Dr. von Haunersches Children's Hospital
| Dr. von Haunersches Children's Hospital | |
|---|---|
 |
|
| Sponsorship | Institute of public right |
| place | Munich , Germany |
| state |
 Bavaria
|
| Country |
 Germany
|
| Coordinates | 48 ° 7 '49 " N , 11 ° 33' 32" E |
| medical director | Christoph Klein |
| Care level | Maximum care hospital |
| beds | 211 |
| Employee | 285 |
| including doctors | 168 |
| Affiliation | Ludwig-Maximilians-University Munich |
| founding | 1998 |
| Website | Dr. von Haunersches Children's Hospital |
The Dr. von Haunersche Children's Hospital , often just called Haunersche , is a children's clinic and children 's outpatient clinic in Munich . The Haunersche is part of the LMU Klinikum , one of the largest university clinics in Germany and Europe. The children's hospital has existed in its current form since 1998, after the children's clinic , founded by August Hauner in 1846, and the first children's outpatient clinic in Munich, which goes back to Franz Xaver Reiner , merged.
The children's hospital only treats children and adolescents up to the age of 18. With 119 beds in the pediatric clinic , 61 beds in the pediatric surgery clinic and three intensive care units , the Dr. von Haunersche Children's Hospital is a maximum care hospital . More than 6,500 inpatient cases are treated in the clinic every year.
Location
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The Dr. von Haunersche Children's Hospital is part of the inner city campus of the LMU Clinic in Munich. It is in the corner between Lindwurmstrasse and Goethestrasse on Goetheplatz in Munich's Ludwigsvorstadt . Other locations are on Pettenkoferstrasse and Maistrasse. A department in Marchioninistraße, i.e. on the Großhadern campus of the LMU Klinikum, is also associated with the Hauner Children's Hospital.
history
Beginnings of the children's outpatient clinic
The systematic medical care of children in Munich goes back to Franz Xaver Reiner , who settled in Munich in 1817 as a doctor for the poor. On January 5, 1818, he opened a consultation hour in his apartment at Löwengrube 5 in Munich under the name Reinersche visiting institution for sick children and eye patients, in order to be able to help the poor in particular free of charge. Initially, private donors supported the institution, from 1825 onwards Prince Karl of Bavaria made annual financial contributions.
In 1827, this first polyclinic moved into its own house at Viktualienmarkt No. 9, the former gendarmerie building . In 1829 Queen Therese , Ludwig I's wife , took over the patronage. After Franz Xaver Reiner's death in 1837, Wimmer headed the institution until 1857, after which the young Alfred Vogel became director. In 1863 he moved with the department for childhood diseases to the newly established general outpatient clinic at Sonnenstrasse 17 next to the building, called Reisingerianum after its founder Franz Reisinger from Augsburg . There he gave lectures, wrote the first textbook for childhood diseases in German (9 editions, 6 main languages) and was appointed associate professor in 1865. From 1866 to 1886 Heinrich Ranke was director of the children's outpatient clinic. When he became director of the new university children's clinic on Lindwurmstrasse, Carl Seitz followed from 1890 until his retirement in 1928. In 1907 the children's outpatient clinic moved together with the other departments of the Reisingerianum to the new outpatient clinic on Pettenkoferstrasse. Munich was the only German city to receive two chairs for paediatrics. It was not until 1918 that pediatrics was recognized as an independent teaching and examination subject.
Beginnings of the children's clinic
In 1846 August Hauner founded the Dr. from Haunersche Children's Hospital. Hauner had been a doctor in Munich since 1844 and in 1845 had made the plan to set up inpatient care for young patients in the Bavarian metropolis. The establishment of a private children's hospital in Vienna shortly before was considered a model .
Hauner implemented his plans through the equity and donations he collected. At the beginning, the hospital had six beds, which were housed in a rented four-room apartment at Sonnenstrasse 27 in Munich . In 1848 the friends' association, which was formed shortly after the clinic was founded, expanded the infrastructure with its own building with thirty beds on Jägerstrasse. After August Hauner completed his habilitation in 1850 , he began to train other interested doctors in pediatrics. Even back then, surgical interventions were part of the hospital's range of services and Hauner managed to get important surgeons such as Carl Thiersch and Johann Nepomuk von Nussbaum to work in his hospital.
