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Notfallmanagement pp 247–274Cite as

Zuverlässige Akutmedizin

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Zusammenfassung

Ein Patient erhält im Rahmen einer größeren abdominalchirurgischen Operation präoperativ einen thorakalen Periduralkatheter. Dieser wird vor der Narkoseausleitung mit einem Lokalanästhetikum bestückt und im Aufwachraum an eine Schmerzpumpe (PCEA) angeschlossen. Nach einem unauffälligen Verlauf im Aufwachraum wird der Patient wach und kreislaufstabil auf die Normalstation zurückverlegt. Gegen 2 Uhr morgens wird der anästhesiologische Dienstarzt von der Nachtschwester darüber informiert, »dass der Periduralkatheter nicht sitzt oder etwas mit der Schmerzpumpe nicht stimmt«. Bei genauerem Nachfragen stellt sich heraus, dass der Patient in den Nachtstunden zunehmend über Schmerzen geklagt habe und eine wiederholte Bolusgabe keine Besserung gebracht hätte.

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Authors and Affiliations

  1. Oberarzt der Klinik für Anästhesiologie, Universitätsklinikum Erlangen, Krankenhausstraße 12, 91054, Erlangen

    Dr. Michael St. Pierre

  2. Hofinger Forschung Beratung Training, Hohenheimer Str. 104, 71686, Remseck

    Dr. Gesine Hofinger (Team HF) & Dipl.-Psych. Cornelius Buerschaper (c/o Team HF)

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  1. Dr. Michael St. Pierre
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  2. Dr. Gesine Hofinger
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  3. Dipl.-Psych. Cornelius Buerschaper
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Pierre, M.S., Hofinger, G., Buerschaper, C. (2011). Zuverlässige Akutmedizin. In: Notfallmanagement. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-16881-9_15

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