Die Regionalanästhesie (RA) im ambulanten Bereich birgt sowohl Möglichkeiten als auch
Risiken. Patient*innen fürchten oft Nervenschädigungen und das Wachsein während der
Operation – aber gerade für Hochrisiko-Patient*innen kann die RA sicherere Konzepte
bieten. Basierend auf Erfahrungen eines eigenständigen Operationszentrums mit vielen
ambulanten Patient*innen diskutiert dieser Beitrag den Einsatz der RA und die assoziierten
Chancen und Risiken.
Abstract
Regional anaesthesia (RA) in the ambulatory setting presents both opportunities and
risks, especially in an economically challenging healthcare system. Patients tend
to associate RA with the risk of neuronal damage, paralysis and the need to be awake
during surgery. However, the risks beyond the rare complications and associated claims
are more likely to be variable neuronal blockade effects and disadvantages in high-throughput
OR management. The use of RA techniques in the outpatient setting requires experienced
selection of suitable patients, consideration of pre-existing risks such as coagulopathies,
rapid standard set-up procedures, ultrasound guidance to avoid vascular and nerve
damage and good psychological counselling of patients. A clinic with many outpatient
procedures can become even more efficient through higher throughput, pain-free and
awake procedures without patient discomfort. RA also offers significantly safer approaches
for high-risk patients. Based on the
experience of a university outpatient clinic, this short review discusses the use
of RA with its risks and opportunities.
Schlüsselwörter
Walking Spinal - Sattelblock - einseitige Spinalanästhesie - kontinuierliche ambulante
Regionalanästhesie
Keywords
walking spinal - uni-lateral spinal anesthesia - catheter-based ambulatory regional
techniques
