Bünte H
Zentralbl Chir. 1978;103(10):609-15.
The development of anaesthesiology has brought about a great variety of problems e.g. unforeseen capacities, money, vacancies and equipment. The patients welfare, of course necessitates the establishment of anaesthesiological departments wherever operations are being performed. We believe that in hospitals without anaesthesiologists an experienced physician should devote himself to the above mentioned duties, which should not be allowed to be of less quality. This is the only way to avoid serious complications. Furthermore, the type of operation and selection of patients have to consider these factors. Risky patients should not be operated on in hospitals without an anaesthesiologist. In a single-man-anaesthesia department the surgical colleagues should be temporarily transferred to assist in the anaesthesiologic department. If there is no possibility of using modern anaesthesia, neither through an anaesthesiologist nor an experienced surgeon, the range of surgery should be limited to the more riskless areas of the body or to operations that can be done in local anaesthesia.
麻醉学的发展带来了各种各样的问题，例如不可预见的能力、资金、空缺职位和设备。当然，为了患者的福祉，无论何处进行手术，都有必要设立麻醉科。我们认为，在没有麻醉医生的医院里，一位经验丰富的医生应承担上述职责，且这些职责的履行质量不应降低。这是避免严重并发症的唯一方法。此外，手术类型和患者选择必须考虑这些因素。在没有麻醉医生的医院里，不应为风险高的患者进行手术。在单人麻醉科室，外科同事应临时调过来协助麻醉科工作。如果既没有麻醉医生也没有经验丰富的外科医生来实施现代麻醉，那么手术范围应限于身体风险较低的部位或可在局部麻醉下进行的手术。
