The job of the anaesthesian is changing constantly. A remarkable aspect of this development is that the anaesthesian finds himself in the role of the logician within an interdiciplanary team. This aplies not only to the pre-operation sector (ie. operation planning) and the initial treatment of emergency patients (ie. shock-room management) but also of intensiv care units, where the emphasis of the daily routine lies in coming to terms with logistics. Part of thisis the organisation of the transport of patients. The means of diagnostics and theraputicle possibilities have grown almost unoticed and with this, the need for higher specialisation. In his role as a "mobile intensive care physician" the aneasthesian hast to analyse the "intensive care problem" carefully and well structured. Revealing risks during transport and thus minimising

traumas should be part of the development in new concepts. This is a challenge not only for the transport attending physician. The physician responsible for ongoing treatment and the designating institution should also have an interest in transport without complications. Inadequate monitoring leading to loss of theraputicle consequences can not allways be compensated later on. This report offers an overview of most transport indications, defines the term transport trauma and conditions for a safe and comfortable transport. It also shows concepts for the transport of crititcally ill patients as well as the transport within and between hospitals and clinics.