Zusammenfassung
Patienten mit Erkrankungen des Bewegungsapparats sind häufig durch hohes Alter, chronische Schmerzsyndrome, ein erhöhtes Risiko für thromboembolische Komplikationen sowie anästhesierelevante Begleiterkrankungen charakterisiert. Diese patienteneigenen Faktoren müssen ebenso wie die eingriffsspezifischen Risiken im Sinne einer optimalen Patientenversorgung vom Anästhesisten beachtet werden.
This is a preview of subscription content, log in via an institution.
Literatur
Andersen KV, Nikolajsen L, Haraldsted V, Odgaard A, Søballe K (2013) Local infiltration analgesia for total knee arthroplasty: should ketorolac be added? Br J Anaesth 111:242–248
Auerhammer L (2008) Lagerung des Patienten zur Operation. Anaesthesist 57:1107–1126
Axelsson K, Gupta A, Johanzon E et al (2008) Intraarticular administration of ketorolac, morphine, and ropivacaine combined with intraarticular patient-controlled regional analgesia for pain relief after shoulder surgery: a randomized, double-blind study. Anesth Analg 106:328–333
Barreveld A, Witte J, Chahal H, Durieux ME, Strichartz G (2013) Preventive analgesia by local anesthetics: the reduction of postoperative pain by peripheral nerve blocks and intravenous drugs. Anesth Analg 116:1141–1161
Beckmann JT, Wylie JD, Kapron AL, Hanson JA, Maak TG, Aoki SK (2014) The effect of NSAID prophylaxis and operative variables on heterotopic ossification after hip arthroplasty. Am J Sports Med 42:1359–1364
Behrman MJ, Keim HA (1992) Perioperative red blood cell salvage in spine surgery. A prospective analysis. Clin Orthop Relat Res 278:51–57
Benzon HT, Toleikis JR, Meagher LL et al (1988) Changes in venous blood lactate, venous blood gases, and somatosensory evoked potentials after tourniquet application. Anesthesiology 69:677–682
Borghi B, Facchini F, Agnoletti V et al (2006) Pain relief and motor function during continuous interscalene analgesia after open shoulder surgery: a prospective, randomized, double-blind comparison between levobupivacaine 0.25 %, and ropivacaine 0.25 % or 0.4 %. Eur J Anaesthesiol 23:1005–1009
Buecking B, Hoffmann R, Riem S, Sturm J, Schmucker U, Friess T, Liener U, Hartwig E (2014) AltersTraumaZentrum DGU®. Unfallchirurg 117:842–848
Bund M, Heine J, Jaeger K (2005) Lagerungsschäden aus Sicht des Anästhesisten. Anästhesiol Intensivmed Notfallmed Schmerzther 40:329–339
Capdevilla X, Calvet Y, Biboulet P et al (1998) Aprotinin decreases blood loss and homologous transfusions in patients undergoing major orthopedic surgery. Anesthesiology 88:50–57
Carli F, Clemente A, Asenjo JF et al (2010) Analgesia and functional outcome after total knee arthroplasty: periarticular infiltration vs continuous femoral nerve block. Br J Anaesth 105:185–195
Cherian JJ, Kapadia BH, Issa K, Banerjee S, McInerney VK, Harwin SF, Mont MA (2013) Preoperative blood management strategies for total hip arthroplasty. Surg Technol Int 23:261–266
Djelouah I, Lefèvre G, Ozier Y, Rosencher N, Tallet F (1997) Fat embolism in orthopedic surgery: role of bone marrow fatty acid. Anesth Analg 85:441–443
Duncan JAT (1989) Intra-operative collapse or death related to the use of acrylic cement in hip surgery. Anaesthesia 44:149–153
Eriksson BI, Dahl OE (2004) Prevention of venous thromboembolism following orthopaedic surgery: clinical potential of direct thrombin inhibitors. Drugs 64:577–595
