Skip to main content
SpringerLink
Log in

„Acute Pain Management Service“ — ein Dienst zur Behandlung akuter Schmerzen

  • Chapter
Der postoperative Schmerz

Zusammenfassung

Studien über die Effektivität konventioneller Analgesieverfahren (hauptsächlich mittels intramuskulärer Injektion von Opioiden) zeigen, daß ein großei Anteil von Patienten, ungefähr 30–40%, postoperativ unter mittleren bis starken Schmerzen leidet, was bereits in Editorials in angesehenen Zeitschriften angeklagt wurde [16, 17]. Diese Inzidenz scheint sich in den letzten 30 Jahren nur wenig geändert zu haben [13, 23, 30, 38].

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 54.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

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.

Literatur

  1. Austin KL, Stapleton JV, Mather LE (1980) Multiple intramuscular injections: a major source of variability in response to meperidine. Pain 8: 47–62

    Article  PubMed  CAS  Google Scholar 

  2. Austin KL, Stapleton JV, Mather LE (1980) Relationship between blood meperidine concentrations and analgesic response: a preliminary report. Anesthesiology 53: 460–466

    Article  PubMed  CAS  Google Scholar 

  3. Bacon AK (1977) An alternative nerve block for post circumcision analgesia. Anaesth Intensive Care 5: 63–64

    PubMed  CAS  Google Scholar 

  4. Berkowitz BA, Ngai SH, Yang JC, Hempstead J, Spector S (1975) The disposition of morphine in surgical patients. Clin Pharmacol Ther 17: 629–635

    PubMed  CAS  Google Scholar 

  5. Bond MR (1980) Personality and pain. The influence of psychological and environmental factors upon the experience of pain in hospital patients. In: Lipton S (ed) Persistent Pain, Vol. 2. Academic Press, Grune and Stratton, London New York, pp 1–25

    Google Scholar 

  6. Brands E, Callanan VL (1978) Continuous lumbar plexus block–analgesia for femoral neck fractures. Anaesth Intensive Care 6: 256–258

    PubMed  CAS  Google Scholar 

  7. Bromage PR (1954) Spinal Epidural Analgesia. Livingstone, Edinburgh London

    Google Scholar 

  8. Bridenbaugh PO, DuPen SL, Moore DC, Bridenbaugh LD, Thompson GE (1973) Postoperative intercostal nerve block vs. narcotic analgesia. Anesth Analg 52: 81–85

    PubMed  CAS  Google Scholar 

  9. Buckley FP, Robinson NB, Simonowitz DA, Dellinger EP (1983) Anesthesia in the morbidly obese: a comparison of anesthetic and analgesic regimens for upper abdominal surgery. Anaesthesia 38: 840–851

    Article  PubMed  CAS  Google Scholar 

  10. Buckley FP, Sizemore WA, Charlton JE (1986) Medication management in patients with chronic non-malignant pain: a review of the use of a drug withdrawal protocol. Pain 26: 153–165

    Article  PubMed  CAS  Google Scholar 

  11. Chapman CR (1985) Psychological factors in postoperative pain. In: Smith G, Covino BG (eds) Acute Pain. Butterworths, London, pp 22–41

    Google Scholar 

  12. Delilkan AE, Lee CH, Yong NK, Ong SC, Ganendran A (1973) Post-operative local analgesia for thoracotomy with direct bupivacaine intercostal blocks. Anaesthesia 28: 561–567

    Article  PubMed  CAS  Google Scholar 

  13. Donovan BD (1983) Patient attitudes to postoperative pain relief. Anaesth Intensive Care 11: 125–129

    PubMed  CAS  Google Scholar 

  14. Eason MJ, Wyatt R (1979) Paravertebral thoracic block–a reappraisal. Anaesthesia 34: 638–642

    Article  PubMed  CAS  Google Scholar 

  15. Egbert LD, Batit GE, Welch CE, Bartlett MK (1964) Reduction of post-operative pain by encouragement and instruction of patients. A study of doctor-patient rapport. N Engl J Med 280: 825–827

    Google Scholar 

  16. Editorial (1976) Post-operative pain. Anaesth Intensive Care 4: 95–96

    Google Scholar 

  17. Editorial (1978) Postoperative pain. Br Med J 1: 517–518

    Google Scholar 

  18. Engberg G (1985) Respiratory performance after upper abdominal surgery. A comparison of pain relief with intercostal blocks and centrally acting analgesics. Acta Anaesthesiol Scand 29: 427–435

    Article  PubMed  CAS  Google Scholar 

  19. Gourlay GK, Willis RJ, Wilson PJ (1984) Postoperative pain control with methadone: influence of supplementary methadone dose and blood concentration relationships. Anesthesiology 61: 19–26

    PubMed  CAS  Google Scholar 

  20. Hashimi K, Middleton MD (1983) Subcutaneous bupivacaine for post-operative analgesia after herniorraphy. Ann R Coll Surg Engl 65: 38–39

    Google Scholar 

  21. Humphreys CF, Kay h (1976) The control of postoperative pain with the use of bupivacaine injections. J Urol 116: 618–619

    CAS  Google Scholar 

  22. Kirya C, Werthmann MW (1978) Neonatal circumcision and penile dorsal nerve block–a painless procedure. J Pediatr 92: 998–1000

