Bedürfnissen des Patienten anzupassen.
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[text] => Neurologie und Neurochirurgie Aktuelle Informationen aus der Abteilung Die Abteilung Neurologie und Neurochirurgie behandelt Tiere mit Erkrankungen des Gehirns, des Rückenmarks und der Nerven. ...
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slug:1702:neurologie
catid:497
maincat_alias:abteilungen
Neurologie und Neurochirurgie
› Zur Abteilung
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[title] => Ophthalmologie
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[introtext] => Ophthalmologie
Offene Stellen in der Abteilung
Veränderungen an den Augen der Tiere haben oft etwas Bedrohliches für ihre Besitzer. Deshalb ist es gut zu wissen, dass es auch für Tiere spezielle Tieraugenärzte gibt. In unserer ophthalmologischen Abteilung können Hunde, Katzen und Heimtiere mit Augenerkrankungen vorgestellt werden. Wir untersuchen und behandeln gemeinsam mit den zuständigen Kollegen auch Großtiere (u.a. Pferde, Alpakas), Vögel und Reptilien sowie Zootiere.
Unsere Augenpatienten werden nach den modernsten Standards untersucht und behandelt, die sich an den humanmedizinischen Standards orientieren. Für jeden Sprechstundenpatienten stehen routinemäßig zur Verfügung:
- Spaltlampenuntersuchung
- Direkte und indirekte Ophthalmoskopie
- Tränenfunktions- und Tränenwegsuntersuchung
- Hornhautdiagnostik
- Tonometrie (Augeninnendruckmessung)
- Gonioskopie (Glaukom-Früherkennung)
- Sehtests (siehe unten)
- Augenultraschall
- Bakteriologische, zytologische und histologische Diagnostik
Zurück zur Abteilungsübersicht
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(vvvJanuar vvv2022)
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return 'Value length is: '. $value_length;
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[custommask] =>
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[auto_value_code] => fields;
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foreach($F['fieldname01']->postdata as $i => $v)
{
$vals[$i] = 'Auto : ' . $v;
}
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[placeholder] =>
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[import_fv_ccode] => parameters->get('some_param');
foreach($values as $i => $v)
{
$values[$i] = 'Example ' . $i . ' : ' . $v;
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[slider_custom_labels] => label_any ## label_50 ## label_150 ## label_600 ## label_any
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[slider_custom_labels_s] => label_any ## label_500 ## label_2000 ## label_10000 ## label_any
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[pretext_filter_s] =>
[posttext_filter_s] =>
[opentag_filter_s] =>
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[linktext] => stdClass Object
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Verwaltung
Eine exzellente Verwaltung und Organisation ist für unsere Patientenversorgung, Forschung und Lehre ein absolutes Muss. Die Mitarbeiter am Empfang und im Sekretariat stehen Ihnen und uns hier zur Seite.
{module [229]}
Pflege
Unser Team aus Tiermedmedizinischen Fachangestellten und Tierpflegern sorgt für das Wohlbefinden Ihres Lieblings. Unsere Mitarbeiter sehen ihre Aufgabe nicht nur darin, bei der medizinischen Betreuung der Tiere Hand in Hand mit den Tierärzten zu arbeiten, sondern auch ihrem Tier den Aufenthalt in der fremden Umgebung so angenehm wie möglich zu gestalten.
{module [228]}
Zurück zur Abteilungsübersicht
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[sortierung] => stdClass Object
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)
[acc_infoblock_panel] => stdClass Object
(
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)
[subheadline] => stdClass Object
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[value] => Array
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return 'Value length is: '. $value_length;
[prx_sfx_open_close_configs] =>
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[pretext] =>
[posttext] =>
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[opentag] =>
[closetag] =>
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[microdata_itemprop] =>
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[ogpinview] => Array
(
[0] => __SAVED__
)
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[slider_custom_range] => 'min': '', '25%': '50', '50%': '150', '75%': '600', 'max': ''
[slider_custom_labels] => label_any ## label_50 ## label_150 ## label_600 ## label_any
[slider_custom_labels_jtext] => 0
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[slider_custom_labels_s] => label_any ## label_500 ## label_2000 ## label_10000 ## label_any
[slider_custom_labels_jtext_s] => 0
)
[initialized:protected] => 1
[separator] => .
