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Anästhesie in der Gynäkologie

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Die Anästhesiologie

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Zusammenfassung

Bei gynäkologischen Patientinnen ist präoperativ häufig große Angst in Erwartung einer verstümmelnden Operation vorhanden, die ein besonders einfühlsames Vorgehen bei der Prämedikationsvisite erforderlich macht. Frauen sind von kardiovaskulären Begleiterkrankungen in höherem Lebensalter weniger oft betroffen als Männer, sodass sich seltener Einschränkungen der Narkosefähigkeit ergeben. Diese Besonderheiten werden in dem Kapitel Anästhesie in der Gynäkologie erörtert.

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Literatur

  1. Koivuranta M, Läärä E, Snare L, Alahuhta S (1997) A survey of postoperative nausea and vomiting. Anaesthesia 52:443–449

    CAS  PubMed  Google Scholar 

  2. Moens P, Levarlet M, Hendrickx P, De Guchteneere E (1997) Single i.v. nolus dose of ondansetron in the prevention of postoperative nausea and emesis. Acta Anaesthesiol Belg 48:245–250

    CAS  PubMed  Google Scholar 

  3. Beattie WS, Buckley DN (1992) Influence of menstrual cycle on postoperative nausea and vomiting after propofol anesthesia. Anesthesiology 77:A29

    Google Scholar 

  4. Goepfert C, Apfel CC, Kranke P et al (1998) Hat der Menstruationszyklus wirklich einen Einfluss auf das postoperative Erbrechen? Anasthesiol Intensivmed Notfallmed Schmerzther 32:128

    Google Scholar 

  5. Sneyd JR, Carr A, Byrom WD, Bilski AJ (1998) A meta-analysis of nausea and vomiting following maintenance of anaesthesia with propofol or inhalational agents. Eur J Anaesthesiol 15:433–445

    CAS  PubMed  Google Scholar 

  6. Hartung J (1996) Twenty four of twenty seven studies show a greater incidence of emesis associated with nitrous oxide. Anesth Analg 83:114–116

    CAS  PubMed  Google Scholar 

  7. Tramer MR, Moore A, Mc Quay H (1996) Omitting nitrous oxide in general anaesthesia: meta-analysis of intraoperative awreness and postoperative emesis in randomized controlled trials. Br J Anaesth 76:186

    CAS  PubMed  Google Scholar 

  8. Van Hemelrijck J, Smith I, White PF (1991) Use of desflurane for outpatient anesthesia: a comparison with propofol and nitrous oxide. Anesthesiology 75:197–203

    PubMed  Google Scholar 

  9. Appadu BL, Lambert DG (1995) Interaction of i.v. anaesthetics with 5-HAT 3 receptors. Br J Anaesth 76:271–273

    Google Scholar 

  10. Cavazzuti M, Porro CA, Barbieri A, Galetti A (1991) Brain and spinal cord metabolic activity during propofol anaesthesia. Br J Anaesth 66:490–495

    CAS  PubMed  Google Scholar 

  11. Kalkman CJ, Drummond JC, Ribberink AA et al (1992) Effects of propofol, etomidate, midazolam, and fentanyl on motor evoked responses to transcranial electrical or magnetic stimulation in humans. Anesthesiology 76:502–509

    CAS  PubMed  Google Scholar 

  12. Ure RW, Dwyer SJ, Blogg CE, White AP (1991) Patient-contolled anxiolysis with propofol. Br J Anaesth 67:657

    Google Scholar 

  13. Jakobsson J, Davidson S, Andreen M, Westgreen M (1991) Opioid suplementation to propofol anaesthesia for outpatient abortion: a comparison between alfentanil, fentanyl and placebo. Acta Anaesthesiol Scand 35:767–770

    CAS  PubMed  Google Scholar 

  14. Jernigan AM, Chen CC, Sewell C (2014) A randomized trial of chewing gum to prevent postoperative ileus after laparotomy for benign gynecologic surgery. Int J Gynecol Obstet 127(3):279–282

    Google Scholar 

  15. Nesek-Adam V, Grizelj-Stojcic E, Rasic Z et al (2007) Comparison of dexamethasone, metoclopramide, and their combination in the prevention of postoperative nausea and vomiting after laparascopic cholecystectomy. Surg Endosc 21:607–612

