Thorakale Epiduralanästhesie

Die positiven Einflüsse der thorakalen Epiduralanästhesie auf die Darmfunktion, die endokrine Funktion und auf die Ergebnisse gefäßchirurgischer Operationen [1] sind in anderen Übersichten zusammengefasst [2] [3] [4]. Allerdings bleiben die klinischen Daten hinsichtlich der Beeinflussung der Darmmotilität widersprüchlich. Obwohl die TEA bei Darmresektionen eine perioperativ bessere Analgesie als eine i. v.-PCA bewirkte, führte sie aus chirurgischer Sicht nicht zu einer schnelleren Wiederherstellung der Darmmotilität und verkürzte den Klinikaufenthalt nicht [5].

Literatur

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