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CSE und andere neue Methoden in der geburtshilflichen Analgesie und Anästhesie

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Refresher Course. Aktuelles Wissen für Anästhesisten

Part of the book series: Refresher Course. Aktuelles Wissen für Anästhesisten ((REFRESHER COUR,volume 27))

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Zusammenfassung

Der Wehenschmerz hat physiologische Funktionen bei der Regulation der Wehentätigkeit und der Eröffnung des Geburtsweges. Der Uterus wird mit sensorischen Fasern versorgt, die sympathische Nerven begleiten. Das Schmerzsignal wird von den Nervenendigungen im Uterus und der Zervix über die uterinen, pelvinen, hypogastrischen Plexus, den lumbalen und unteren thorakalen Sympathikus in Höhe Th10–S1 über die posterioren Wurzeln und Kontakt mit den Hinterhornneuronen im Rückenmark nach kranial weitergeleitet. Die peripheren nozizeptiven Bahnen der perinealen Strukturen werden über die hinteren Spinalwurzeln S2℃4 geführt [77].

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  1. Jürgen B. Brückner
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  2. Bärbel Brückner-Schmid
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Brückner, J.B., Brückner-Schmid, B. (2001). CSE und andere neue Methoden in der geburtshilflichen Analgesie und Anästhesie. In: Refresher Course. Aktuelles Wissen für Anästhesisten. Refresher Course. Aktuelles Wissen für Anästhesisten, vol 27. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-56717-9_7

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