DerAnaesthesist.7046s159.ger.abstr-passage-0
abstract
Aus Angst vor potentiellen Nebenwirkungen und unter der immer noch weit verbreiteten Meinung , dass eine Schmerztherapie zur Entbindung nicht notwendig sei , wird die Anwendung einer Epiduralanalgesie auch heute noch in vielen Kliniken restriktiv gehandhabt . Die Schmerzen unter der Geburt fuehren jedoch zu einer muetterlichen Stressreaktion mit Ausschuettung von Noradrenalin und Adrenalin , welche ueber eine Vasokonstriktion in einer Abnahme des uterinen Blutflusses resultieren kann . Dies kann eine fetale Asphyxie verursachen bzw. eine bereits vorhandene Asphyxie noch verstaerken . Viele Untersuchungen zeigen , dass eine gut durchgefuehrte Epiduralanalgesie eine muetterliche Stressreaktion mit all ihren negativen Folgen verhindern kann , und somit moeglicherweise nicht nur den muetterlichen , sondern vor allem auch den Zustand des Neugeborenen verbessert . Eine wesentliche Voraussetzung hierfuer ist , dass Hypotonien durch eine ausreichende Volumengabe verhindert werden . Auch die Inzidenz von instrumentellen Entbindungen wird nicht gesteigert , wenn die Lokalanaesthetikakonzentration , z.B. durch den Zusatz von Opioiden so gering wie moeglich gehalten wird . Der Bedarf an Lokalanaesthetika laesst sich noch weiter reduzieren , wenn statt einer kontinuierlichen Infusion eine Patienten-kontrollierte Epiduralanalgesie ( PCEA ) durchgefuehrt wird .
DerAnaesthesist.7046s159.ger.abstr-s1-r1-t3.1-t1.1
affects
DerAnaesthesist.7046s159.ger.abstr-s7-t3
DerAnaesthesist.7046s159.ger.abstr-s7-t1
DerAnaesthesist.7046s159.ger.abstr-s1-r2-t3.2-t1.1
result_of
DerAnaesthesist.7046s159.ger.abstr-s1-t3
DerAnaesthesist.7046s159.ger.abstr-s7-t1
DerAnaesthesist.7046s159.ger.abstr-s1-r3-t3.2-t1.1
affects
DerAnaesthesist.7046s159.ger.abstr-s1-t3
DerAnaesthesist.7046s159.ger.abstr-s7-t1
DerAnaesthesist.7046s159.ger.abstr-s1-r4-t2.1-t1.1
evaluation_of
DerAnaesthesist.7046s159.ger.abstr-s7-t2
DerAnaesthesist.7046s159.ger.abstr-s7-t1
DerAnaesthesist.7046s159.ger.abstr-s1-r5-t3.2-t1.1
treats
DerAnaesthesist.7046s159.ger.abstr-s1-t3
DerAnaesthesist.7046s159.ger.abstr-s7-t1
DerAnaesthesist.7046s159.ger.abstr-s1-r6-t3.1-t1.1
treats
DerAnaesthesist.7046s159.ger.abstr-s7-t3
DerAnaesthesist.7046s159.ger.abstr-s7-t1
DerAnaesthesist.7046s159.ger.abstr-s1-r7-t5.1-t1.1
affects
DerAnaesthesist.7046s159.ger.abstr-s2-t5
DerAnaesthesist.7046s159.ger.abstr-s7-t1
DerAnaesthesist.7046s159.ger.abstr-s1-r8-t5.1-t1.1
treats
DerAnaesthesist.7046s159.ger.abstr-s2-t5
DerAnaesthesist.7046s159.ger.abstr-s7-t1
DerAnaesthesist.7046s159.ger.abstr-s1-r9-t3.1-t2.1
treats
DerAnaesthesist.7046s159.ger.abstr-s7-t3
DerAnaesthesist.7046s159.ger.abstr-s7-t2
DerAnaesthesist.7046s159.ger.abstr-s1-r10-t3.2-t2.1
treats
DerAnaesthesist.7046s159.ger.abstr-s1-t3
DerAnaesthesist.7046s159.ger.abstr-s7-t2
DerAnaesthesist.7046s159.ger.abstr-s1-r11-t5.1-t2.1
treats
DerAnaesthesist.7046s159.ger.abstr-s2-t5
DerAnaesthesist.7046s159.ger.abstr-s7-t2
DerAnaesthesist.7046s159.ger.abstr-s2-r1-t7.2-t2.1
causes
DerAnaesthesist.7046s159.ger.abstr-s2-t7
DerAnaesthesist.7046s159.ger.abstr-s7-t2
DerAnaesthesist.7046s159.ger.abstr-s2-r2-t6.1-t7.2
produces
DerAnaesthesist.7046s159.ger.abstr-s2-t6
DerAnaesthesist.7046s159.ger.abstr-s2-t7
DerAnaesthesist.7046s159.ger.abstr-s2-r3-t2.1-t6.1
associated_with
DerAnaesthesist.7046s159.ger.abstr-s7-t2
DerAnaesthesist.7046s159.ger.abstr-s2-t6
DerAnaesthesist.7046s159.ger.abstr-s2-r4-t1.1-t2.1
co-occurs_with
DerAnaesthesist.7046s159.ger.abstr-s7-t1
DerAnaesthesist.7046s159.ger.abstr-s7-t2
DerAnaesthesist.7046s159.ger.abstr-s2-r5-t7.1-t2.1
location_of
DerAnaesthesist.7046s159.ger.abstr-s2-t7
DerAnaesthesist.7046s159.ger.abstr-s7-t2
DerAnaesthesist.7046s159.ger.abstr-s2-r6-t6.1-t2.1
evaluation_of
DerAnaesthesist.7046s159.ger.abstr-s2-t6
DerAnaesthesist.7046s159.ger.abstr-s7-t2
DerAnaesthesist.7046s159.ger.abstr-s2-r7-t5.1-t2.1
diagnoses
DerAnaesthesist.7046s159.ger.abstr-s2-t5
DerAnaesthesist.7046s159.ger.abstr-s7-t2
DerAnaesthesist.7046s159.ger.abstr-s2-r8-t5.1-t7.1
disrupts
DerAnaesthesist.7046s159.ger.abstr-s2-t5
DerAnaesthesist.7046s159.ger.abstr-s2-t7
DerAnaesthesist.7046s159.ger.abstr-s2-r10-t6.1-t4.1
produces
DerAnaesthesist.7046s159.ger.abstr-s2-t6
DerAnaesthesist.7046s159.ger.abstr-s2-t4
DerAnaesthesist.7046s159.ger.abstr-s2-r11-t2.1-t1.1
associated_with
DerAnaesthesist.7046s159.ger.abstr-s7-t2
DerAnaesthesist.7046s159.ger.abstr-s7-t1
DerAnaesthesist.7046s159.ger.abstr-s2-r12-t2.1-t6.1
evaluation_of
DerAnaesthesist.7046s159.ger.abstr-s7-t2
DerAnaesthesist.7046s159.ger.abstr-s2-t6
DerAnaesthesist.7046s159.ger.abstr-s2-r13-t5.1-t4.1
interacts_with
DerAnaesthesist.7046s159.ger.abstr-s2-t5
DerAnaesthesist.7046s159.ger.abstr-s2-t4
DerAnaesthesist.7046s159.ger.abstr-s2-r14-t6.1-t1.1
co-occurs_with
DerAnaesthesist.7046s159.ger.abstr-s2-t6
DerAnaesthesist.7046s159.ger.abstr-s7-t1
DerAnaesthesist.7046s159.ger.abstr-s2-r15-t4.1-t1.1
