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Lunge und Mediastinum pp 131–142Cite as

Intra- und postoperative Schmerzkontrolle

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Part of the book series: Die Praxis der Chirurgie ((PRAXCHIR))

Zusammenfassung

Integraler Bestandteil einer perioperativen Patientenversorgung sind intraoperative Schmerzausschaltung und postoperative Schmerzbehandlung. Grundsätzlich stehen Allgemeinanästhesie und Regionalanästhesieverfahren, sowie deren Kombination für die intraoperative Schmerzausschaltung zur Verfügung. Bei den Regionalanästhesieverfahren sind Rückenmark oder peripherer Nerv Zielstrukturen einer topischen Wirkung von Lokalanästhetika. Eine Allgemeinanästhesie bewirkt durch Hypnose, Analgesie und Muskelrelaxation die reversible Ausschaltung von Bewußtsein, Schmerz und Muskelbewegungen. Heute allgemeinübliche Narkosetechniken erzielen durch Kombination von zum Teil spezifisch, zum Teil unspezifisch wirksamen Substanzen diese einzelnen Komponenten einer Allgemeinanästhesie, nahezu unabhängig voneinander mit einem Minimum an unerwünschten Nebenwirkungen. So ist eine intraoperative Schmerzausschaltung, die nach den vegetativen Zeichen unzureichender Analgesie wie Blutdruck- und Herzfrequenzanstiegen, Pupillenreaktion, Schweißsekretion usw. gesteuert wird, fast immer problemlos zu erzielen.

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Authors
  1. D. Schwender
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  2. C. Madler
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  3. K. Peter
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Editor information

Editors and Affiliations

  1. Chirurgische Klinik und Poliklinik, Universität Klinikum Großhadern, Marchioninistraße 15, W-8000, München 70, Bundesrepublik Deutschland

    G. Heberer (emerit.), F. W. Schildberg  & L. Sunder-Plassmann (emerit.),  & 

  2. Thoraxklinik der LVA Baden, Heidelberg-Rohrbach, Amalienstraße 5, W-6900, Heidelberg 1, Bundesrepublik Deutschland

    I. Vogt-Moykopf

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© 1991 Springer-Verlag Berlin Heidelberg

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Schwender, D., Madler, C., Peter, K. (1991). Intra- und postoperative Schmerzkontrolle. In: Heberer, G., Schildberg, F.W., Sunder-Plassmann, L., Vogt-Moykopf, I. (eds) Lunge und Mediastinum. Die Praxis der Chirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-08433-5_13

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  • DOI: https://doi.org/10.1007/978-3-662-08433-5_13

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-08434-2

  • Online ISBN: 978-3-662-08433-5

  • eBook Packages: Springer Book Archive

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