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Neurologische und neuromuskuläre Erkrankungen

  • Chapter
Anästhesiologie

  • 41 Accesses

Zusammenfassung

Zu den seltenen Erkrankungen, die anästhesiologische Probleme aufwerfen können, zählen auch bestimmte neurologische Störungen und Erkrankungen der Muskulatur. In den überwiegenden Fällen handelt es sich um genetische Defekte; aber auch entzündliche, degenerative, toxische und metabolische Störungen können ursächlich dafür in Frage kommen. Selten sind diese Erkrankungen deshalb, weil sie eine Inzidenz von rund 0,02–0,7‰ aufweisen [101] und die Wahrscheinlichkeit einer anästhesiologischen Intervention daher entsprechend noch niedriger ist. Darin liegt aber gerade die Problematik bei der Narkoseführung und perioperativen Betreuung solcher Patienten. Denn obwohl die Narkose und die Betreuung ein hohes anästhesiologisches Risiko darstellen, für dessen Bewältigung profunde Kenntnisse und Erfahrungen benötigt werden, sind diese Kenntnisse dem Anästhesisten kaum in jeder einzelnen der vielfältigen Erkrankungsformen des neuromuskulären Systems ständig gegenwärtig.

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Authors
  1. S. Fitzal
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Editors and Affiliations

  1. Institut für experimentelle Anästhesiologie, Ludwig-Maximilians-Universität, Bereich Poliklinik, Pettenkoferstr. 8 a, D-80336, München, Deutschland

    Alfred Doenicke

  2. Zentrum Anästhesiologie, Rettungs- und Intensivmedizin, Universität Göttingen, Robert-Koch-Str. 40, D-37070, Göttingen, Deutschland

    Dietrich Kettler

  3. Universitätsklinik für Anästhesiologie, LKH Graz, Auenbruggerplatz, A-8036, Graz, Österreich

    Werner F. List

  4. Klinik für Anästhesiologie und Operative Intensivmedizin, Martin-Luther-Universität Halle-Wittenberg, Ernst-Grube-Straße 40, D-06097, Halle (Saale), Deutschland

    Joachim Radke

  5. Institut für klinische Anästhesiologie, Heinrich-Heine-Universität Düsseldorf, Moorenstr. 5, D-40001, Düsseldorf, Deutschland

    Jörg Tarnow

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Fitzal, S. (1995). Neurologische und neuromuskuläre Erkrankungen. In: Doenicke, A., Kettler, D., List, W.F., Radke, J., Tarnow, J. (eds) Anästhesiologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-97553-0_36

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