Der Schmerz

, Volume 32, Issue 2, pp 131–138 | Cite as

Akutschmerztherapie bei Patienten mit Substanzabhängigkeitssyndrom

  • J. Quinlan
  • F. Cox
Pain Clinical Updates

In diesem Übersichtsbeitrag werden Patienten beschrieben, die illegale Opioide wie Heroin konsumieren, verordnete Opioide für die nichtmedizinische Nutzung abzweigen oder andere verbotene Substanzen einnehmen. Zu Letzteren zählen Stimulanzien (Amphetamine, Kokain), sedierende Substanzen (Alkohol, Barbiturate, Benzodiazepine) und weitere, wie etwa Cannabis, Meskalin und LSD.


Die Nomenklatur in Bezug auf illegalen Substanzkonsum bleibt unübersichtlich, in der Internationalen statistischen Klassifikation der Krankheiten und verwandter Gesundheitsprobleme (ICD-10, herausgegeben von der Weltgesundheitsorganisation 2016) wird aber „Abhängigkeitssyndrom“ als Begriff bevorzugt [ 32]. Andere Begriffe wie „Sucht“, „Substanzgebrauchsstörung“ und „Substanzmissbrauch“ beziehen sich auf dieselbe Störung, im Sinne der Eindeutigkeit und Einfachheit verwenden wir in diesem Übersichtsbeitrag jedoch „Abhängigkeitssyndrom“. Das Abhängigkeitssyndrom wird folgendermaßen definiert:


Acute pain management in patients with drug dependence syndrome



J. Quinlan und F. Cox geben an, dass kein Interessenkonflikt besteht.


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Copyright information

© Deutsche Schmerzgesellschaft e.V. Published by Springer Medizin Verlag GmbH, ein Teil von Springer Nature - all rights reserved 2018

Authors and Affiliations

  1. 1.Anaesthesia and Pain Management and Lead for Pain Services, Oxford University Hospitals NHS Foundation TrustUniversity of OxfordOxfordGroßbritannien
  2. 2.Pain Management ServiceRoyal Brompton and Harefield NHS Foundation TrustLondonGroßbritannien

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