Zusammenfassung
Die Anaesthesie kann im weitesten Sinn als ein pharmakologisch eingeleiteter Zustand tiefer Schmerzlosigkeit, verbunden mit Ruhigstellung, Muskelrelaxation und, wenn erforderlich, Ausschaltung des Bewußtseins definiert werden. Ihr Zweck ist, unter Aufrechterhaltung maximalen Komforts des Patienten und minimaler Morbidität, optimale Operationsbedingungen herzustellen. Dieses Ziel wird durch intermittierende oder kontinuierliche Verabreichung von Anaesthetica auf einem der zur Verfügung stehenden Wege (Lunge, Venen, subarachnoidaler oder epiduraler Raum oder lokal uni die Nervenbündel) unter präziser Kontrolle der hämodynamischen Funktion erreicht. Für jede, durch einen geübten Chirurgen durchgeführte Operation gilt, daß die Qualität der Genesung durch die Komplexität der durch die Anaesthesie bedingten physiologischen Störung und Beeinflussung der Grundkrankheit bestimmt ist. Der Kontakt zwischen dem Anaesthesisten und seinem Patienten ist kurz und für beide nicht ohne Streß. Als Voraussetzung des Erfolgs wird manuelle Geschicklichkeit, ausgezeichnete Reflexreaktion auf Störungen des physiologischen Gleichgewichts und detailliertes theoretisches und klinisches Wissen verlangt.
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Laver, M.B., Gerber, H., Skarvan, K. (1982). Anaesthesie. In: Allgöwer, M. (eds) Allgemeine und spezielle Chirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-11117-8_12
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DOI: https://doi.org/10.1007/978-3-662-11117-8_12
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