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Lokalisation peripherer Nerven

Erfolg und Sicherheit mit elektrischer Nervenstimulation

Localization of peripheral nerves

Success and safety with electrical nerve stimulation

  • Regionalanästhesie
  • Published:
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Zusammenfassung

Die periphere elektrische Nervenstimulation ist neben der Ultraschalltechnik das Standardverfahren zur Durchführung der Blockade peripherer Nerven. In den letzten Jahren sind u. a. durch die Visualisierung von Nadel und Nerv mit Ultraschall während der Blockade klinisch bedeutsame neue Erkenntnisse über die elektrische Nervenstimulation in den Vordergrund gerückt. Im vorliegenden Beitrag werden die alten und neuen Erkenntnisse in den Grundlagen sowie der Anwendung der Nervenstimulationstechnik dargestellt und in einen klinischen Gesamtkontext gebracht, um sichere und erfolgreiche periphere Blockaden mit der elektrischen Nervenstimulation durchzuführen.

Abstract

Peripheral electrical nerve stimulation is one of the standard applications in peripheral regional anesthesia in addition to the ultrasound technique. Among other findings, the visualization of needle and nerve during ultrasound-guided blockade caused a change in clinical practice of peripheral nerve stimulation in the last decade. In the present article old and new aspects of principles and clinical practice of the nerve stimulation technique are presented and summarized in a total clinical concept in order to achieve safe and successful peripheral regional anesthesia using electrical peripheral nerve stimulation.

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Einhaltung der ethischen Richtlinien

Interessenkonflikt. M. Neuburger: kein Konflikt; T. Steinfeldt: Vortragshonorar von B.Braun, Teleflex, Vygon; U. Schwemmer: kein Konflikt; T. Volk: Vortragshonorare, Forschungsprojekte, Unterstützung zu Fortbildungsveranstaltungen von Abbott, Abbvie, Agesa, Archimedes Pharma, Arrow, Astra Zeneca. Baxter, Bayer, B.Braun, Biotest, CareFusion, CSL Behring, Dr. Köhler Chemie, ewimed, FreseniusKabi, GE, Grünenthal, GSK, Mitsubishi, MLP, MSD, MundiPhanma, Novartis, Novo Nordisk, Orion Pharrna, Pfizer, Pall Medical, Pulsion, Sanofi, THCPharm, Thermo Scientific, Vifor Pharma; W. Gogarten: kein Konflikt; P. Kessler: Vortragshonorar von B.Braun, CSL-Behring. Der Beitrag enthält keine Studien an Menschen oder Tieren.

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Authors and Affiliations

  1. Abteilung für Anästhesie und Intensivmedizin, Ortenau Klinikum Achern, Josef-Wurzler-Str. 7, 77855, Achern, Deutschland

    M. Neuburger MHBA, DEAA

  2. Klinik für Anästhesiologie und Intensivmedizin, Kliniken des Landkreises Neumarkt i.d.OPf., Neumarkt i.d.OPf., Deutschland

    U. Schwemmer

  3. Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie, Universitätsklinikum des Saarlandes, Homburg, Deutschland

    T. Volk

  4. Klinik für Anästhesiologie, operative Intensivmedizin, Notfallmedizin und Schmerztherapie, Klinikum Bielefeld, Bielefeld, Deutschland

    W. Gogarten

  5. Klinik für Anästhesiologie, Intensiv- und Schmerzmedizin, Orthopädische Universitätsklinik Friedrichsheim, Frankfurt a. M., Deutschland

    P. Kessler

  6. Klinik für Anästhesie und Intensivtherapie, UKGM Gießen-Marburg, Standort Marburg, Marburg, Deutschland

    T. Steinfeldt

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  1. M. Neuburger MHBA, DEAA
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  2. U. Schwemmer
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  3. T. Volk
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  4. W. Gogarten
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  5. P. Kessler
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  6. T. Steinfeldt
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Corresponding author

Correspondence to M. Neuburger MHBA, DEAA.

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Neuburger, M., Schwemmer, U., Volk, T. et al. Lokalisation peripherer Nerven. Anaesthesist 63, 422–428 (2014). https://doi.org/10.1007/s00101-014-2312-0

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  • DOI: https://doi.org/10.1007/s00101-014-2312-0

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