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Erschienen in: Der Anaesthesist 2/2011

01.02.2011 | Klinische Pharmakologie

Intravenös verabreichtes Lidocain zur perioperativen Schmerztherapie

Übersicht und praktische Handlungsempfehlungen

verfasst von: Dr. A. Herminghaus, DESA, M. Wachowiak, W. Wilhelm, A. Gottschalk, K. Eggert, A. Gottschalk

Erschienen in: Die Anaesthesiologie | Ausgabe 2/2011

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Zusammenfassung

Lidocain ist ein Lokalanästhetikum vom Amidtyp, das zur Regionalanästhesie und zur i.v.-Behandlung ventrikulärer Herzrhythmusstörungen zugelassen ist. Inzwischen haben zahlreiche Studien gezeigt, dass eine perioperative i.v.-Lidocain-Infusion bei großen chirurgischen Operationen auch zu einer deutlichen postoperativen Schmerzreduktion mit vermindertem Opioidverbrauch und einer verbesserten Darmmotilität führen kann. In der vorliegenden Übersichtsarbeit werden Wirkmechanismen, mögliche Nebenwirkungen und die bisherigen klinischen Erfahrungen bei der Anwendung von Lidocain zur postoperativen Schmerztherapie dargestellt sowie praktische Hinweise zum klinischen Einsatz gegeben.
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Metadaten
Titel
Intravenös verabreichtes Lidocain zur perioperativen Schmerztherapie
Übersicht und praktische Handlungsempfehlungen
verfasst von
Dr. A. Herminghaus, DESA
M. Wachowiak
W. Wilhelm
A. Gottschalk
K. Eggert
A. Gottschalk
Publikationsdatum
01.02.2011
Verlag
Springer-Verlag
Erschienen in
Die Anaesthesiologie / Ausgabe 2/2011
Print ISSN: 2731-6858
Elektronische ISSN: 2731-6866
DOI
https://doi.org/10.1007/s00101-010-1829-0

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