„Lachgas heute - eine klinische Wertung auf dem Boden der Literatur”

A. Rothhammer

doi:10.1055/s-2002-32702

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Anästhesiol Intensivmed Notfallmed Schmerzther 2002; 37(7): 375-377
DOI: 10.1055/s-2002-32702

Der besondere Beitrag

„Lachgas heute - eine klinische Wertung auf dem Boden der Literatur”

Nitrous Oxide Today - a Literature Based Clinical EvidenceA. Rothhammer

¹Institut für Anaesthesiologie und Intensivmedizin der Leopoldina Krankenhaus gGmbH

Herrn Professor Dr. K. H. Weis zum 75. Geburtstag

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Publication History

Publication Date:
08 July 2002 (online)

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Einleitung

Die lachgasfreie Anästhesie galt über Jahrzehnte als Methode zweiter Wahl und war auf wenige, durch klare Kontraindikationen erzwungene Gelegenheiten begrenzt. Dieser obligate Platz in fast jeder Allgemeinanästhesie ging in den letzten Jahren verloren, da neue Pharmaka den Verzicht auf Lachgas erleichtern und seine Anwendung im konsequenten Niedrigfluss vermehrte Aufmerksamkeit erfordert [1] [2]. Dies erklärt zusammen mit insgesamt verminderten Frischgasflüssen die Abnahme des Verbrauches an medizinischem Stickoxydul in Deutschland um bis zu zehn Prozent seit 1998 (Angaben deutscher Hersteller, persönliche Mitteilungen). Darüber hinaus betonten einige „Vorreiter” die Gefahren von Lachgas und bezeichneten Lachgas als obsolet [3]. Die daraus resultierende, von Schulte am Esch als „zum Teil emotional geführte Trenddiskussion” [4] bezeichnete Auseinandersetzung sollte nun einer sachlichen Abwägung „mit Augenmaß” auf dem Boden des heutigen Kenntnisstandes weichen, um den Stellenwert von Lachgas in der heutigen Praxis anästhesiologisch, anwenderbezogen und ökonomisch verantwortlich zu bestimmen und Verunsicherung zu vermeiden. Hierzu ist es wieder einmal an der Zeit, den Kenntnisstand über Wirkungen und Nebenwirkungen von Lachgas darzustellen und vor dem Hintergrund der Alternativen zu werten.

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1 Anmerkung der Schriftleitung
Dieser Beitrag von A. Rothhammer bezieht sich auf das Mini-Symposium „200 Jahre Lachgas - Auch das Ende einer Ära?” in Heft 10, 2001, S. 640 - 651 und greift dieses Thema erneut auf.

Appendix I

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Appendix III

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Appendix IV

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Appendix VII

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Prof. Dr. A. Rothhammer

Institut für Anaesthesiologie und Intensivmedizin der Leopoldina
Krankenhaus gGmbH

Gustav-Adolf-Straße 8

97422 Schweinfurt

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