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Anästhesiologische Aspekte

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Ambulantes Operieren in Klinik, Praxis und MVZ

Part of the book series: Erfolgskonzepte Praxis- & Krankenhaus-Management ((ERFOLGSPRAXIS))

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Zusammenfassung

Einer der Hauptakteure im Ambulanten Operieren ist der Anästhesist. Aus diesem Grunde werden anästhesiologischen Aspekten in diesem Kapitel ein adäquater Stellenwert eingeräumt. Wichtige und wesentliche Aspekte in Bezug auf Ambulantes Operieren werden für die Themen Allgemeinanästhesie, Regionalanästhesie, Atemwegsmanagement und postoperative Schmerztherapie praxisnah und übersichtlich dargestellt.

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Literatur

Literatur zu Kap. 16.1

  1. Arzneimittelkommission der deutschen Ärzteschaft (2008) „UAW – Aus Fehlern lernen“: Septische Komplikationen durch kontaminiertes Propofol. Dtsch Ärztebl 2004, 105:A 592

    Google Scholar 

  2. Bailey JM (1997) Context-sensitive half-times and other decrement times of inhaled anesthetics. Anesth Analg 85:681–686

    Article  CAS  Google Scholar 

  3. Bein B, Francksen H, Steinfath M (2011) Atemwegsmanagement – Supraglottische Atemwegshilfen. Anästhesiol Intensivmed Notfallmed Schmerzther 46:598–606

    PubMed  Google Scholar 

  4. Cechetto DF, Diab DT, Gibson CJ, Gelb AW (2001) The effects of propofol in the area postrema of rats. Anesth Analg 92:934–942

    Article  CAS  Google Scholar 

  5. Deutsche Gesellschaft für Anästhesiologie und Intensivmedizin DGAI (2002) Verwendung von Succinylcholin – Aktualisierte Stellungnahme der DGAI. Anästh & Intensivmed 43:831

    Google Scholar 

  6. Dieck T, Steffens J, Sander B et al. (2011) Propofol, remifentanil and mivacurium: fast track surgery with poor intubating conditions. Minerva Anestesiol 77:585–591

    CAS  PubMed  Google Scholar 

  7. Eger EI (1994) New inhaled anesthetics. Anesthesiology 80:906–922

    Article  CAS  Google Scholar 

  8. Eikaas H, Raeder J (2009) Total intravenous anaesthesia techniques for ambulatory surgery. Curr Opin Anaesthesiol 22:725–729

    Article  Google Scholar 

  9. El Ayass N, Hendrickx P (2005) Decreased mivacurium infusion rate and delayed neuromuscular recovery after metoclopramide: a randomized double blind placebo-controlled study. Eur J Anaesthesiol 22:197–201

    Article  CAS  Google Scholar 

  10. Gan TJ, Diemunsch P, Habib AS et al. (2014) Consensus guidelines for the management of postoperative nausea and vomiting. Anesth Analg 118: 85–113

    Article  Google Scholar 

  11. GlaxoSmithKline (2014) Fachinformation Mivacron 10mg/20mg, Stand Mai 2014

    Google Scholar 

  12. Gupta A, Stierer T, Zuckerman R et al. (2004) Comparison of recovery profile after ambulatory anesthesia with propofol, isoflurane, sevoflurane and desflurane: a systematic review. Anesth Analg 98:632–41

    Article  CAS  Google Scholar 

  13. Hillebrand H, Motsch J (2007) Larynxmaske – Möglichkeiten und Grenzen. Anaesthesist 56:617–632

    Article  CAS  Google Scholar 

  14. Hopf HB, Sgoll S, Leischik M (2005) Muskelrelaxansfreie Anästhesie bei Kindern mit Remifentanil/Propofol – Eine retrospektive Analyse von 563 Anästhesieverläufen bei elektiven Adenotomien und/oder Tonsillektomien. Anästh Intensivmed 46:200–204

    Google Scholar 

  15. Jindal R, Kumra VP, Narani KK, Sood J (2011) Comparison of maintenance and emergence characteristics after desflurane or sevoflurane in outpatient anaesthesia. Indian J Anaesth 55:36–42

    Article  CAS  Google Scholar 

  16. Koch T, Bürkle H (2008) Empfehlung zur Durchführung von Anästhesien bei Patienten mit Porphyrie. Anästh Intensivmed 49:612–615

    Google Scholar 

  17. Kreuer S, Biedler A, Larsen R, Altmann S, Wilhelm W (2003) Narcotrend monitoring allows faster emergence and a reduction of drug consumption in propofol/remifentanil anesthesia. Anesthesiology 99:34–41

    Article  CAS  Google Scholar 

  18. Kreuer S, Bruhn J, Stracke C, Aniset L, Silomon M, Larsen R, Wilhelm W (2005) Narcotrend or Bispectral Index monitoring during desflurane-remifentanil anesthesia: A comparison with a standard practice protocol. Anesth Analg 101:427–434

    Article  CAS  Google Scholar 

  19. Kreuer S, Bruhn J, Wilhelm W, Bouillon T (2007) Pharmakokinetische / pharmakodynamische Modelle für Inhalationsanästhetika. Anaesthesist 56:538–556

    Article  CAS  Google Scholar 

  20. Kurz A, Sessler DI, Lenhardt R (1996) Perioperative normothermia to reduce the incidence of surgical-wound infection and shorten hospitalization. N Engl J Med 334:1209–1215

    Article  CAS  Google Scholar 

  21. Lenhardt R, Marker E, Goll V et al. (1997) Mild intraoperative hypothermia prolongs postanesthetic recovery. Anesthesiology 87:1318–1323

    Article  CAS  Google Scholar 

  22. Lockwood G (2010) Theoretical context-sensitive elimination times for inhalation anaesthetics. Br J Anaesth 104:648–55

    Article  CAS  Google Scholar 

  23. Löser S, Herminghaus A, Hüppe T, Wilhelm W (2014) Allgemeinanästhesie bei ambulanten Operationen. Klinisch-pharmakologische Überlegungen zum praktischen Vorgehen. Anaesthesist 63: 865–874

    Google Scholar 

  24. Mencke T, Echternach M, Kleinschmidt S et al. (2003) Laryngeal morbidity and quality of tracheal intubation: a randomized controlled trial. Anesthesiology 98:1049–1056

    Article  CAS  Google Scholar 

  25. Nathanson MH, Fredman B, Smith I, White PF (1995) Sevoflurane versus desflurane for outpatient anesthesia: a comparison of maintenance and recovery profiles. Anesth Analg 81:1186–1190

    CAS  PubMed  Google Scholar 

  26. Reves JG, Glass PSA, Lubarsky DA et al. (2010) Intravenous anesthetics. In: Miller RD (Ed.) Miller’s anesthesia, 7. Aufl. Churchill Livingston, Philadelphia

    Google Scholar 

  27. Schlaich N, Mertzlufft F, Soltész S, Fuchs-Buder T (2000) Remifentanil and propofol without muscle relaxants or with different doses of rocuronium for tracheal intubation in outpatient anaesthesia. Acta Anaesthesiol Scand 44:720–726

    Article  CAS  Google Scholar 

  28. Scholz J, Tonner PH (1997) Desfluran und Sevofluran – eine Zwischenbilanz. Anaesthesist 46:816–825

    Article  CAS  Google Scholar 

  29. Strum EM, Szenohradszki J, Kaufman WA et al. (2004) Emergence and recovery characteristics of desflurane versus sevoflurane in morbidly obese adult surgical patients: a prospective, randomized study. Anesth Analg 99:1848–1853

    Article  Google Scholar 

  30. Timmermann A, Cremer S, Heuer J et al. (2008) Larynxmaske LMA Supreme – Anwendung durch im Airwaymanagement unerfahrenes medizinisches Personal. Anaesthesist 57:970–975

    Article  CAS  Google Scholar 

  31. Torossian A, Bräuer A, Höcker J, Bein B, Wulf H, Horn EP (2015) Klinische Leitlinie: Vermeidung von unbeabsichtigter perioperativer Hypothermie. Dtsch Ärztebl 112: 166–172

    Google Scholar 

  32. White PF, Tang J, Wender RH (2009) Desflurane versus sevoflurane for maintenance of outpatient anesthesia: the effect on early versus late recovery and perioperative coughing. Anesth Analg 109:387–393

    Article  CAS  Google Scholar 

  33. Wilhelm W, Grundmann U, van Aken H, Haus EM, Larsen R (2000) A multicenter comparison of isoflurane and propofol as adjuncts to remifentanil-based anesthesia. J Clin Anesth 12:129–135

    Article  CAS  Google Scholar 

  34. Wilhelm W, Kreuer S (2003a) Das interpretierte EEG als Überwachungsverfahren in der Anästhesiologie. Anästh Intensivmed 44:8–15

    Google Scholar 

  35. Wilhelm W, Wrobel M, Kreuer S, Larsen R (2003b) Remifentanil – eine Bestandsaufnahme. Anaesthesist 52:473–494

    Article  CAS  Google Scholar 

  36. Yasuda N, Lockhart SH, Eger EI 2nd et al. (1991a) Comparison of kinetics of sevoflurane and isoflurane in humans. Anesth Analg 72:316–324

    Article  CAS  Google Scholar 

  37. Yasuda N, Lockhart SH, Eger EI. 2nd et al (1991b) Kinetics of desflurane, isoflurane, and halothane in humans. Anesthesiology 74:489–498

    Article  CAS  Google Scholar 

Literatur zu Kap. 16.2

  1. Rawal N et al. (2002) Patient-controlled regional analgesia (PCRA) at home. Anesthesiology 96:1290–6

    Article  CAS  Google Scholar 

  2. Ilfeld BM et al. (2003) Continuous interscalene brachial plexus block for postoperative pain control at home: a randomized, double-blinded, placebo-controlled study. Anesth Analg 96:1089–95

    Article  Google Scholar 

  3. Ilfeld BM et al. (2002) Continuous infraclavicular brachial plexus block for postoperative pain control at home: a randomized, double-blinded, placebo-controlled study. Anesthesiology 96:1297–304

    Article  CAS  Google Scholar 

  4. Marcantonio ER et al. (1994) A clinical prediction rule for delirium after elective noncardiac surgery. JAMA 271:134–9

    Article  CAS  Google Scholar 

  5. Heymann A et al. (2010) Postoperatives Delir und kognitives Defizit. Prävention und Therapie. AINS 45:112–6

    Google Scholar 

  6. Flinn DR et al. (2009) Prevention, diagnosis, and management of postoperative delirium in older adults. J Am Coll Surg 209:261–8

    Article  Google Scholar 

  7. Bode RH et al. (1996) Cardiac outcome after peripheral vascular surgery. Anesthesiology 84:3–13

    Article  Google Scholar 

  8. Wu CL et al. (2005) Efficacy of postoperative patient-controlled and continuous infusion epidural analgesia versus intravenous patient-controlled analgesia with opioids. Anesthesiology 103:1079–88

    Article  CAS  Google Scholar 

  9. Capdevila X et al. (2005) Continuous peripheral nerve blocks in hospital wards after orthopedic surgery. Anesthesiology 103:1035–45

    Article  Google Scholar 

  10. Leitlinie der DGAI (2005) Thromboembolieprophylaxe bei peripheren Blockadetechniken zur Regionalanästhesie. Anästh Intensivmed 46:319–22

    Google Scholar 

  11. Rodríguez J et al. (2003) Shoulder dislocation after infraclavicular coracoid block. Reg Anesth Pain Med 28:351–3

    Google Scholar 

  12. Muraskin SI et al. (2007) Falls associated with lower-extremity-nerve blocks: a pilot investigation of mechanisms. Reg Anesth Pain Med 32:67–72

    PubMed  Google Scholar 

  13. Gogarten W et al. (2007) Rückenmarksnahe Regionalanästhesien und Thromboembolieprophylaxe/antithrombotische Medikation. Anästh Intensivmed 48:109–124

    Google Scholar 

  14. Eberhart LH et al. (2005) Transiente neurologische Symptome nach Spinalanästhesie. Anaesthesist 51:539–46

    Article  Google Scholar 

  15. Korhonen AM (2006) Use of spinal anaesthesia in day surgery. Curr Opin Anaesthesiol 19:612–6

    Article  Google Scholar 

  16. Slowinski J et al. (2003) Bilateral chronic subdural hematomas with neurologic symptoms complicating spinal anesthesia. Reg Anesth Pain Med 28:347–50

    PubMed  Google Scholar 

  17. Rätsch G et al. (2007) Spinalanästhesie in der Tageschirurgie. Anaesthesist 56:3222–7

    Article  Google Scholar 

Literatur zu Kap. 16.3

  1. Lavery GG, McCloskey BV (2008) The difficult airway in adult critical care. Crit Care Med 36:2163–73

    Article  Google Scholar 

  2. Adnet F, Racine SX, Borron SW, Clemessy JL, Fournier JL, Lapostolle F, Cupa M (2001) A survey of tracheal intubation difficulty in the operating room: a prospective observational study. Acta Anaesthesiol Scand 45:327–32

    Article  CAS  Google Scholar 

  3. Arne J, Descoins P, Fusciardi J et al. (1988) Preoperative assessment for difficult intubation in general and ENT surgery: predictive value of a clinical multivariante risk index. Br J Anaesth 80(2):140–146

