Thorakaler Periduralkatheter: Sinnvoll oder Überinstrumentierung?

Zusammenfassung

Eine effektive und nachhaltige perioperative Analgesie bei thoraxchirurgischen Eingriffen ist von eminenter Bedeutung und vorteilhaft für die Patienten, da sowohl postoperative pulmonale Komplikationen als auch die Inzidenz chronischer Schmerzen reduziert werden. In dieser Übersichtsarbeit soll der Stellenwert der thorakalen Periduralanästhesie in der Analgesie bei thorakalen Eingriffen kritisch objektiviert und mögliche alternative Verfahren vorgestellt werden.

Abstract

The efficient and persisting treatment of the pain accompanying thoracic surgery is fundamental and beneficial for patients, since severe postoperative pulmonary complications and the incidence of chronic pain will be reduced. In this review the role of thoracic epidural analgesia in preventing and treating pain after thoracic surgery will be discussed critically and alternative strategies presented.

Schlüsselwörter

Thoraxchirurgie - Regionalanästhesie - Fast-Track-Rehabilitation - Risiko-Nutzen-Relation

Key words

thoracic surgery - regional anaesthesia - fast-track rehabilitation - risk-benefit ratio

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