Gause PR, Siska PA, Westrick ER et al (2008) Efficacy of intraoperative cell saver in decreasing postoperative blood transfusions in instrumented posterior lumbal fusion patients. Spine 33:571–575
Gehling M, Tryba M (2003) Prophylaxe von Phantomschmerzen: sind regionale Analgesieverfahren unwirksam? Schmerz 17:11–19
Geldner G, Kelm M, Leschke M et al (2010) Präoperative Evaluation erwachsener Patienten vor elektiven, nicht kardiochirurgischen Eingriffen. Anästhesiol Intensivmed 51:S788–S797
Gerbershagen MU, Wappler F (2010) Anästhesie bei neuromuskulären Erkrankungen. Anaesthesist 59:953–968
Giesa M, Decking J, Roth KE, Heid F, Jage J, Meurer A (2007) Akutschmerztherapie nach orthopädisch-traumatologischen Eingriffen. Schmerz 21:73–84
Gogarten W, van Aken H, Büttner J et al (2007) Rückenmarksnahe Regionalanästhesien und Thromboembolieprophylaxe/antithrombotische Medikation – 2. Überarbeitete Empfehlung der DGAI. Anästhesiol Intensivmed 48:S109–S124
Gogarten W, Hoffmann K, van Aken H (2010) Empfehlungen für die Anwendung konventioneller und neuer Antithrombotika aus anästhesiologischer Sicht. Unfallchirurg 113:908–914
Goodnough LT, Shafron D, Marcus RE (1990) The impact of preoperative autologous blood donation on orthopedic surgical practice. Vox Sang 59:65–69
Grottke O, Dietrich PJ, Wiegels S, Wappler F (2004) Intra- and postoperative wake-up tests in patients undergoing spinal surgery. Which anesthetic regimen is superior? Anesth Analg 99:1521–1527
Hanna MN, Murphy JD, Kumar K, Wu CL (2009) Regional techniques and outcome: what is the evidence? Curr Opin Anaesthesiol 22:672–677
Häring R et al (1992) Lehrbuch Chirurgie. de Gruyter, Berlin
Hebl JR, Dilger JA, Byer DE, Kopp SL, Stevens SR, Pagnano MW, Hanssen AD, Horlocker TT (2008) A pre-emptive multimodal pathway featuring peripheral nerve block improves perioperative outcomes after major orthopedic surgery. Reg Anesth Pain Med 33:510–517
Hindman BJ, Palecek JP, Posner KL et al (2011) Cervical spinal cord, root, and bony spine injuries. A closed claims analysis. Anesthesiology 114:782–795
Hirota K, Hashimoto H, Tsubo T, Ishihara H, Matsuki A (2002) Quantification and comparison of pulmonary emboli formation after pneumatic tourniquet release in patients undergoing reconstruction of anterior cruciate ligament and total knee arthroplasty. Anesth Analg 94:1633–1638
Horn EP, Torossian A (2010) Perioperative Hypothermie: Prophylaxe, Therapie und Prävention. Anästhesiol Intensivmed Notfallmed Schmerzther 45:160–167
Hwang W, Kim E (2014) The effect of milrinone on induced hypotension in elderly patients during spinal surgery: a randomized controlled trial. Spine J 14:1532–1537
Issack PS, Lauerman MH, Helfet DL, Sculco TP, Lane JM (2009) Fat embolism and respiratory distress associated with cemented femoral arthroplasty. Am J Orthop 38:72–76
Kapadia BH, Banerjee S, Issa K, MyElroy MJ, Harwin SF, Mont MA (2013) Preoperative blood management strategies for total knee arthroplasty. J Knee Surg 26:373–377
Karam JA, Bloomfield MR, Dilorio TM, Irizarry AM, Sharkey PF (2014) Evaluation of the efficacy and safety of tranexamic acid for reducing blood loss in bilateral knee arthroplasty. J Arthroplasty 29:501–503