)
[display] =>
)
[manueller_link] => stdClass Object
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[asset_id] => 473
[field_type] => text
[name] => manueller_link
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[value] => Array
(
)
[parameters] => Joomla\Registry\Registry Object
(
[data:protected] => stdClass Object
(
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[default_value] =>
[default_value_use] => 0
[inputmask] =>
[validation] => HTML
[regexmask] =>
[custommask] =>
[auto_value] => 0
[auto_value_code] => fields;
if ( !isset($F['fieldname01']) ) return array('fieldname01 field not found');
$vals = array();
foreach($F['fieldname01']->postdata as $i => $v)
{
$vals[$i] = 'Auto : ' . $v;
}
return $vals;
[display_label_form] => 1
[no_acc_msg_form] =>
[placeholder] =>
[maxlength] =>
[size] => 30
[extra_attributes] =>
[pretext_form] =>
[posttext_form] =>
[import_fv_remap_mode] => 0
[import_fv_remap] =>
[import_fv_ccode_mode] => 0
[import_fv_ccode] => parameters->get('some_param');
foreach($values as $i => $v)
{
$values[$i] = 'Example ' . $i . ' : ' . $v;
}
return $values;
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[output_custom_func] => $value_length = mb_strlen($value, 'UTF-8');
return 'Value length is: '. $value_length;
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[pretext] =>
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[slider_display_config] => 1
[slider_custom_range] => 'min': '', '25%': '50', '50%': '150', '75%': '600', 'max': ''
[slider_custom_labels] => label_any ## label_50 ## label_150 ## label_600 ## label_any
[slider_custom_labels_jtext] => 0
[pretext_filter] =>
[posttext_filter] =>
[opentag_filter] =>
[closetag_filter] =>
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[slider_custom_range_s] => 'min': '', '25%': 500, '50%': 2000, '75%': 10000, 'max': ''
[slider_custom_labels_s] => label_any ## label_500 ## label_2000 ## label_10000 ## label_any
[slider_custom_labels_jtext_s] => 0
[pretext_filter_s] =>
[posttext_filter_s] =>
[opentag_filter_s] =>
[closetag_filter_s] =>
)
[initialized:protected] => 1
[separator] => .
)
[display] =>
)
[linktext] => stdClass Object
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[asset_id] => 2366
[field_type] => text
[name] => linktext
[label] => Linktext
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[checked_out_time] => 0000-00-00 00:00:00
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[item_id] => 1704
[value] => Array
(
[0] => Zur Abteilung
)
[parameters] => Joomla\Registry\Registry Object
(
[data:protected] => stdClass Object
(
[use_ingroup] => 0
[allow_multiple] => 0
[add_position] => 3
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[default_value] =>
[default_value_use] => 0
[inputmask] =>
[validation] => HTML
[regexmask] =>
[custommask] =>
[auto_value] => 0
[auto_value_code] => fields;
if ( !isset($F['fieldname01']) ) return array('fieldname01 field not found');
$vals = array();
foreach($F['fieldname01']->postdata as $i => $v)
{
$vals[$i] = 'Auto : ' . $v;
}
return $vals;
[display_label_form] => 1
[no_acc_msg_form] =>
[placeholder] =>
[maxlength] =>
[size] => 30
[extra_attributes] =>
[pretext_form] =>
[posttext_form] =>
[import_fv_remap_mode] => 0
[import_fv_remap] =>
[import_fv_ccode_mode] => 0
[import_fv_ccode] => parameters->get('some_param');
foreach($values as $i => $v)
{
$values[$i] = 'Example ' . $i . ' : ' . $v;
}
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[text] => Verwaltung & Pflege
Verwaltung
Eine exzellente Verwaltung und Organisation ist für unsere Patientenversorgung, Forschung und Lehre ein absolutes Muss. Die Mitarbeiter am Empfang und im Sekretariat stehen Ihnen und uns hier zur Seite.
{module [229]}
Pflege
Unser Team aus Tiermedmedizinischen Fachangestellten und Tierpflegern sorgt für das Wohlbefinden Ihres Lieblings. Unsere Mitarbeiter sehen ihre Aufgabe nicht nur darin, bei der medizinischen Betreuung der Tiere Hand in Hand mit den Tierärzten zu arbeiten, sondern auch ihrem Tier den Aufenthalt in der fremden Umgebung so angenehm wie möglich zu gestalten.
{module [228]}
Zurück zur Abteilungsübersicht
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)
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$values[$i] = 'Example ' . $i . ' : ' . $v;
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)
slug:1704:abteilung-verwaltung-pflege
catid:497
maincat_alias:abteilungen
› Zur Abteilung
Ein gekoppeltes Videosystem ermöglicht es Besitzern und Studierenden, die Spaltlampenuntersuchung und die Spiegelung des Augenhintergrundes „hautnah“ mit zu beobachten. (Januar 2022)
