Abstract
Zusammenfassung. Die periphere Regionalanästhesie ist der aktuelle Goldstandard der Opioid-sparenden perioperativen Analgesie vornehmlich für Operationen an Schulter, Armen und Beinen. Sowohl die korrekte Indikationsstellung nach individueller Risiko-Nutzen-Abwägung als auch die Anlage bedürfen gut ausgebildeter Anästhesieärztinnen und -ärzte. Die Nervenblockaden werden mittels direkter Ultraschallkontrolle in Kombination mit peripherer Nervenstimulation durchgeführt. Die postoperative Betreuung der Patientinnen und Patienten setzt geschultes Personal voraus.
Abstract. Peripheral regional anaesthesia is the actual gold standard of opioid-sparing perioperative analgesia and is mainly used for surgery of the shoulder, arm and leg. Well-trained anaesthesiologists are the prerequisite for the correct individual risk-benefit assessment and the performance of the nerve blocks using a combination of ultrasound guidance and peripheral nerve stimulation (dual guidance). The postoperative care of the patients requires trained staff.
Résumé. L’anesthésie régionale périphérique est l’étalon-or de l’analgésie péri-opératoire qui permet d’économiser les opioïdes de préférence lors d’opérations de l’épaule, des bras et des jambes. On a besoin d’anesthésistes bien formés pour faire une correcte évaluation individuelle des risques et des avantages et pour effectuer les blocs nerveux au moyen d’ultrasons et d’un stimulateur nerveux. Les soins postopératoires des patients nécessitent un personnel formé.
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