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Schmerztherapie bei besonderen Patientengruppen

  • Eckhard BeublerEmail author
Chapter
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Zusammenfassung

In diesem Kapitel wird die Schmerztherapie in Schwangerschaft und Stillzeit, bei Kindern sowie bei älteren Menschen beschrieben. Neu ist, dass bei männlichen Neugeborenen nach Paracetamol-Verwendung durch die Mutter häufiger Hodenhochstand auftritt und dass Kinder solcher Mütter häufiger an ADHS leiden. NSAR werden gegen Ende der Schwangerschaft als bedenklich angesehen, während Opioide bei Schwangeren immer angewendet werden können. Eine Schmerztherapie bei Kindern ist insofern schwierig, als die Diagnose große Erfahrung erfordert. Die Arzneimittelgruppen zur Behandlung sind die gleichen wie beim Erwachsenen: Nicht-Opioidanalgetika und Opioide. Es wird auch auf die Möglichkeit der Patienten-kontrollierten Analgesie (PCA) bei Kindern hingewiesen. Beim älteren Patienten muss das Problem der Multimorbidität besonders beachtet werden. Die Pharmakokinetik ist im Alter verändert und Wechselwirkungen wie Blutungen oder Serotoninsyndrom sind häufiger.

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Copyright information

© Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature 2020

Authors and Affiliations

  1. 1.Medizinische Universität GrazGrazÖsterreich

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