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01.03.2018 | Muskelrelaxanzien | Leitthema

Vollrelaxation

Nutzen und Risiken

verfasst von: Dr. C. Unterbuchner, DESA, M. Blobner

Erschienen in: Die Anaesthesiologie | Ausgabe 3/2018

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Zusammenfassung

Vollrelaxation (TOF-Count = 0) kann Intubationsbedingungen und laryngeale Operationsbedingungen verbessern. Sowohl bei nichtlaparoskopischer als auch bei laparoskopischer Chirurgie optimiert die Vollrelaxation die Operationsbedingungen statistisch signifikant. Die klinische Relevanz ist unklar. Die tiefe neuromuskuläre Blockade verbessert die laparoskopischen Operationsbedingungen bei der Verwendung niedriger intraabdomineller Drücke nur marginal. Bei Laparoskopien zeigen niedrige gegenüber höheren intraabdominellen Drücken keine Outcome-relevanten Vorteile, verschlechtern aber die Operationsbedingungen. Postoperative, residuelle Curarisierung kann durch quantitatives Monitoring und pharmakologische Reversierung/Antagonisierung vermieden werden.

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Titel: Vollrelaxation
Nutzen und Risiken
verfasst von: Dr. C. Unterbuchner, DESA
M. Blobner
Publikationsdatum: 01.03.2018
Verlag: Springer Medizin
Schlagwörter: Muskelrelaxanzien
Muskelrelaxanzien
Erschienen in: Die Anaesthesiologie / Ausgabe 3/2018
Print ISSN: 2731-6858
Elektronische ISSN: 2731-6866
DOI: https://doi.org/10.1007/s00101-018-0425-6

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