Karanikolas M, Aretha D, Tsolakis I, Monantera G, Kiekkas P, Papadoulas S, Swarm RA, Filos KS (2011) Optimized perioperative analgesia reduces chronic phantom limb pain intensity, prevalence, and frequency: a prospective, randomized, clinical trial. Anesthesiology 114:1144–1154
Kinov P, Tanchev PP, Ellis M, Volpin G (2014) Antithrombotic prophylaxis in major orthopaedic surgery: an historical overview and update of current recommendations. Int Orthop 38:169–175
Krettek C, Aschemann D (2005) Lagerungstechniken im Operationsbereich. Springer, Heidelberg/Berlin
Lemaire R (2008) Strategies for blood management in orthopaedic and trauma surgery. J Bone Joint Surg 90-B:1128–1136
Lerchl-Wanie G, Angster R (2010) Perioperative Schmerztherapie bei opioidgewöhnten Patienten. Anaesthesist 59:657–672
Lisowska B, Rutkowska-Sak L, Maldyk P, Cwiek R (2008) Anaesthesiological problems in patients with rheumatoid arthritis undergoing orthopaedic surgeries. Clin Rheumatol 27:553–556
Malhotra NR, Shaffrey CI (2010) Intraoperative electrophysiological monitoring in spine surgery. Spine 35:2167–2179
Mathru M, Dries DJ, Barnes L et al (1996) Tourniquet-induced exsanguination in patients requiring lower limb surgery. Anesthesiology 84:14–22
Mauermann WJ, Shilling AM, Zuo Z (2006) A comparison of neuroaxial block versus general anesthesia for elective total hip replacement: a meta-analysis. Anesth Analg 103:1018–1025
Moonen AF, Thomassen BJ, Knoors NT, van Os JJ, Verburg AD, Pilot P (2008) Pre-operative injections of epoetin-alpha versus postoperative retransfusion of autologous shed blood in total hip and knee replacement: a prospective randomised clinical trial. J Bone Joint Surg Br 90:1079–1083
Morin AM, Wulf H (2011) Lokale Infiltrationsanästhesie (LIA) für Hüft- und Kniegelenksendoprothesen – Eine kurze Übersicht über den aktuellen Stand. Anästhesiol Intensivmed Notfallmed Schmerzther 46:84–86
Motycka T, Eggerth G, Landsiedl F (2000) The incidence of thrombosis in high tibial osteotomies with and without the use of tourniquet. Arch Orthop Trauma Surg 120:157–159
Müller-Vahl H (2010) Lagerungsbedingte Nervenschäden. Entstehung, klinisches Bild, Differenzialdiagnose und gutachterliche Bewertung. Anästhesiol Intensivmed 51:664–678
Odinsson A, Finsen V (2006) Tourniquet use and its complications in Norway. J Bone Joint Surg 88-B:1090–1092
Paul JE, Arya A, Hurlburt L, Cheng J, Thabane L, Tidy A, Murthy Y (2010) Femoral nerve block improves analgesia outcomes after total knee arthroplasty: a meta-analysis of randomized controlled trials. Anesthesiology 113:1144–1162
Pitto RP, Schramm M, Hohmann D, Kößler M (1999) Relevance of the drainage along the linea aspera for the reduction of fat embolism during cemented total hip arthroplasty. Arch Orthop Trauma Surg 119:146–150
Pitto RP, Blunk J, Kößler M (2000) Transesophageal echocardiography and clinical features of fat embolism during cemented total hip arthroplasty. Arch Orthop Trauma Surg 120:53–58
Ponnusamy KE, Kim TJ, Khanuja HS (2014) Perioperative blood transfusions in orthopaedic surgery. J Bone Joint Surg Am 96:1836–1844
Reikerås O, Clementsen T (2009) Time course of thrombosis and fibrinolysis in total knee arthroplasty with tourniquet application. Local versus systemic activations. J Thromb Thrombolysis 28:425–428
Reize P, Wülker N (2007) Fremdblutsparende Maßnahmen bei orthopädischen Eingriffen. Orthopäde 36:537–543
