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Kontinuierliche Wundinfusion von Lokalanästhetika

Stellenwert in der postoperativen Schmerztherapie

Continuous wound infusion of local anesthetics

Importance in postoperative pain therapy

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Zusammenfassung

Die kontinuierliche Wundinfusion von Lokalanästhetika stellt ein Verfahren zur Reduktion postoperativer Schmerzen dar, das bisher überwiegend in der Orthopädie und in der Allgemeinchirurgie zum Einsatz kommt. Neben einer Reduktion des Schmerzniveaus konnte eine Verminderung des Opioidbedarfs gezeigt werden. Neueren Studien zufolge scheint dieses Verfahren darüber hinaus die Rehabilitation zu verbessern und auch den postoperativen Krankenhausaufenthalt zu verkürzen. Die kontinuierliche Wundinfusion von Lokalanästhetika ist eine einfach durchzuführende, effektive analgetische Maßnahme. Ein Vergleich mit anderen analgetischen Verfahren, wie z. B. peripheren Nervenblockaden, rückenmarknaher Epiduralanalgesie oder anderen multimodalen Analgesieverfahren, steht noch aus.

Abstract

Continuous wound infusion of local anesthetics, which is mainly used in general surgery and orthopedics, is an interesting technique in postoperative pain therapy. Continuous wound infusion of local anesthetics is able to reduce postoperative opioid requirements and results in decreased pain scores. Recent studies indicate that rehabilitation seems to be enhanced and postoperative hospital stay may be shorter. Continuous wound infusion is an effective analgesic technique, which is simple to perform. Comparisons with other analgesic techniques, such as peripheral nerve blocks, epidural analgesia and other multimodal analgesic concepts are still required.

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Interessenkonflikt

Der korrespondierende Autor weist auf folgende Beziehungen hin: Herr PD Dr. André Gottschalk hat in den letzten Jahren Referentenhonorare der Firmen Baxter, B.Braun und MSD erhalten. Darüber hinaus war er Mitglied im Advisory Board der Fa. Baxter zum Thema „kontinuierliche Wundinfusion“.

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  1. Klinik und Poliklinik für Anästhesiologie und operative Intensivmedizin, Universitätsklinikum Münster, Münster, Deutschland

    A. Gottschalk

  2. Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie, Knappschaftskrankenhaus Bochum-Langendreer, Universitätsklinikum der Ruhr-Universität, In der Schornau 23–25, 44892, Bochum, Deutschland

    A. Gottschalk MBA

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Correspondence to A. Gottschalk MBA.

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Gottschalk, A., Gottschalk, A. Kontinuierliche Wundinfusion von Lokalanästhetika. Anaesthesist 59, 1076–1082 (2010). https://doi.org/10.1007/s00101-010-1808-5

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  • DOI: https://doi.org/10.1007/s00101-010-1808-5

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