    CAS  PubMed  Google Scholar 

  16. Hsieh LF, Liaw ES, Cheng HY, Hong CZ (1998) Bilateral femoral neuropathy after vaginal hyterectomy. Arch Phys Med Rehabil 79(8):1018–1021

    CAS  PubMed  Google Scholar 

  17. Bogani G, Cromi A, Serati M et al (2014) Predictors of postoperative morbidity after laparoscopic versus open radical hysterectomy plus external beam radiotherapy: a propensity-matched comparison. J Surg Oncol 110(7):893–898

    PubMed  Google Scholar 

  18. Terai Y, Tanaka T, Sasaki H et al (2014) Total laparoscopic modified radical hyterectomy with lymphadenectomy for endometrial cancer compared with laparotomy. J Obstet Gynaecol Res 40(2):570–575

    PubMed  Google Scholar 

  19. Walker N, Rodgers N, Schug S et al (2000) Reduction of postoperative mortality and morbidity with epidural or spinal anaesthesia: results from overview of randomized trials. BMJ 321:1–11

    Google Scholar 

  20. Guay J (2006) The benefits of adding epidural analgesia to general anesthesia: a metaanalysis. J Anesth 20:335–340

    PubMed  Google Scholar 

  21. Lin L, Liu C, Tan H et al (2011) Anaesthetic technique may affect prognosis for ovarian serous adenocarcinoma: aretrospective analysis. Br J Anaesth 106(6):814–822

    CAS  PubMed  Google Scholar 

  22. Ahlers O, Nachtigall I, Lenze J et al (2008) Intraoperative thoracic epidural anaesthesia attenuates stress-induced immunosuppression in patients undergoing major abdominal surgery. Br J Anaesth 101:781–787

    CAS  PubMed  Google Scholar 

  23. Cummings KC, Xu F, Cummings LC, Cooper GS (2012) A comparison of epidural analgesia and traditional pain management effects on survival and cancer recurrence after colectomy: a population-based study. Anesthesiology 116(4):795–806

    Google Scholar 

  24. Melamed R, Bar-yosef S, Shakbar G et al (2003) Suppression of natural killer cell activity and promotion of tumor metastasis by ketamine, thiopental, and halothane, but not by propofol. Anesth Analg 97:1331–1339

    CAS  PubMed  Google Scholar 

  25. Beilin B, Shavit Y, Trabekin E et al (2003) The effects of postoperative pain management on immune response to surgery. Anesth Analg 97:822–827

    PubMed  Google Scholar 

  26. Cooper DE, Jenkins RS, Bready L, Rockwood CA (1986) The prevention of injuries of the brachial plexus secondary to malposition of the patient during surgery. Clin Orthop Relat Res 228:33–41

    Google Scholar 

  27. Warner MA (1998) Perioperative neuropathies. Mayo Clin Proc 73:567–574

    CAS  PubMed  Google Scholar 

  28. Zeuke W, Heidrich R (1977) Zur Problematik der postoperativen lagerungsbedingten Armplexusparese. Psychiatr Neurol Med Psychol 29:120–125

    CAS  Google Scholar 

  29. Redenbach DM, Nelems B (1998) A comparative study of structures compromising the thoracic outlet in 250 human cadavers and 72 surgical cases of thoracic outlet syndrome. Eur J Cardiothorac Surg 13:353–360

    CAS  PubMed  Google Scholar 

  30. Tekelioglu UY, Erdem A, Demirhan A et al (2013) The prolonged effect of pneumoperitoneum on cardiac functions during laparoscopic surgery; are we aware? Eur Rev Med Pharmacol Sci 17(7):895–902

    CAS  PubMed  Google Scholar 

  31. Mushambi MC, Williamson K (2002) Anaesthetic considerations for hyteroscopic surgery. Best Pract Res Clin Anaesthesiol 16(1):35–62

    PubMed  Google Scholar 

  32. Groenman FA, Peters LW et al (2008) Embolismof air and gas in hysteroskopic procedures: pathophysiology and implication for daily practice. J Minim Invasive Gynecol 15(2):241–247

