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Plexus brachialis

Anästhesie und Analgesie

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Weiterbildung für Anästhesisten 2003

  • 43 Accesses

Zusammenfassung

Diese Übersicht stellt die gebräuchlichsten Zugangswege zum Plexus brachialis (zervikal-posterior, interskalenär,supra- und infraklavikulär und axillär) dar und erläutert die Vor- und Nachteile (Indikationen,Kontraindikationen,Komplikationen) der einzelnen Methoden. Dabei wird die Anwendung für die chirurgische Anästhesie ebenso wie für die postoperative Analgesie oder chronische Schmerztherapie, insbesondere hinsichtlich kontinuierlicher Kathetertechniken,erläutert. Hinweise finden sich zu den am häufigsten verwendeten Lokalanästhetika und zu Zusätzen, die bei der Plexus anästhesie in der Literatur beschrieben werden. Ein wesentlicher Schwerpunkt des Beitrages sind darüber hinaus die organisatorischen Strukturen für die erfolgreiche Anwendung der Technik und die erforderliche Dokumentation.Insgesamt stellen Single-Shot- und kontinuierliche regionalanästhesiologische Techniken zur Blockade des Plexus brachialis ein effizientes und nebenwirkungsarmes Verfahren zur Anästhesie und Analgesie für den Schulter-Arm-Bereich dar.

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Authors and Affiliations

  1. Department of Anesthesia, University of Iowa Hospitals and Clinics, 200 Hawkins Drive 6JCP, Iowa City, Iowa, 52242, USA

    S. Schulz-Stübner

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Editors and Affiliations

  1. Klinik für Anästhesiologie, Universität Heidelberg, Im Neuenheimer Feld 110, D-69120, Heidelberg

    Hubert J. Bardenheuer

  2. Klinik für Anästhesiologie und operative Intensivmedizin Zentralklinikum, Stenglinstraße 2, D-86156, Augsburg

    Helmuth Forst

  3. Klinik für Anästhesiologie Medizinische Einrichtungen der RWTH Aachen, Pauwelsstraße 30, D-52074, Aachen

    Rolf Rossaint

  4. Service d’Anesthésiologie Centre Hospitalier, Universitaire Vaudois - CHUV, Rue du Bugnon 46, CH-1011, Lausanne

    Donat R. Spahn

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Schulz-Stübner, S. (2003). Plexus brachialis. In: Bardenheuer, H.J., Forst, H., Rossaint, R., Spahn, D.R. (eds) Weiterbildung für Anästhesisten 2003. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-18958-6_6

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