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Regionalanästhesie

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Die Anästhesiologie

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Zusammenfassung

Regionale Anästhesieverfahren dominierten lange Zeit die anästhesiologische Praxis. Erst mit der Entwicklung moderner volatiler und intravenöser Anästhetika und besserer technischer Überwachungsmöglichkeiten wurde die Allgemeinanästhesie sicher genug für die breite Anwendung. In der Folge konnte sie die Regionalanästhesie zurückdrängen, da die Allgemeinanästhesie auch für den relativ Unerfahrenen schnell zu erlernen und vordergründig einfach durchführbar ist. Im Gegensatz dazu verlangt die Regionalanästhesie fundierte anatomische Kenntnisse, Geduld und Fingerspitzengefühl sowie die Bereitschaft zur psychischen Führung eines wachen Patienten. Die Kombination einer Allgemein- mit einer Regionalanästhesie schließlich verfolgt das Ziel, durch ein Regionalverfahren eine »flachere« Allgemeinanästhesie zu ermöglichen, wobei ersteres im Idealfall zur suffizienten postoperativen Analgesie genutzt wird.

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Authors and Affiliations

  1. Abteilung für Anästhesiologie, Waldburg-Zeil Kliniken, Klinik Tettnang, Emil-Münch-Str. 16, 88069, Tettnang

    Dr. Dietmar Craß

  2. Klinik für Anästhesiologie und Operative Intensivmedizin, Zentralklinikum Augsburg, Stenglinstr. 2, 86156, Augsburg

    Dr. Florian Gerheuser

  3. Klinik für Anästhesiologie u. Intensivmedizin, Kliniken des Landkreises Neumarkt i.d. Opf., Nürnberger Str. 12, 92318, Neumarkt i.d.OPf

    PD Dr. Ulrich Schwemmer

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  1. Dr. Dietmar Craß
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  2. Dr. Florian Gerheuser
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  1. Klinik für operative Intensivmedizin und Intermediate Care, Universitätsklinikum Aachen, Medizinische Fakultät der RWTH Aachen, Pauwelsstr. 30, 52074, Aachen

    Rolf Rossaint

  2. Klinik für Anästhesiologie, Universitätsmedizin der Johannes Gutenberg-Universität Mainz, Langenbeckstr. 1, 55131, Mainz

    Christian Werner

  3. Klinik für Anästhesiologie, Klinikum der Ludwig-Maximilians-Universität München, Standorte Großhadern und Innenstadt Marchioninistr. 15, 81377, München

    Bernhard Zwißler

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Craß, D., Gerheuser, F., Schwemmer, U. (2012). Regionalanästhesie. In: Rossaint, R., Werner, C., Zwißler, B. (eds) Die Anästhesiologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-21125-6_35

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