Skip to main content
  • 95 Accesses

Zusammenfassung

Die epidurale Applikation von Opioiden bewirkt eine starke Analgesie ohne Ausschaltung von motorischen und sympathischen Nervenfasern. Nach dem Enthusiasmus in der ersten Zeit der Anwendung hat sich herausgestellt, dass diese Therapie mit Komplikationen verbunden ist. Aus diesem Grund ist die Frage nach dem Vorteil-Risiko-Verhältnis entstanden.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 109.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 139.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Literatur

  • Boas RA (1980) Hazards of epidural morphine. Anesth Intensive Care 8: 377–378

    CAS  Google Scholar 

  • Brockway MS, Noble DW, Sharwood-Smith GH, McClure JH (1990) Profound respiratory depression after epidural fentanyl. Br J Anaesth 64: 243–245

    Article  PubMed  CAS  Google Scholar 

  • Camporesi EM, Nielsen CH, Bromage PR, Durant PAC (1982) Ventilatory CO2 sensitivity after intravenous and epidural morphine in volunteers. Anesth Analg 61: 633–640

    Google Scholar 

  • Chrubasik J, Scholler KL, Wiemers K, Friedrich G, Weigel K, Roth H, Berg G (1985) Zum Einfluss des Volumens periduraler Morphininjektionen auf die Morphinkonzentrationen in der Zisterna magna des Hundes. Anaesthesist 34: 304–308

    PubMed  CAS  Google Scholar 

  • Chrubasik J, Chrubasik S, Mather L (1993) Postoperative epidural opioids. Springer, Berlin Heidelberg New York Tokyo

    Book  Google Scholar 

  • Drenger B, Magora F (1989) Urodynamic studies after intrathecal fentanyl and buprenorphine in the dog. Anesth Analg 69: 348–353

    Article  PubMed  CAS  Google Scholar 

  • Gourlay GK, Murphy TM, Plummer JL, Kowalski SR, Cherry DA, Cousins MJ (1989) Pharmacokinetics of fentanyl in lumbar and cervical CSF following lumbar epidural and intravenous administration. Pain 38: 253–259

    Article  PubMed  CAS  Google Scholar 

  • Gustafsson LL, Feychting B, Klingstedt C (1981) Late respiratory depression after concomitant use of morphine epidurally and parentally. Lancet I: 892–893

    Article  Google Scholar 

  • Gustafsson LL, Schildt B, Jacobsen K (1982) Adverse effects of epidural and intrathecal opiates: report of a nationwide survey in Sweden. Br J Anaesth 54: 479–486

    Article  PubMed  CAS  Google Scholar 

  • Gustafsson LL, Grell AM, Garle H, Rane A, Schildt B (1984) Kinetics of morphine in cerebrospinal fluid after epidural administration. Acta Anaesthesiol Scand 28: 535–539

    Article  PubMed  CAS  Google Scholar 

  • Jensen FM, Jensen NH, Holk IK, Ravnborh M (1987) Prolonged and biphasic respiratory depression following epidural buprenorphin. Anesthesia 42: 470–475

    Article  CAS  Google Scholar 

  • Kafer ER, Brown JT, Scott D, Findlay JWA, Butz RF, Teeple E, Ghia JN (1983) Biphasic depression of ventilatory responses to CO2 following epidurale morphine. Anesthesiology 58: 418–427

    Article  PubMed  CAS  Google Scholar 

  • McCaughey W, Graham JL (1982) The respiratory depression of epidural morphine. Anesthesia 37: 990–995

    Article  CAS  Google Scholar 

  • Reiz S, Westberg M (1980) Side effects of epidural morphine. Lancet 1: 203–204

    Article  Google Scholar 

  • Stott DG, Pleuvry BJ (1991) Relationship between analgesia and respiratory depression for mu opioid receptor agonists in mice. Br J Anesth 67: 603–607

    Article  CAS  Google Scholar 

  • Welchew EA, Hosking J (1985) Patient-controlled postoperative analgesia with alfentanil. Anesthesia 40: 1172–1177

    Article  CAS  Google Scholar 

  • Whiting WC, Sandier AN, Chovaz PM, Slavchenko P, Koren G (1988) Analgesic and respiratory effects of epidural sufentanil in patients following thorocotomy Anesthesiology 69: 36–43

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2003 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Ponhold, H. (2003). Lachgasanwendung. In: List, W., Osswald, P., Hornke, I. (eds) Komplikationen und Gefahren in der Anästhesie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-55858-0_35

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-55858-0_35

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-66433-8

  • Online ISBN: 978-3-642-55858-0

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics