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Refresher Course Aktuelles Wissen für Anästhesisten pp 173–181Cite as

Postoperative Übelkeit und Erbrechen — Inzidenz, Prophylaxe, Therapie

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Part of the book series: Refresher Course Aktuelles Wissen für Anästhesisten ((REFRESHER COUR,volume 26))

Zusammenfassung

Die Bedeutung der postoperativen Übelkeit und des postoperativen Erbrechens (PONV) wird nach wie vor unterschiedlich eingeschätzt. Die Beeinträchtigung des Wohlbefindens des Patienten durch PONV ist unbestritten. Neben der Angst vor dem operativen Eingriff ist die Angst vor Schmerzen und Erbrechen bei den Patienten sehr stark ausgeprägt. Postoperative Übelkeit und postoperatives Erbrechen können, insbesondere nach abdominellen Eingriffen, auch den postoperativen Schmerz verstärken. Darüber hinaus besteht die Gefahr der Aspiration und Störung des Elektrolythaushaltes. Gerade nach ambulanten Anästhesien kann sich eine verlängerte Zeit im Aufwachraum oder die Notwendigkeit der stationären Aufnahme bzw. Wiederaufnahme bei schwerer Übelkeit und schwerem Erbrechen als problematisch erweisen. In ganz seltenen Fällen kommt es durch gehäuftes Erbrechen zur Nahtdehiszenz.

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Authors
  1. J. Scholz
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  2. H.-J. Hennes
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  3. H. J. Bardenheuer
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  4. F.-J. Kretz
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© 2000 Springer-Verlag Berlin Heidelberg

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Scholz, J., Hennes, HJ., Bardenheuer, H.J., Kretz, FJ. (2000). Postoperative Übelkeit und Erbrechen — Inzidenz, Prophylaxe, Therapie. In: Refresher Course Aktuelles Wissen für Anästhesisten. Refresher Course Aktuelles Wissen für Anästhesisten, vol 26. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-59720-6_16

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  • DOI: https://doi.org/10.1007/978-3-642-59720-6_16

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-66777-3

  • Online ISBN: 978-3-642-59720-6

  • eBook Packages: Springer Book Archive

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