Skip to main content
SpringerLink
Log in

Ultraschall in der interventionellen Schmerztherapie

  • Chapter
Weiterbildung Schmerzmedizin

  • 2664 Accesses

Zusammenfassung

Auch in anatomisch komplexen Bereichen werden Nervenblockaden heute noch „blind“ durchgeführt. Meist verlässt man sich dabei auf tastbare Oberflächenmerkmale. Längst hat aber der Ultraschall Einzug in fast alle medizinischen Berufe gehalten. Diesem Trend schließt sich auch der interventionell tätige Schmerztherapeut immer häufiger an. Der Ultraschall ermöglicht eine genaue Lokalisierung von Zielstrukturen, die Verfolgung des Nadelverlaufs während einer Punktion und die Visualisierung der Ausbreitung des Lokalanästhetikums. Ein Vorteil gegenüber anderen radiologischen Techniken ist die Strahlensicherheit. Zwei Hauptvoraussetzungen für den erfolgreichen Einsatz dieser interventionellen Techniken sind sicherlich die profunde Kenntnis der anatomischen Strukturen und der Korrelate im Ultraschallschnittbild sowie die sichere Hand-Augen-Koordination während der Durchführung. Bei aller Euphorie sollte die Ultraschalltechnik in der Schmerztherapie nur bei ausreichender Indikation eingesetzt werden.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 29.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 17.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literature

  1. Moore D (1954) Regional block. Thomas, Springfield/IL

    Google Scholar 

  2. Kovacs P, Gruber H, Piegger J et al (2001) New, simple, ultrasound- guided infiltration of the pudendal nerve: ultrasonografictechnique. Dis Colon Rectum 44:1381 –1385

    Article  PubMed  CAS  Google Scholar 

  3. Gray AT (2006) Ultrasound-guided regional anesthesia: current State oftheart. Anesthesiology 104:368¬373

    Article  PubMed  Google Scholar 

  4. Marhofer P, Greher M, Kaprai S (2005) Ultrasound guidance in re¬gional anaesthesia. Br J Anaesth 94:7–17

    PubMed  Google Scholar 

  5. Barnsley L, BogdukN (1993) Medial branch blocks are specific for the diagnosis of cervical zygapophyse- al joint pain. Reg Anesth 18:343¬350

    PubMed  CAS  Google Scholar 

  6. Rasmussen MR, Kitaoka HB, Patzer GL (1996) Nonoperative treatment of plantar interdigital neuroma with a Single corticosteroid injecti- on. Clin Orthop Relat Res 326:188¬193

    Article  PubMed  Google Scholar 

  7. Fredberg U (1997) Local corticos¬teroid injection in sport: review of literature and guidelines for tre¬atment. Scand J Med Sei Sports 7:131–139

    Google Scholar 

  8. Westerlund T, Vuorinen V, Roytta M (2001) Same axonal regeneration rate after different endoneurial re¬sponse to intraneural gylcerol and phenol injection. Acta Neuropathol 102:41–54

    PubMed  Google Scholar 

  9. MailisA, Furlan A (2010) Sym- pathectomy for neuropat- hic pain. Cochran Database Syst Rev7:CD002918

    Google Scholar 

  10. Phal PM, Brooks DM, Wolfe R (2005) Sonographically guided biopsy of local lesions: a comparison of free¬hand and probe-guided techni- ques using a phantom. Am J Roent- genol 184:1652–1656

    Google Scholar 

  11. Bridenbaugh L (1988) The upper extremity: somatic blockade. In: Cousins M, Bridenbaugh PO Neural blockade in clinical anesthe¬sia and management of pain. Lip¬pincott, Philadelphia, S 387–416

    Google Scholar 

  12. Goldberg ME, Gregg C, Larijani G et al (1987) A comparison of three methods ofaxillary approach to brachial plexus blockade for upper extremity surgery. Anesthesiology 66:814–816

    PubMed  Google Scholar 

  13. Ootaki C, Hayashi H, Amano M (2000) Ultrasound-guided infrada- vicular brachial plexus block: an al-ternative technique to anatomical landmark-guided approaches. Reg Anesth Pain Med 25:600–604

