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Perioperative Schmerztherapie

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Operative und interventionelle Gefäßmedizin

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Zusammenfassung

Gefäßmedizinische Patienten mit einer fortgeschrittenen peripheren arteriellen Verschlusskrankheit (pAVK) sind an krankheitsbedingte Schmerzen adaptiert. Der unablässige Schmerz Tag und Nacht zwingt sie zu dauerhafter medikamentöser Analgesie, da physikalische Maßnahmen (d. h. Schlafen im Sitzen, Heraushängen der betroffenen Extremität aus dem Bett, körperliche Inaktivität) nicht mehr ausreichen, um den Schmerz effektiv zu bekämpfen. Daher ist bei diesen Patienten sowohl mit der Angst vor neuerlichen Schmerzereignissen, als auch mit einem vorbestehenden Schmerzmittelkonsum und der hieraus resultierenden Gewöhnung an Analgetika zu rechnen.

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Author information

Authors and Affiliations

  1. Klinik und Poliklinik für Gefäßmedizin, Universitäres Herzzentrum GmbH, Universitätsklinikum Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg

    Univ.-Prof. Dr. med. E. S. Debus

  2. GefäßCentrum Hamburg, Abt. Gefäßchirurgie, Asklepios Klinik Harburg, Eißendorfer Pferdeweg 52, 21075, Hamburg

    Dr. H. Daum

Authors
  1. Univ.-Prof. Dr. med. E. S. Debus
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  2. Dr. H. Daum
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Editor information

Editors and Affiliations

  1. Klinik und Poliklinik für Gefäßmedizin, Universitäres Herzzentrum GmbH, Universitätsklinikum Hamburg-Eppendorf, Hamburg

    E. Sebastian Debus

  2. GefäßCentrum Hamburg (GCH), ASKLEPIOS KLINIK Harburg, Hamburg

    Walter Gross-Fengels

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© 2012 Springer-Verlag Berlin Heidelberg

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Debus, E., Daum, H. (2012). Perioperative Schmerztherapie. In: Debus, E., Gross-Fengels, W. (eds) Operative und interventionelle Gefäßmedizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-01709-4_15

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  • DOI: https://doi.org/10.1007/978-3-642-01709-4_15

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-01708-7

  • Online ISBN: 978-3-642-01709-4

  • eBook Packages: Medicine (German Language)

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