Rückenmarknahe Blockaden: Lokalanästhetika

  • H. Bergmann
  • D. Roscic

Zusammenfassung

Rückenmarknahe Leitungsanästhesien mit Lokalanästhetika zur Verhütung postoperativer Schmerzen sind keineswegs neu. Seit nahezu 40 Jahren gibt es Berichte über entsprechende Erfolge der Periduralanästhesie. So führte Cleland [10] schon 1949 in über 100 abdominellen und anorektalen Fällen „kontinuierliche“ Kaudalund Extraduralblockaden durch, und Bonica [5] wies 1953 auf die respiratorischen Vorteile hin, die aus solchen durch intermittierende Injektionen über einen Katheter erzielbaren Segmentalanalgesien resultieren. Dawkins [12] beschrieb dazu 1956 erstmalig die Verwendung einer Lokalanästhetikainfusion, und Simpson et al. [28] erreichten 1961 mit überwiegend thorakalen Epiduralanalgesien bei Oberbaucheingriffen bemerkenswerte 93% „excellent“ Effekte hinsichtlich Schmerzfreiheit und Ventilation (Verbesserung der Vitalkapazität; allerdings waren dazu die Bedingungen einer Intensivstation erforderlich).

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Copyright information

© Springer-Verlag Berlin Heidelberg 1990

Authors and Affiliations

  • H. Bergmann
  • D. Roscic

There are no affiliations available

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