    PubMed  Google Scholar 

  33. Hristovska AM, Kristensen BB, Rasmussen MA et al (2014) Effect of systematic local infiltration analgesia on postoperative pain in vaginal hysterectomy: a randomized, placebo controlled study. Acta Obstet Gynecol Scand 93(3):233–238

    CAS  PubMed  Google Scholar 

  34. Fung KW, Lau Y, Nyunt K, Chan CM, Ho CM (1996) Immediate breast recunstruction in Chinese women using the transverse rectus abdominis myocutaneous (TRAM) flap. Aust N Z J Surg 66:452–456

    CAS  PubMed  Google Scholar 

  35. Quiao Q, Zhang F, Buncke HJ (2000) Relation of venous drainage and inadequate circulation in the rat pedicled TRAM flap model. Zhonghua Zheng Xing Wai Ke Za Zhi 16:90–93

    Google Scholar 

  36. Correll DJ, Viscusi ER, Grunwald Z, Jr Moore JH (2001) Epidural analgesia compared with intravenous morphine patient-controlled analgesia: postoperative outcome measures after mastectomy with immediate TRAM flap breast reconstruction. Reg Anesth Pain Med 26:444–449

    CAS  PubMed  Google Scholar 

  37. Dijkstra PU, Rietman JS, Geertzen JH (2007) Phantom breast sensations and phantom breast pain: a 2-year prospective study and a methodological analysis of literature. Eur J Pain 11:99–108

    PubMed  Google Scholar 

  38. Botta G, D’Angelo A, D’Ari G et al (1995) Epidural anestesia in an in vitro fertilization and embryo transfer program. J Assist Reprod Genet 12:187–190

    CAS  PubMed  Google Scholar 

  39. Gonen O, Shulman A, Ghetler Y (1995) The impact of different types of anesthesia on in vitro fertilization-embryo transfer treatment outcome. J Assist Reprod Genet 12:678–682

    CAS  PubMed  Google Scholar 

  40. Azmude A, Aghaàmou S, Yousefshahi F et al (2013) Pregnancy outcome using general anesthesia versus spinal anesthesia for in vitro fertilisation. Anesth Pain Med 3(2):239–242

    PubMed  PubMed Central  Google Scholar 

  41. Fujinaga M, Baden JM, Yhap EO, Mazze RI (1987) Reproductive and teratogenic effects of nitrous oxide, isoflurane, and their combination in Sprague-Dawley rats. Anesthesiology 67:960–964

    CAS  PubMed  Google Scholar 

  42. Kennedy GL, Smith SH, Keplinger ML, Calandra JC (1977–1978) Reproductive and teratologic studies with isoflurane. Drug Chem Toxicol 1:75–88

    Google Scholar 

  43. Piroli A, Marci R, Marinangeli F et al (2012) Comparison of different anaesthetic methodologies for sedation during in vitro fertilisation procedures: effects on patient physiology and oocyte competence. Gynecol Endocrinol 28(10):796–799

    CAS  PubMed  Google Scholar 

  44. Tatone C, Francione A, Marinangeli F et al (1998) An evaluation of propofol toxicity on mouse oocytes und preimplantation embryos. Hum Reprod 13:430–435

    CAS  PubMed  Google Scholar 

  45. Alsalili M, Thornton S, Fleming S (1997) The effect of the anaesthetic propofol on in-vitro oocyte maturation, fertilization and cleavage in mice. Hum Reprod 12:1271–1274

    CAS  PubMed  Google Scholar 

  46. Ben Shlomo I, Moskovich R, Katz Y, Shalev E (1999) Midazolam/ketamin sedative combination compared with fentanyl/propofol/isoflurane anaesthesia for oocyte retrieval. Hum Reprod 14:1757–1759

    CAS  PubMed  Google Scholar 

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Correspondence to Ernst Weninger .

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Weninger, E., Weis, F. (2019). Anästhesie in der Gynäkologie. In: Rossaint, R., Werner, C., Zwißler, B. (eds) Die Anästhesiologie. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-54507-2_164

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  • DOI: https://doi.org/10.1007/978-3-662-54507-2_164

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