After the costs exceeded the income for the first time in 1854, August Hauner asked the city of Munich to take over the hospital in 1855, albeit without success. An expansion of the hospital was already essential at that time, as it was not possible to separate children with infectious diseases from patients after a surgical intervention with the existing infrastructure.
Hauner therefore had to take the expansion into his own hands and, thanks to many patrons, including the King of Bavaria , managed to raise the funds for a new building. The groundbreaking ceremony for the main building, which is still in use today, took place in 1880 on Lindwurmstrasse. Two years later, the building designed by the architect Arnold Zenetti was completed.
When August Hauner died in 1884, his son-in-law Alfred von Halm, son of the classical philologist and librarian Karl Felix Halm , took over the management of the clinic. Halm had married Hauner's daughter Auguste Juliane Katharina Hauner in 1876 and was Hauner's right-hand man in the operative business even then. However, Halm's focus was not on the pediatric training of young medical students, so that for the time being there was no longer any academic training for young pediatricians in the facility. It took two years for the Bavarian state to take over the von Halm Hospital and to accelerate the training of junior doctors at the University of Munich.
From 1908 the children's hospital was further expanded. In 1910, a large lecture hall , an infection department and an infant department that was very modern for the time were inaugurated. The expansion cost a total of 300,000 marks and brought an expansion to 150 beds.
During the First World War , a quarantine department was set up in the Hauner Children's Hospital for the first time , which was primarily geared towards teaching. The students were able to follow the activities of the training doctors through head-high glass walls without the process being disrupted or the students being exposed to the risk of infection.
In 1919 the Dr. von Haunersche Children's Hospital became one of the first real university children's clinics when it was placed under the chair of Meinhard von Pfaundler , who had been the chief physician at the clinic since 1906 .
At the end of 1923 the hospital was about to be closed. At the height of hyperinflation in Germany , the hospital's running costs could no longer be covered. It was only thanks to the association founded in 1886 to support Dr. von Hauner's Children's Hospital, which is still active today, was able to keep the clinic running thanks to donations.
The surgical extension was completed in 1924. The building, which was visually almost identical to the original building, enabled the number of beds in the surgical area to be increased from 34 to 52 and, for the first time, offered operating conditions that met the requirements of asepsis .
From the first merger to the separation
From 1928 to 1948 the children's outpatient clinic was also connected to the Haunersche for the first time.
After the "seizure of power" by the National Socialists , a total of 31 doctors who had worked at Haunerschen during their careers were persecuted for racist or political reasons. The historical processing of the topic, however, is still incomplete. The annual reports of the children's hospital from the years 1933 to 1945 cannot be found and the majority of the doctors affected emigrated early.
The most famous personalities at Dr. von Hauner's Children's Hospital, who were persecuted by the Nazi regime, belonged to Erich Benjamin , Rudolf Degkwitz , Ernst Moro and Albert Uffenheimer . None of them were active when the National Socialists came to power on the Haunerschen. Based on the sources, it is assumed that not a single Jewish or politically persecuted physician worked in the clinic at the time.
In the first years of the Second World War , the children's clinic was able to continue operating, despite the fact that many doctors had moved in for military service. Air raid shelters were set up in previous years and during the war . The last bunker built was in the front garden at Goetheplatz. The patients were brought into the bunkers about 250 times when there were air raids .
The hospital suffered its first war damage on October 2, 1943; On June 13, 1944, a phosphorus fire bomb destroyed, among other things, the elevator for the hospital beds. The greatest damage was caused by the attack on July 12, 1944, when so much substance was destroyed that patients, staff and inventory had to be moved to Ohlstadt .
A provisional reconstruction began shortly afterwards, so that parts of teaching operations in Munich could be resumed as early as autumn 1945. A year later, parts of the surgical department were relocated from Ohlstadt. However, the outsourcing location developed into a regional children's hospital location in the Garmisch-Partenkirchen district over the years . The clinic in Ohlstadt was closed in 1966.
From the separation to the second merger
In 1949 the children's outpatient clinic was again independent from the Hauner Children's Hospital and was then run by a chair at the Ludwig Maximilians University until 1998 .
