title: [Anesthesiologic considerations in non-university heart surgery].
abstract: The non-debatable need for expansion of cardiac surgery beyond the university hospitals was recognized in Austria ten years ago. Such development put an additional strain on the scarce resources of Anesthesia Service and Intensive-Care-Unit (ICU) facilities. To cope with the increase of the ICU patient load the change of ICU admission and discharge criteria was necessary. The economic burden for the hospital was in our case a limiting factor for the number of heart operations, soon the emergency cases and high-risk cardiac patients forced the hospital administration to accept the reality. It took more than five years to change from necessary improvisation to full organization of the Cardiac Service which is presently interwoven into the existing hospital structures. Such interdisciplinary solution (surgery, medical service, anesthesia) is in authors' opinion superior to an isolated cardiac surgical center.
authors.affiliation: Abteilung für Anästhesiologie und operative Intensivmedizin, a.ö. Krankenhauses der Stadt Linz.
authors.forename: S
authors.initials: S
authors.lastname: Necek
authors.forename: H
authors.initials: H
authors.lastname: Bergmann
mesh_terms: D000761:Anesthesia Department, Hospital / Q000706:statistics & numerical data*; D001317:Austria; D006348:Cardiac Surgical Procedures / Q000191:economics / Q000706:statistics & numerical data*; D003325:Coronary Care Units / Q000706:statistics & numerical data; D003363:Cost Control / Q000639:trends; D006301:Health Services Needs and Demand / Q000639:trends*; D006302:Health Services Research / Q000639:trends*; D006748:Hospital Departments / Q000706:statistics & numerical data*; D006769:Hospitals, General / Q000706:statistics & numerical data; D006779:Hospitals, Public / Q000706:statistics & numerical data; D006801:Humans; D007362:Intensive Care Units / Q000706:statistics & numerical data; D011785:Quality Assurance, Health Care / Q000639:trends; D012017:Referral and Consultation / Q000706:statistics & numerical data*
vernacular_title: Anästhesiologische Gedanken zur nichtuniversitären Herzchirurgie.