Medical Park Loipl / Schlaganfallzentrum Loipl

Intensive Care Unit

Even when they are still in the intensive care environment, the patients draw maximum benefits from well-organised treatment plans involving therapeutic aspects. By this, patients gain valuable rehabilitation time, even in those cases where stable circulatory functions and satisfactory respiration can only be maintained by means of advanced and up-to-date intensive care medicine.
Any potentially necessary transfer to an external acute care hospital in case of arising complications and any subsequent interruption of rehabilitation will be avoided, using the optional facilities provided by intensive care treatment services. 

The intensive care unit is operated as self-contained unit providing of 15 patient beds in three one-bed patient rooms and six 2-bed patient rooms. The three 1-bed boxes are furnished with clean room security and safety access control systems. An independent team consisting of medical specialists, nurses and therapists with board-certified training in intensive care medicine attend in a multimodal therapeutic aproach to their patients.
Major therapeutic approaches in early rehabilitation include:

• Special position, for instance alignment in neutral position
• Gradual tilt training
• Weaning off the ventilator (weaning)
• Differenciated spasticity treatment (for instance local Botulinum toxin therapy including intrathecal Baclofen pump)
• Weaning off the tracheostomy tube
• Successful avoidance and eradication of MRSA colonisation
• Application of specific concepts (for instance basal stimulation in intensive care)

Admission indications

• History of apoplexy including traumatic intracranial hemorrhage
• History of hypoxic brain damage
• History of traumatic brain injury
• History of neurosurgical interventions
• Patients with conditions showing Guillain-Barré syndrome including myasthenic crisis
• History of meningitis/encephalitis
• History of prolonged status epilepticus
• „Critical illness“ polyneuropathy
• „Critical illness“ myopathy

Technical Equipment

• ECG
• Respiratory rate
• Oxygen saturation
• Assessment of invasive and non-invasive blood pressure
• Continuous recording of EEG activity
• Intracranial pressure recording and monitoring system
• Non-invasive monitoring of hemodynamic parameters, for instance cardiac output, etc. using the PiCCO system

In order to allow for an optimal diagnostic approach and to avoid unnecessary transports, medical equipment available include:

• Vascular ultrasonography, sonography for examination of joints and soft tissues of the musculoskeletal system including transcranial sonography
• Long-term ECG recording
• Long-term blood pressure telemetry
• Electroencephalography (EEG)
• Electroneurography (NLG)
  Electromyography (EMG)
• Video Laryngoscopy
• Digital X-Ray Systems
• Latest generation of X-ray computed tomography systems
• Bronchoscopy
• Esophagogastroduodenoscopy
• Emergency laboratory testing