After the former Second Women's Clinic, whose modern building is located directly next to the Children's Hospital, moved to the Großhadern campus in 1985, the parts of the building that had become vacant were handed over to the Children's Hospital. They represent the third structure of the children's hospital, which is connected to the historical buildings by a glass bridge on the second floor. The Pediatric Surgery Directorate and the Pediatric Clinic and Polyclinic Directorate have had their offices here since then. The Haunersche shares the building with the oral and maxillofacial surgery of the LMU clinic.
After the second merger
On October 1, 1998, the two clinics finally merged under the name of the Children's Clinic and Children's Polyclinic in the Dr. von Hauner's Children's Hospital . Some of the specialist areas of the former children's outpatient clinic were also integrated into the children's clinic. These included hematology , oncology , pulmonology and gastroenterology .
A large part of the funding for the expansion of the children's hospital has not been provided by public authorities, but by foundations and parents' initiatives. Particularly noteworthy is the cystic fibrosis outpatient clinic, which is run under the name Christiane Herzog outpatient clinic due to the commitment of the Christiane Herzog Foundation .
In total, since 1998, under the direction of the State Building Authority Munich II, construction measures with expenditures of over 15 million euros have been implemented. The largest single item here was the renovation of the 2nd and 3rd floors with the new integration of the Intern 1 station in this part of the building. For this, 3,030,000 euros were invested.
building
The architecture of the children's hospital is inconsistent due to the greatly staggered development times . The former II. Women's Clinic at Lindwurmstrasse 2a is a neo- baroque building with risalits designed by Richard Schachner . The building at Lindwurmstrasse 4 is classifying . Both the building at Lindwurmstrasse 2a and the main building at Lindwurmstrasse 4 are listed as architectural monuments in the Bavarian list of monuments. The new building from 1976 between these two buildings is a purely functional modern concrete structure.
Stations and departments
The wards and departments are still divided into children's clinic and pediatric surgical clinic.
Overview
| Surname | Art | Affiliation | Focus | |
|---|---|---|---|---|
| Station internal 1 | Internal Medicine | Children's clinic | Epilepsy unit | |
| Station internal 3 | Internal Medicine | Children's clinic | Oncology ward | |
| Internal station 4 | Internal Medicine | Children's clinic | Metabolic diseases | |
| Internal station 5 | Internal Medicine | Children's clinic | Pulmonology and Immunodeficiencies | |
| Station internal infant | Internal Medicine | Children's clinic | ||
| Psychosomatic ward | Internal Medicine | Department of Child Psychosomatics | ||
| Stem Cell Transplant Unit (LAF) | transplantation | Children's clinic | * | |
| Interdisciplinary intensive care unit (KIPS) with emergency care, shock room and burn unit | Intensive care | Children's Clinic and Pediatric Surgical Clinic | ||
| Neonatal Intensive Care Unit (Nips) (city center) | Intensive care | Children's clinic | ||
| Neonatal Intensive Care Unit (Nips) (Großhadern) | Intensive care | Children's clinic | ||
| Surgery ward 2 | surgery | Pediatric Surgical Clinic | ||
| Surgery ward 3 | surgery | Pediatric Surgical Clinic | ||
| Oncological day clinic | day clinic | Children's clinic | ||
| Immunological day clinic | day clinic | Children's clinic | ||
| Interdisciplinary day clinic | day clinic | Children's Clinic and Pediatric Surgical Clinic | ||
| Interdisciplinary emergency room | ambulance | Children's Clinic and Pediatric Surgical Clinic | ||
| Interdisciplinary special outpatient departments | ambulance | Children's Clinic and Pediatric Surgical Clinic | ||
| Department of Gastroenterology and Hepatology | ambulance | Children's clinic | ||
| Christiane Herzog Outpatient Department for Cystic Fibrosis, Lung Diseases, Allergology and Asthma | ambulance | Children's clinic | ||
| Department of Gastroenterology and Hepatology | ambulance | Children's clinic | ||
| Coagulation diseases in children, hemophilia center, thrombosis | ambulance | Children's clinic | ||
| Immunodeficiency Clinic (IDA) | ambulance | Children's clinic | ||
| Operations department | OP | Pediatric Surgical Clinic | ||
| Anesthesia department | anesthesia | Pediatric Surgical Clinic |
* = Laminar Air Flow Units (LAF)
Pediatric Intensive Care Unit (KIPS)
The pediatric intensive care unit (KIPS, until 2012 PIPS) in the Dr. von Hauner's Children's Hospital is one of the oldest wards of its kind in Germany. Since it was founded in 1969, its task has been to diagnose , stabilize and care for seriously ill children.