treats
DerAnaesthesist.7046s159.ger.abstr-s2-t4
DerAnaesthesist.7046s159.ger.abstr-s7-t1
DerAnaesthesist.7046s159.ger.abstr-s2-r16-t5.1-t1.1
treats
DerAnaesthesist.7046s159.ger.abstr-s2-t5
DerAnaesthesist.7046s159.ger.abstr-s7-t1
DerAnaesthesist.7046s159.ger.abstr-s2-r17-t4.1-t2.1
affects
DerAnaesthesist.7046s159.ger.abstr-s2-t4
DerAnaesthesist.7046s159.ger.abstr-s7-t2
DerAnaesthesist.7046s159.ger.abstr-s2-r18-t5.1-t2.1
affects
DerAnaesthesist.7046s159.ger.abstr-s2-t5
DerAnaesthesist.7046s159.ger.abstr-s7-t2
DerAnaesthesist.7046s159.ger.abstr-s2-r19-t7.2-t5.1
consists_of
DerAnaesthesist.7046s159.ger.abstr-s2-t7
DerAnaesthesist.7046s159.ger.abstr-s2-t5
DerAnaesthesist.7046s159.ger.abstr-s2-r20-t4.1-t2.1
diagnoses
DerAnaesthesist.7046s159.ger.abstr-s2-t4
DerAnaesthesist.7046s159.ger.abstr-s7-t2
DerAnaesthesist.7046s159.ger.abstr-s2-r21-t4.1-t7.1
disrupts
DerAnaesthesist.7046s159.ger.abstr-s2-t4
DerAnaesthesist.7046s159.ger.abstr-s2-t7
DerAnaesthesist.7046s159.ger.abstr-s2-r22-t7.1-t5.1
produces
DerAnaesthesist.7046s159.ger.abstr-s2-t7
DerAnaesthesist.7046s159.ger.abstr-s2-t5
DerAnaesthesist.7046s159.ger.abstr-s2-r24-t6.1-t2.1
result_of
DerAnaesthesist.7046s159.ger.abstr-s2-t6
DerAnaesthesist.7046s159.ger.abstr-s7-t2
DerAnaesthesist.7046s159.ger.abstr-s2-r25-t7.2-t4.1
consists_of
DerAnaesthesist.7046s159.ger.abstr-s2-t7
DerAnaesthesist.7046s159.ger.abstr-s2-t4
DerAnaesthesist.7046s159.ger.abstr-s2-r26-t4.1-t5.1
interacts_with
DerAnaesthesist.7046s159.ger.abstr-s2-t4
DerAnaesthesist.7046s159.ger.abstr-s2-t5
DerAnaesthesist.7046s159.ger.abstr-s2-r27-t1.1-t6.1
evaluation_of
DerAnaesthesist.7046s159.ger.abstr-s7-t1
DerAnaesthesist.7046s159.ger.abstr-s2-t6
DerAnaesthesist.7046s159.ger.abstr-s2-r28-t7.1-t6.1
location_of
DerAnaesthesist.7046s159.ger.abstr-s2-t7
DerAnaesthesist.7046s159.ger.abstr-s2-t6
DerAnaesthesist.7046s159.ger.abstr-s2-r29-t7.1-t4.1
produces
DerAnaesthesist.7046s159.ger.abstr-s2-t7
DerAnaesthesist.7046s159.ger.abstr-s2-t4
DerAnaesthesist.7046s159.ger.abstr-s2-r30-t2.1-t5.1
produces
DerAnaesthesist.7046s159.ger.abstr-s7-t2
DerAnaesthesist.7046s159.ger.abstr-s2-t5
DerAnaesthesist.7046s159.ger.abstr-s2-r31-t2.1-t1.1
co-occurs_with
DerAnaesthesist.7046s159.ger.abstr-s7-t2
DerAnaesthesist.7046s159.ger.abstr-s7-t1
DerAnaesthesist.7046s159.ger.abstr-s2-r32-t2.1-t6.1
result_of
DerAnaesthesist.7046s159.ger.abstr-s7-t2
DerAnaesthesist.7046s159.ger.abstr-s2-t6
DerAnaesthesist.7046s159.ger.abstr-s2-r33-t2.1-t7.2
