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Klimawandel und Gesundheit: Was Sie in der Hausarztpraxis wissen müssen und tun können

Die Folgen des Klimwandels haben einen direkten Einfluss auf die Primärversorgung in Deutschland: Hitzeschutz insbesondere bei älteren Patienten, die Zunahme von Infektionen und die Verlängerung der Allergiesesaison spielen medizinisch eine bedeutsame Rolle. Aber auch in der Prävention und der Aufklärung der Patienten kommt den Hausärztinnen und -ärzten eine besondere Rolle zu. Direkt aus der Praxis berichtet im Live-Webinar am 13. Mai von 18 bis 19 Uhr unser Experte Dr. med. Robin Maitra.
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Erschienen in:
Was ist Schmerz? Kapitel lesen Erstes Kapitel lesen

2015 | OriginalPaper | Buchkapitel

20. Schmerztherapie auf der (neonatologischen) Intensivstation

verfasst von : Priv.-Doz. Dr. med. Erik Michel, Prof. Dr. med. Boris Zernikow

Erschienen in: Schmerztherapie bei Kindern, Jugendlichen und jungen Erwachsenen

Verlag: Springer Berlin Heidelberg

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Zusammenfassung

Das nozizeptive System ist schon bei sehr kleinen Frühgeborenen funktionsfähig, wobei es enormen Entwicklungen unterliegt. Diese betreffen das Opioidsystem ebenso wie das schmerzhemmende System, welches im periaquäduktalen Grau seinen Ursprung hat. Pronozizeptive Systeme reifen eher als antinozizeptive, was Neugeborene sehr sensibel für schmerzhafte Reize macht. Es existiert keine spezifische Schmerzerfassung bei Neugeborenen. Beobachtungsinstrumente erfassen Schmerz ebenso wie Stress. Die beste Schmerztherapie ist die Schmerzvermeidung. Massiver unbehandelter Schmerz führt in der Neonatalphase zu einer Mortalitätssteigerung. Die Evidenz für einzelne nichtmedikamentöse und pharmakologische Schmerztherapien ist in der Neonatologie außerhalb des postoperativen Settings gering.
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Metadaten
Titel
Schmerztherapie auf der (neonatologischen) Intensivstation
verfasst von
Priv.-Doz. Dr. med. Erik Michel
Prof. Dr. med. Boris Zernikow
Copyright-Jahr
2015
Verlag
Springer Berlin Heidelberg
Buch
Schmerztherapie bei Kindern, Jugendlichen und jungen Erwachsenen

Print ISBN: 978-3-662-45056-7

Electronic ISBN: 978-3-662-45057-4

Copyright-Jahr: 2015

DOI
https://doi.org/10.1007/978-3-662-45057-4_20

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