Historically, KIPS initially treated mainly patients with serious infectious diseases such as meningitis or polio . Nowadays, the range of treatments has been significantly expanded thanks to the connection to the various special outpatient departments of the children's hospital. Both oncology patients and those who require intensive care before or after organ transplants are regularly on the ward. Pediatric surgical patients have also been cared for in the interdisciplinary intensive care unit since 2012.
In general, patients with a body weight of 2000 grams and up to a maximum age of 18 years who suffer from life-threatening acute or chronic diseases are treated at the KIPS. Another focus is on life-threatening emergencies that are not caused by illness. Mainly these are poisoning, burns and other serious consequences of accidents. A special component of the KIPS is the burn center, in which all degrees of burns are treated, often in cooperation with the pediatric surgery in the case of severe burn injuries.
At the KIPS, various options for renal replacement therapy are used in acute kidney failure . For patients with autoimmune diseases or life-threatening poisoning there is the possibility of plasmapheresis .
Neonatal Intensive Care Unit (NIPS)
The neonatal intensive care unit of Dr. von Hauner's Children's Hospital is not the only station of its kind in the LMU Klinikum. It comprises three locations, including the Haunerschen campus in Großhadern, where there is a NIPS with nine ventilation and three monitoring beds, which is used to treat newborn and premature children on the Großhadern maternity ward. There is also a neonatal area in the Maistraße women's clinic. Together, this forms a level I perinatal center, the highest possible level.
In the neonatal intensive care unit in Dr. Haunerschen Kinderspital only treats secondarily relocated new and premature babies. These are infants requiring intensive care who were born at home or in clinics without an intensive care unit or who, due to malformations, require surgical intervention that is not possible in Großhadern.
Care-for-Rare Center for rare diseases
The Care-for-Rare Center (CRC HAUNER ) for rare diseases in paediatrics offers interdisciplinary care for children with rare diseases. Doctors from all disciplines work closely together to ensure rapid diagnosis and access to the best possible treatment options. Embedding the Care-for-Rare Center in national and international scientific research structures is of central importance for sustainability. The clinical and scientific work of the new center is supported by the Care-for-Rare Foundation for children with rare diseases . One of the two founders of the Care-for-Rare Foundation is the incumbent clinical director Christoph Klein .
Oncological day clinic
The Oncological / Hematological Day Clinic (OHTK) cares for up to 30 patients up to 30 years of age who have been diagnosed with a pediatric oncological or hematological disease. The day clinic was founded in 1990 in the historic ward building. There was an expansion in 1997 when additional beds were set up in the former Second Women's Clinic.
The main focus of OHTK treatment is daytime chemotherapy and the administration of blood products, for example for patients with congenital chronic anemia .
In addition to the day clinic, oncology also forms a large part of the total capacity of the children's hospital in the inpatient area. The most common diagnosis of hospitalized patients is lymphatic leukemia . In 2008 alone, 237 children were hospitalized with this diagnosis.
Ambulances and pediatric emergency doctor
The doctors at the children's hospital provide the pediatric emergency doctor for the city of Munich and the surrounding area every four weeks. The 24-hour availability of emergency doctors in Munich who specialize in pediatrics is unique in Germany.
In addition, the surgical outpatient clinic with a special / emergency clinic offers the opportunity to treat children who are seriously injured after accidents. The intensive-care transport helicopter Christoph München stationed on the Großhadern campus or other intensive-care transport helicopters in the greater Upper Bavaria area are regularly used for this purpose .
Farewell room
On November 14, 2012, the new farewell room in Haunerschen was officially inaugurated. Here parents, relatives and friends of children who have died in the clinic are given the opportunity to say goodbye to the deceased in an appropriate atmosphere. The new farewell room was realized through donations from the Hauner Verein.