Remérand F, Le Tendre C, Baud A et al (2009) The early and delayed analgesic effects of ketamine after total hip arthroplasty: a prospective, randomized, controlled, double-blind study. Anesth Analg 109:1963–1971
Reveille JD (2006) The genetic basis of ankylosing spondylitis. Curr Opin Rheumatol 18:332–341
Rubery PT, Spielman JH, Hester P et al (1995) Scoliosis in familial dysautonomia. J Bone Joint Surg 77-A:1362–1369
Samanta R, Shoukrey K, Griffiths R (2011) Rheumatoid arthritis and anaesthesia. Anaesthesia 66:1146–1159
Schiltenwolf M, Klinger R (2008) Patienten mit vorbestehender Schmerzchronifizierung und/oder psychischen Auffälligkeiten. Orthopäde 37:990–996
Schmidt H, Koch R (1999) Anästhesie bei geriatrischen Patienten. Anaesthesist 48:129–137
Schönfeld H, Vargas Hein O (2006) Pharmakotherapie: Antikoagulanzien. Argatroban: Alternative zu Heparin bei HIT II. Anästhesiol Intensivmed Notfallmed Schmerzther 41:376–377
Sulek CA, Davies LK, Kayser-Enneking F, Gearen PA, Lobato EB (1999) Cerebral microembolism diagnosed by transcranial doppler during total knee arthroplasty. Anesthesiology 91:672–676
So-Osman C, Nelissen R, Brand R, Faber F, Slaa RT, Stiggelbout A, Brand A (2013) The impact of restrictive transfusion trigger on postoperative complication rate and well-being following elective orthopaedic surgery: a post-hoc analysis of a randomised study. Blood Transfus 11:289–295
Tokunaga D, Hase H, Mikami Y, Hojo T, Ikoma K, Hatta Y, Ishida M, Sessler DI, Mizobe T, Kubo T (2006) Atlantoaxial subluxation in different intraoperative head positions in patients with rheumatoid arthritis. Anesthesiology 104:675–679
Tse EY, Cheung WY, Ng KF, Luk KD (2013) Reducing perioperative blood loss and allogenic blood transfusion in patients undergoing major spine surgery. J Bone Joint Surg 93:1268–1277
Vicent O, Hübler M, Kirschner S, Koch T (2007) Stellenwert von Regional- und Allgemeinanästhesie in der Orthopädie. Orthopäde 36:529–536
Wagner KJ, Kochs EF, Krautheim V, Gerdesmeyer L (2006) Perioperative Schmerztherapie in der Kniegelenksendoprothetik. Orthopäde 35:153–161
Welte M (2009) Erythrozytentransfusion: Update zu den Leitlinien. „Therapie mit Blutkomponenten und Plasmaderivaten“. Anaesthesist 58:1150–1158
Williams-Russo P, Sharrock NE, Haas SB et al (1996) Randomized trial of epidural vs. general anesthesia. Outcomes after primary total knee replacement. Clin Orthop Relat Res 331:199–208
Woodward LJ, Kam PCA (2009) Ankylosing spondylitis: recent developments and anaesthetic implications. Anaesthesia 64:540–548
Zhuang Q, Wang S, Zhang J, Zhao H, Wang Y, Tian Y, Zhao Y, Li S, Weng X, Qiu G, Shen J (2014) How to make the best use of intraoperative motor evoked potential monitoring? Experience in 1162 consecutive spinal deformity surgical procedures. Spine 39:1425–1432
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Section Editor information
Rights and permissions
Copyright information
© 2016 © Springer-Verlag GmbH Deutschland
About this entry
Cite this entry
Wappler, F. (2016). Anästhesie bei Eingriffen am Bewegungsapparat. In: Rossaint, R., Werner, C., Zwißler, B. (eds) Die Anästhesiologie. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-45539-5_82-1
Download citation
DOI: https://doi.org/10.1007/978-3-662-45539-5_82-1
Received:
Accepted:
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-45539-5
Online ISBN: 978-3-662-45539-5
eBook Packages: Springer Referenz Medizin