    Article  PubMed  CAS  Google Scholar 

  23. Lasagna L, Beecher HK (1954) The optimal dose of morphine. JAMA 156: 230–236

    Article  CAS  Google Scholar 

  24. Lehmann KA, Heinrich C, van Heiss R (1988) Balanced anaesthesia and patient-controlled postoperative analgesia with fentanyl• minimum effective concentrations, accumulation and acute tolerance. Acta Anaesthesiol Be1g 39: 11–23

    CAS  Google Scholar 

  25. Lehmann KA, Reichling U, Wirtz R (1988) Influence of naloxone on the postoperative analgesic and respiratory effects of buprenorphine. Eur J Clin Pharmacol 34: 343–352

    Article  PubMed  CAS  Google Scholar 

  26. Levack SP, Holmes JD, Robertson JS (1986) Abdominal wound perfusion for the relief of postoperative pain. Br J Anaesth 58: 615–619

    Article  PubMed  CAS  Google Scholar 

  27. Middaugh RE, Menk EJ, Reynolds WJ, Bauman JM, Cawthon MA, Hartshorne MF (1985) Epidural block using large volumes of local anesthetic for intercostal block. Anesthesiology 63: 216–218

    Article  Google Scholar 

  28. Moore DC (1975) Intercostal nerve block for postoperative somatic pain following surgery of the thorax and upper abdomen. Br J Anaesth 47: 284–286

    PubMed  Google Scholar 

  29. Owen M, Galloway DJ, Mitchell KA (1985) Analgesia by wound infiltration after surgical excision of benign breast lumps. Ann R Coll Surg Engl 67: 114–115

    PubMed  CAS  Google Scholar 

  30. Papper EM, Brodie BB, Rovenstein EA (1952) Postoperative pain; its use in the comparative evaluation of analgesics. Surgery 32: 107–109

    PubMed  CAS  Google Scholar 

  31. Porter KM, Davies J (1985) The control of pain after Keller’s procedure–a controlled double blind prospective trial with local anaesthetic and placebo. Ann R Coll Surg Engl 67: 293–294

    PubMed  CAS  Google Scholar 

  32. Rawal N, Sjostrand U, Christoffersson E, Dahlström B, Arvill A, Rydman h (1984) Comparison of intramuscular and epidural morphine for postoperative analgesia in the grossly obese: influence on postoperative ambulation and pulmonary function. Anesth Analg 63: 583–592

    CAS  Google Scholar 

  33. Reading AE (1979) The short term effects of psychological preparation for surgery. Soc Sci Med 13 (A): 641–654

    Google Scholar 

  34. Reiestad F, Stomskag KE, Holmquist E (1986) Intrapleural administration of bupivacaine in the postoperative management of pain. Anesthesiology 65: A204

    Article  Google Scholar 

  35. Rosenblatt RM (1980) Continuous femoral anesthesia for lower extremity surgery. Anesth Analg 59: 631–632

    PubMed  CAS  Google Scholar 

  36. Selander D (1977) Catheter technique in axillary plexus block. Acta Anaesthesiol Scand 21: 324–329

    Article  PubMed  CAS  Google Scholar 

  37. Smith BE (1984) Continuous sciatic nerve blocks. Anaesthesia 39: 155–157

    Article  PubMed  CAS  Google Scholar 

  38. Sriwatanakul K, Weis OF, Alloza BA, Kelvie W, Weintraub M, Lasagna L (1983) Analysis of narcotic usage in the treatment of postoperative pain. JAMA 250: 926–927

    Article  PubMed  CAS  Google Scholar 

  39. Stenseth R, Sellevold O, Breivik h (1985) Epidural morphine for postoperative pain: experience with 10$5 patients. Acta Anaesthesiol Scand 29: 148–156

    Article  CAS  Google Scholar 

  40. Tuominen M, Rosenberg PM, Kaslo E (1983) Blood levels of bupivacaine after single dose, supplementary dose and continuous infusion in axillary plexus block. Acta Anaesthesiol Scand 27: 303–306

    Article  PubMed  CAS  Google Scholar 

  41. Vatashsky E, Aranson HB (1980) Continuous interscalene brachial plexus block for surgical operations on the hand. Anesthesiology 53: 356

    Article  PubMed  CAS  Google Scholar 

  42. Wilson JF, Moore RW, Randolph S, Hanson BJ (1982) Behavioral preparation of patients for gastrointestinal endoscopy: information, relaxation, and coping style. J Human Stress 8: 13–23

    Article  PubMed  CAS  Google Scholar 

Download references

Authors
  1. F. P. Buckley
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Institut für Anästhesiologie und operative Intensivmedizin, Universität zu Köln, Josef-Stelzmann-Straße 9, D-5000, Köln 41, Deutschland

    Klaus A. Lehmann

Rights and permissions

Reprints and permissions

Copyright information

© 1990 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Buckley, F.P. (1990). „Acute Pain Management Service“ — ein Dienst zur Behandlung akuter Schmerzen. In: Lehmann, K.A. (eds) Der postoperative Schmerz. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-06539-6_33

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-06539-6_33

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-06540-2

  • Online ISBN: 978-3-662-06539-6

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation