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Rückenmarknahe Regionalanästhesie: Anatomie, Physiologie, Kontraindikationen, Komplikationen, Antikoagulation

  • Dietmar Craß
  • Florian Gerheuser
  • Ulrich Schwemmer
Living reference work entry
Part of the Springer Reference Medizin book series (SRM)

Zusammenfassung

Anatomische Grundlagen

Wirbelsäule

Die Wirbelsäule wird gegliedert in Hals-, Brust- und Lendenwirbelsäule sowie Kreuz- und Steißbein. Sie schützt im Spinalkanal das Rückenmark.

Anzahl der Wirbelkörper
  • Zervikal: (C)7

  • Thorakal: (T)12

  • Lumbal: (L)5

  • Sakral: (S)5 verschmolzene Wirbelkörper (= Kreuzbein)

  • Kokzygeal: 3–6 rudimentäre Wirbelkörper (= Steißbein)

Rückenmark

Über das Rückenmark kommunizieren Extremitäten, Rumpfwand und Eingeweide mit den höheren Zentren des zentralen Nervensystems. Es dient der Vorverarbeitung und Weiterleitung von Signalen aus der Peripherie über afferente Stränge (Hinterstrang, Vorderseitenstrang), der Kontrolle von Organen und Muskeln über efferente Faserbündel (Seitenstrang, Vorderstrang) und ist ein segmental gegliedertes Reflexorgan.

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Copyright information

© © Springer-Verlag GmbH Deutschland 2016

Authors and Affiliations

  • Dietmar Craß
    • 1
  • Florian Gerheuser
    • 2
  • Ulrich Schwemmer
    • 3
  1. 1.Klinik für Anästhesiologie, Intensivmedizin, Notfallmedizin & SchmerztherapieKlinikum Friedrichshafen GmbH/Klinik Tettnang GmbH/14 Nothelferkrankenhaus Weingarten GmbHFriedrichshafen/BodenseeDeutschland
  2. 2.Zentralklinikum Augsburg, Klinik für Anästhesiologie und Operative IntensivmedizinAugsburgDeutschland
  3. 3.Kliniken des Landkreises Neumarkt i.d.Opf., Klinik für Anästhesiologie und IntensivmedizinNeumarkt i.d.OPf.Deutschland

Section editors and affiliations

  • Christian Werner
    • 1
  1. 1.Universitätsmedizin der Johannes Gutenberg-Universität Mainz, Klinik für AnästhesiologieMainzDeutschland

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