Other facilities
In addition to the medical wards and departments, there are other state and private institutions at the Children's Hospital that support everyday hospital life. A clinic school is used for training, pastoral care and free parental homes are also offered.
school
Due to the fact that the majority of patients have to go to school , the Dr. von Haunersche Children's Hospital is a school that belongs to the State School for the Sick in Munich. In exchange with the patient's home school, the teachers teach depending on the medical requirements. Classes can take place at the bedside as well as in the clinic's classrooms. The scope and intensity of the lessons are always discussed with the attending physician.
Parents' home
For parents who cannot be accommodated on the ward, two accommodation options are available.
The Projekt Omnibus Foundation, founded in 1985, owns apartments on Lindwurmstrasse directly on Goetheplatz. The use of the apartments during the children's hospital stay is financed by the foundation and is free of charge for the parents.
The association Elterninitiative Intern 3 in the Dr. von Haunerschen Kinderspital München e. V. offers free accommodation for the parents of children with cancer. The name of the association, which was also founded in 1985, refers to the Intern 3 ward, where the clinic's oncology department is housed.
The new Hauner
The hospital's board of directors has been promoting the vision of the new Hauner since 2011. Due to the no longer up-to-date and cramped situation in the city center, a university center for obstetrics, children and adolescents medicine is to be built on the Großhadern campus “in the Hauner tradition”. The rough cost estimate for this project envisages costs of 160 million euros, of which the Ludwig Maximilians University has to raise 20 million itself, which can only be achieved through donations. The internet presence of the new Hauner is therefore mainly used to acquire donations. The planned provision volume comprises 240 beds with an estimated 66,000 patients annually, 10,000 of them inpatients.
In July 2015, a jury decided on an architecture competition and determined the design by the Munich office Nickl & Partner as the winner. This provides for a differentiated architecture around six asymmetrical courtyards, which want to “take away the fear” of child patients through plenty of daylight and green spaces. The building will cover an area of around 100 by 45 m and is to have three floors. Construction is scheduled to start in 2018 and completion in 2022.
Hauner Journal
The Hauner-Journal is the biannual journal of the Dr. von Hauner's Children's Hospital. The in-house publication, which appeared for the first time in 2000, can be roughly divided into three sections. The first part of the magazine reports current news from the clinic, so that these sections can be understood as corporate publishing . In addition to notable personnel changes, this primarily includes structural measures or new acquisitions.
The second part of the booklet deals with general pediatric topics. This ranges from patient and parent education with regard to childhood diseases to the presentation of current developments in research and science. At the end of the booklet, contact details and schedules for special consultation hours at the clinic are published.
The Hauner Journal can be purchased by subscription and currently costs 4 euros per issue. However, the magazine is also available in large numbers in the clinic and can be taken home free of charge.
literature
- Wolfgang Locher: 150 years of Dr. von Haunersches Children's Hospital 1846–1996. From rented apartments to university clinics. With contributions by Beat Hadorn and Ingolf Joppich. Institute for the History of Medicine , Cygnus, Munich 1996, ISBN 3-926936-08-8 .
- Susanne Stehr: On the history of Munich paediatrics (1818 to 1980), especially the time after the Second World War. [Munich] 1982, DNB 211359610 (Dissertation Technical University of Munich 1982, 178 pages with illustrations, 21 cm).
Web links
- Official website of the Dr. von Hauner's Children's Hospital
- Hauner Journal - Journal of Dr. von Hauner's Children's Hospital
- Care-for-Rare Foundation website
Individual evidence
- ↑ Annual report 2009 of the University Hospital Munich , see p. 54. ( Memento from November 22, 2010 in the Internet Archive )
- ↑ General information about the Hauner . Official website of the Dr. von Hauner's Children's Hospital. Archived from the original on January 31, 2010. Retrieved on December 21, 2010.
- ↑ Pediatric Cardiology and Pediatric Intensive Care Medicine Großhadern . Official website of Pediatric Cardiology Munich. Retrieved April 24, 2016.
- ^ Irmtraud Vollmer: On the history of the children's outpatient clinic in Munich. Dissertation, 1974, see here
- ↑ a b c d e f Wolfgang G. Locher, Dietrich Reinhardt, Dietrich von Schweinitz: The Dr. von Haunersche Children's Hospital in Munich - from the staircase to top medical performance. In: Hauner Journal , 2008, issue 1, p. 1, online text (PDF; 447 kB).