    Article  Google Scholar 

  4. Piepho T, Cavus E, Noppens R, Byhahn C, Dörges V, Zwissler B, Timmermann A (2015) S1 guidelines on airway management. Guideline of the German Society of Anesthesiology and Intensive Care Medicine. Anästh Intensivmed 56:505–52

    Google Scholar 

  5. Cambes X, Le Roux B, Suen P, Dumerant M, Motamed C, Sauvat S, Duvaldestin P, Dhonneur G (2004) Unanticipated difficult airway in anaesthetized patients: prospective validation of a management algorithm. Anesthesiology 100:1146–1150

    Article  Google Scholar 

  6. Deakin CD, Nolan JP, Soar J, Sunde K, Koster RW, Smith GB, Perkins GD (2010) Erweiterte Reanimationsmaßnahmen für Erwachsene („advanced life support“). Notfall Rettungsmed 13:559–620

    Article  Google Scholar 

  7. Dengler V, Wilde P, Byhan C, Mack MG, Schalk R (2010) Präklinische Anwendung des Larynxtubus. Anaesthesist DOI: 10. 1007/s00101-010-1774-y

  8. Dörges V, Bein B (2006) Atemwegsmanagement – Klinisches Management des schwierigen Atemwegs. Anästhesiol Intensivmed Notfallmed Schmerzther 9:564–574

    Article  Google Scholar 

  9. Dörges V, Byhan C (2008) Atemwegsmanagement. In: Scholz et al. (Hrsg) Notfallmedizin. Thieme, Stuttgart; S 70–80

    Google Scholar 

  10. Heuer JF, Stiller M, Rathgeber J, Eich C, Züchner K, Bauer M, Timmermann A (2009) Evaluation der neuen Kehlkopfmasken Ambu AuroOnce TM und Intersurgical i-gelTM. Anaesthesist 58:813–820

    Article  CAS  Google Scholar 

  11. Mallampati SR, Gatt SP, Gugino LD, Desai SP, Waraska B, Freiberger D, Liu PL (1985) A clinical sign to predict difficult tracheal intubation: A prospective study. Can Aaesth Soc J 32:429–434

    Article  CAS  Google Scholar 

  12. Piepho T, Noppens R, Buggenhagen H, Thierbach A (2010) Erfolgreicher Einsatz des Intubationsendoskops nach Bonfils in der präklinischen Notfallmedizin. Notfall Rettungsmed 13:41–46

    Article  Google Scholar 

  13. Wilson ME, Spiegelhalter D, Robertson JA, Leeser P (1988) Predicting difficult intubations. Br J anaesth 61:211–216

    Article  CAS  Google Scholar 

Literatur zu Kap. 16.4

  1. Cantore F, Boni L, Di Giuseppe M, Giavarini L, Rovera F, Dionigi G (2008) Pre-incision local infiltration with levobupivacaine reduces pain and analgesic consumption after laparoscopic cholecystectomy: a new device for day-case procedure. Int J Surg 6(Suppl 1):89–92

    Article  Google Scholar 

  2. Capdevila X, Bringuier S, Borgeat A (2009) Infectious risk of continuous peripheral nerve blocks. Anesthesiology 110:182–8

    Article  Google Scholar 

  3. Chung F, Mezei G (1999) Factors contributing to a prolonged stay after ambulatory surgery. Anesth Analg 89:1352–9

    CAS  PubMed  Google Scholar 

  4. Coley KC, Williams BA, DaPos SV, Chen C, Smith RB (2002) Retrospective evaluation of unanticipated admissions and readmissions after same day surgery and associated costs. J Clin Anesth 14:349–53

    Article  Google Scholar 

  5. DGAI Deutsche Gesellschaft für Anästhesiologie und Intensivmedizin, BDA Berufsverband Deutscher Anästhesisten (2006) Vereinbarung zur Qualitätssicherung ambulante Anästhesie des Berufsverbandes Deutscher Anästhesisten, der Deutschen Gesellschaft für Anästhesiologie und Intensivmedizin und des Berufsverbandes deutscher Chirurgen. Anästh Intensivmed 47:49–53

    Google Scholar 

  6. Englbrecht JS, Pogatzki-Zahn EM (2010) Pain management after ambulatory surgery in Germany. Anasthesiol Intensivmed Notfallmed Schmerzther 45:44–55

    Article  Google Scholar 

  7. FachInfo: Fachinformationsverzeichnis Deutschland (einschließlich EU-Zulassungen), AMInfo DVD-Version, Satz-Rechen-Zentrum Berlin, Rote Liste Service GmbH Frankfurt/Main, Ausgabe 01/2010

