„Hot topics“ aus der geburtshilflichen Anästhesie

Hot topics in obstetric anesthesia

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Im Jahr 2019 fand in gewohnter Weise die Jahrestagung des wissenschaftlichen Arbeitskreises Geburtshilfliche Anästhesie der Deutschen Gesellschaft für Anästhesiologie und Intensivmedizin (DGAI) statt. Diskutiert wurden Notfallsituationen, wie die Herausforderung einer präklinischen Geburt oder das Erkennen und die Behandlung einer Fruchtwasserembolie. Daneben fanden Themen zur richtigen Behandlung einer Patientin mit bekannter Suchterkrankung großes Interesse sowie die Diskussion über die Frage, ab wann bei einer postpartalen Anämie transfundiert werden soll, und welche Risiken die zunehmende Prävalenz der Adipositas gerade in der Schwangerschaft mit sich bringt. Ein weiteres Hot topic stellten die Ausführungen zu Prävalenz und der differenzialdiagnostischen Abklärung neurologischer Komplikationen nach rückenmarknaher Anästhesie dar. Rund um das Thema Geburt wurden für jeden mit diesem Gebiet konfrontierten Anästhesisten spannende und praxisrelevante Themen referiert und diskutiert; die wesentlichen Aspekte werden im vorliegenden Beitrag zusammengefasst.


In 2019 the annual conference of the scientific working group on obstetric anesthesiology of the German Society of Anesthesiology and Intensive Care Medicine (DGAI) took place in the usual manner. Emergency situations, such as the challenge of a preclinical birth or the recognition and treatment of an amniotic fluid embolism were discussed. In addition, topics on the correct treatment of a female patient with a known addictive disorder were of great interest as well as the discussion on the question when a transfusion should be performed in postpartum anemia and which risks accompany the increasing prevalence of obesity, especially during pregnancy. A further hot topic was the deliberation on the prevalence and differential diagnostic clarification of neurological complications after epidural anesthesia. In connection with the topic of birth, exciting and practice relevant topics for all anesthetists confronted with this field were presented and discussed. The essential aspects are summarized in this article.

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Correspondence to Univ.-Prof. Dr. P. Kranke MBA.

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S. Brück, T. Annecke, D. Bremerich, C. Byhahn, D. Chappell, L. Kaufner, L. Schlösser und P. Kranke geben an, dass in Bezug auf die jeweils bearbeiteten Themen kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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Brück, S., Annecke, T., Bremerich, D. et al. „Hot topics“ aus der geburtshilflichen Anästhesie. Anaesthesist 69, 11–19 (2020).

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  • Komplikationen nach neuraxialer Anästhesie
  • Außerklinische Geburt
  • Fruchtwasserembolie
  • Substanzabhängigkeit
  • Anämie
  • Neurologische Störungen
  • Adipositas


  • Complication of neuraxial anaesthesia
  • Birth out-of-hospital
  • Amniotic fluid embolism
  • Substance addiction
  • Anemia
  • Neurological disorders
  • Obesity