produces
DerAnaesthesist.7046s159.ger.abstr-s7-t2
DerAnaesthesist.7046s159.ger.abstr-s2-t7
DerAnaesthesist.7046s159.ger.abstr-s2-r34-t4.1-t6.1
affects
DerAnaesthesist.7046s159.ger.abstr-s2-t4
DerAnaesthesist.7046s159.ger.abstr-s2-t6
DerAnaesthesist.7046s159.ger.abstr-s2-r35-t5.1-t6.1
affects
DerAnaesthesist.7046s159.ger.abstr-s2-t5
DerAnaesthesist.7046s159.ger.abstr-s2-t6
DerAnaesthesist.7046s159.ger.abstr-s2-r36-t1.1-t6.1
co-occurs_with
DerAnaesthesist.7046s159.ger.abstr-s7-t1
DerAnaesthesist.7046s159.ger.abstr-s2-t6
DerAnaesthesist.7046s159.ger.abstr-s2-r37-t6.1-t2.1
associated_with
DerAnaesthesist.7046s159.ger.abstr-s2-t6
DerAnaesthesist.7046s159.ger.abstr-s7-t2
DerAnaesthesist.7046s159.ger.abstr-s2-r38-t2.1-t4.1
produces
DerAnaesthesist.7046s159.ger.abstr-s7-t2
DerAnaesthesist.7046s159.ger.abstr-s2-t4
DerAnaesthesist.7046s159.ger.abstr-s2-r39-t1.1-t2.1
evaluation_of
DerAnaesthesist.7046s159.ger.abstr-s7-t1
DerAnaesthesist.7046s159.ger.abstr-s7-t2
DerAnaesthesist.7046s159.ger.abstr-s2-r40-t6.1-t5.1
produces
DerAnaesthesist.7046s159.ger.abstr-s2-t6
DerAnaesthesist.7046s159.ger.abstr-s2-t5
DerAnaesthesist.7046s159.ger.abstr-s2-r41-t1.1-t2.1
associated_with
DerAnaesthesist.7046s159.ger.abstr-s7-t1
DerAnaesthesist.7046s159.ger.abstr-s7-t2
DerAnaesthesist.7046s159.ger.abstr-s3-r1-t2.1-t1.1
associated_with
DerAnaesthesist.7046s159.ger.abstr-s7-t2
DerAnaesthesist.7046s159.ger.abstr-s7-t1
DerAnaesthesist.7046s159.ger.abstr-s3-r2-t1.1-t2.1
associated_with
DerAnaesthesist.7046s159.ger.abstr-s7-t1
DerAnaesthesist.7046s159.ger.abstr-s7-t2
DerAnaesthesist.7046s159.ger.abstr-s4-r1-t2.1-t1.1
associated_with
DerAnaesthesist.7046s159.ger.abstr-s7-t2
DerAnaesthesist.7046s159.ger.abstr-s7-t1
DerAnaesthesist.7046s159.ger.abstr-s4-r2-t1.1-t2.1
associated_with
DerAnaesthesist.7046s159.ger.abstr-s7-t1
DerAnaesthesist.7046s159.ger.abstr-s7-t2
DerAnaesthesist.7046s159.ger.abstr-s6-r1-t1.1-t2.1
conceptual_part_of
DerAnaesthesist.7046s159.ger.abstr-s7-t1
DerAnaesthesist.7046s159.ger.abstr-s7-t2
DerAnaesthesist.7046s159.ger.abstr-s7-r1-t2.1-t3.1
performs
DerAnaesthesist.7046s159.ger.abstr-s7-t2
DerAnaesthesist.7046s159.ger.abstr-s7-t3
DerAnaesthesist.7046s159.ger.abstr-s7-r2-t3.1-t2.1
affects
DerAnaesthesist.7046s159.ger.abstr-s7-t3
DerAnaesthesist.7046s159.ger.abstr-s7-t2
DerAnaesthesist.7046s159.ger.abstr-s7-r3-t3.1-t1.1
uses
DerAnaesthesist.7046s159.ger.abstr-s7-t3
DerAnaesthesist.7046s159.ger.abstr-s7-t1