    Google Scholar 

  8. Gottschalk A, Gottschalk A (2010) Continuous wound infusion of local anesthetics: importance in postoperative pain therapy. Anaesthesist 59:1076–82

    Article  CAS  Google Scholar 

  9. Klein SM, Pietrobon R, Nielsen KC, Warner DS, Greengrass RA, Steele SM (2002) Peripheral nerve blockade with long-acting local anesthetics: a survey of the Society for Ambulatory Anesthesia. Anesth Analg 94:71–6

    PubMed  Google Scholar 

  10. Maier C, Nestler N, Richter H, et al. (2010) The quality of pain management in German hospitals. Dtsch Arztebl Int 107: 607–14

    PubMed  PubMed Central  Google Scholar 

  11. Michaloliakou C, Chung F, Sharma S (1996) Preoperative multimodal analgesia facilitates recovery after ambulatory laparoscopic cholecystectomy. Anesth Analg 82:44–51

    CAS  PubMed  Google Scholar 

  12. Moraca RJ, Sheldon DG, Thirlby RC (2003) The Role of Epidural Anesthesia and Analgesia in Surgical Practice. Ann Surg 238:663–673

    Article  Google Scholar 

  13. Pogatzki-Zahn E, van Aken H, Zahn P (Hrsg) (2008) Postoperative Schmerztherapie: Pathophysiologie, Pharmakologie und Therapie. Thieme, Stuttgart

    Google Scholar 

  14. Schug SA, Chong C (2009) Pain management after ambulatory surgery. Curr Opin Anaesthesiol 22:738–43

    Article  Google Scholar 

  15. Schug SA, Joshi GP, Camu F, Pan S, Cheung R (2009) Cardiovascular safety of the cyclooxygenase-2 selective inhibitors parecoxib and valdecoxib in the postoperative setting: an analysis of integrated data. Anesth Analg 108:299–307

    Article  CAS  Google Scholar 

  16. Shaikh S, Chung F, Imarengiaye C, Yung D, Bernstein M (2003) Pain, nausea, vomiting and ocular complications delay discharge following ambulatory microdiscectomy. Can J Anaesth 50:514–8

    Article  Google Scholar 

  17. Shirakami G, Teratani Y, Namba T, Hirakata H, Tazuke-Nishimura M, Fukuda K (2005) Delayed discharge and acceptability of ambulatory surgery in adult outpatients receiving general anesthesia. J Anesth 19:93–101

    Article  Google Scholar 

  18. Weißauer W (1993) Juristische aspekte der postoperativen Schmerzbehandlung. Anästh Intensivmed 34: 361–366

    Google Scholar 

  19. Wu CL, Berenholtz SM, Pronovost PJ, Fleisher LA (2002) Systematic review and analysis of postdischarge symptoms after outpatient surgery. Anesthesiology 96:994–1003

    Article  Google Scholar 

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Authors and Affiliations

  1. Klinik für Anästhesiologie und Intensivmedizin RTH Christoph 8, Klinikum Lünen - St. Marien-Hospital, Altstadtstraße 23, 44534, Lünen, Deutschland

    W. Wilhelm

  2. Experimentelle Anästhesiologie, Universitätsklinikum Düsseldorf, Moorenstr. 5, 40225, Düsseldorf, Deutschland

    A. Herminghaus

  3. Städtisches Klinikum Solingen gGmbH, Solingen, Deutschland

    T. Standl

  4. Abteilung Anästhesie, Intensiv- und Notfallmedizin und Schmerztherapie, Klinikum Ansbach, Escherichstraße 1, 91522, Ansbach, Deutschland

    S. Eibicht

  5. Klinik Kitzinger Land, Keltenstraße 67, 97318, Kitzingen, Deutschland

    S. Rapp

  6. Klinik für Anästhesiologie, Intensiv- und Schmerzmedizin, Diakoniekrankenhaus Friderikenstift, Humboldtstraße 5, 30169, Hannover, Deutschland

    A. Gottschalk

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Editors and Affiliations

  1. Städtisches Klinikum Solingen, Klinik für Anästhesiologie, Solingen, Germany

    Thomas Standl

  2. Praxis für Anästhesiologie, Solingen, Germany

    Christoph Lussi

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Wilhelm, W., Herminghaus, A., Standl, T., Eibicht, S., Rapp, S., Gottschalk, A. (2016). Anästhesiologische Aspekte. In: Standl, T., Lussi, C. (eds) Ambulantes Operieren in Klinik, Praxis und MVZ. Erfolgskonzepte Praxis- & Krankenhaus-Management. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-49787-6_16

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