- ^ W. Locher: 150 years of Dr. von Haunersches Children's Hospital 1846–1996. From rented apartments to university clinics. Munich 1996, p. 42.
- ^ W. Locher: 150 years of Dr. von Haunersches Children's Hospital 1846–1996. Munich 1996, p. 44 ff.
- ^ W. Locher: 150 years of Dr. von Haunersches Children's Hospital 1846–1996. Munich 1996, p. 61 ff.
- ^ W. Locher: 150 years of Dr. von Haunersches Children's Hospital 1846–1996. Munich 1996, p. 80.
- ^ Stehr, S .: On the history of Munich paediatrics (1818 to 1980), especially the time after the Second World War. Dissertation Munich 1982.
- ↑ Association to support Dr. von Hauner's Children's Hospital . Hauner Association.
- ^ W. Locher: 150 years of Dr. von Haunersches Children's Hospital 1846–1996. Munich 1996, p. 89 ff.
- ^ W. Locher: 150 years of Dr. von Haunersches Children's Hospital 1846–1996. Munich 1996, p. 88.
- ↑ a b Andrea Autenrieth: Doctors at the Dr. von Hauner's Children's Hospital, who were victims of Nazi persecution . Dr. von Haunersches Children's Hospital. Retrieved June 11, 2017.
- ^ W. Locher: 150 years of Dr. von Haunersches Children's Hospital 1846–1996. Munich 1996, p. 100.
- ^ W. Locher: 150 years of Dr. von Haunersches Children's Hospital 1846–1996. Munich 1996, p. 101.
- ↑ LMU Munich: Yearbook 1957/58 , Munich 1958, p. 241.
- ↑ MedReport - organ for medical advanced training congresses (edition 22 - 32nd year - August 2008), p. 1.
- ^ State Building Authority Munich 2 - Dr. von Haunersches Kinderspital ( Memento from April 21, 2008 in the Internet Archive )
- ^ Haunersches Kinderspital ( Memento from October 25, 2014 in the Internet Archive ) at the Bavarian State Office for Monument Preservation
- ^ Dennis A. Chevalley, Timm Weski: City of Munich . Southwest. In: Bavarian State Office for Monument Preservation (Hrsg.): Monuments in Bavaria - independent cities and districts . Volume I.2 / 2, 2 half volumes. Karl M. Lipp Verlag, Munich 2004, ISBN 3-87490-584-5 .
- ↑ Hauner Journal (Edition 2, 2009), p. 62.
- ↑ http://www.klinikum.uni-muenchen.de/de/Pressestelle/Publikationen/Qualitaetsbericht.pdf (link not available)
- ↑ Hauner Journal (Edition 2, 2009), p. 71.
- ↑ Pediatric Nephrology on the website of Dr. from Haunersche Children's Hospital, accessed on February 24, 2011.
- ^ Grosshadern Neonatology . Dr. von Haunersches Children's Hospital of the LMU.
- ↑ Neonatology at LMU - now , in Hauner Journal (Issue 1, 2012, p. 10)
- ↑ http://www.klinikum.uni-muenchen.de/de/Pressestelle/Publikationen/Qualitaetsbericht.pdf (link not available)
- ↑ Onkie - magazine of the hematological-oncological department in the Dr. von Haunerschen Kinderspital München - Issue 1 - p. 11 ( Memento from March 1, 2017 in the Internet Archive )
- ↑ 3rd quality report, reporting year 2018, p. 119 , accessed on November 3, 2018
- ↑ The newly designed farewell room in Dr. von Hauner's Children's Hospital was officially inaugurated on November 14, 2012 , in Hauner Journal (issue 2, 2012, p. 61)
- ^ Page of the State School for the Sick in Munich . Retrieved January 5, 2011.
- ^ Page of the Foundation Project Omnibus . Retrieved January 5, 2011.
- ↑ Page of the parents' initiative Intern 3 in the Dr. von Haunerschen Kinderspital München e. V. . Retrieved January 5, 2011.
- ↑ Homepage of the "new Hauner" . Retrieved October 26, 2014.
- ↑ Süddeutsche Zeitung: A House Against Fear , July 3, 2015
- ^ Homepage of the Hauner Journal