    PubMed  Google Scholar 

  14. Kaplan JA, Miller ED Jr, Gallagher ED Jr (1975) Postoperative analge- sia for thoracotomy patients. An¬esth Anaig 54:773–777

    Google Scholar 

  15. Salvaggio I, Adducci E, Dell'Aqui la L et al (2008) Facial pain: a possi- ble therapy with stellate ganglion block. Pain Med 9:958–962

    Article  PubMed  Google Scholar 

  16. WillaertW, De Bacquer D, Rogiers X et al (2012) Open peritoneal techni- ques versus Lichtenstein repairfor elective inguinal hernias. Cochrane Database Syst Rev 11 :CD008034

    Google Scholar 

  17. Matava MJ, PrickettWD, Khodamo- radi S et al (2009) Femoral nerve blockade as a preemptive anesthe- tic in patients undergoing anterior cruciate ligament reconstruction: a prospective, randomized, double- blinded, placebo-controlled study. Am J Sports Med 37:78–86

    PubMed  Google Scholar 

  18. BischoffJM, Koscielniak-Nielsen ZJ, Kehlet H et al (2012) Ultrasound- guided ilioinguinal/iliohypogast- ric nerve blocks for persistent ingui¬nal postherniorrhaphy pain: a ran-domized, double-blind, placebo- controlled, crossovertrial. Anesth Anaig 114:1323–1329

    Google Scholar 

  19. Eichenberger U, Greher M, Kirch- mair L et al (2006) Ultrasound-gui- ded blocks of the ilioinguinal and iliohypogastric nerve: accuracy of a selective new technique confirmed by anatomical dissection. BrJ Ana¬esth 97:238–243

    Google Scholar 

  20. Ashkenazi A, Levin M (2007) Grea- ter occipital nerve block for mig¬raine and other headaches: is it useful? Curr Pain Headache Rep 11:231–235

    Article  PubMed  Google Scholar 

  21. Rozen TD (2005) Non-hypothala- mic düster headache: the role of the greater occipital nerve in düs¬ter headache pathogenesis. J Hea¬dache Pain 6:149–151

    Google Scholar 

  22. Güvenger M, Akyer P, Sayhan S et al (2011) The importaneeof the grea¬ter occipital nerve in the occipi¬tal and the suboccipital region for nerve blockade and surgical ap¬proaches - an anatomic study on cadavers. Clin Neural Neurosurg 113:289–294

    Google Scholar 

  23. Shim JH, Ko SY, Bang MR et al (2011) Ultrasound-guided greater occipital nerve block for patients with occipital headache and short term follow up. Korean J Anesthesiol 61:50–54

    Article  PubMed  Google Scholar 

  24. Drummond PD, Finch PM, Skip- worth S etal (2001) Pain increases during sympathetic arousal in pa¬tients with complex regional pain Syndrome. Neurology 57:1296¬1303

    Article  PubMed  CAS  Google Scholar 

  25. Deising S, Weinkauf B, Blunk J et al (2012) NGF-evoked asensitization of muscle fascia nociceptors in hu- mans.Pain 153:1673–1679

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Klinik für Anästhesiologie und Operative Intensivmedizin, Uniklinikum Köln, Köln

    J.A. Blunk

Authors
  1. J.A. Blunk
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Migräne- und Kopfschmerzzentrum Neurologisch-verhaltensmedizinische Schmerzklinik Kiel, Heikendorfer Weg 9–27, 24149, Kiel

    H. Göbel

  2. Kliniken und Poliklinik für Anästhesiologie und Intensivmedizin, Universitätsklinikum Carl Gustav Carus, Fetscherstr. 74, 01307, Dresden

    H. Sabatowski

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Blunk, J. (2013). Ultraschall in der interventionellen Schmerztherapie. In: Göbel, H., Sabatowski, H. (eds) Weiterbildung Schmerzmedizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-40740-6_8

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-40740-6_8

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-40739-0

  • Online ISBN: 978-3-642-40740-6

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics

Search

Navigation