DerAnaesthesist.50440743.ger.abstr-passage-0
abstract
Man unterscheidet verschiedene intraoperative Wachheitsstufen , wie explizit erinnerbare bewusste Wachheit und Erleben von Schmerz , explizit erinnerbare bewusste Wachheit ohne Schmerzerlebnis , bewusste Wachheit mit Amnesie , unbewusste Wachheit mit impliziter Erinnerung und keine Wachheit . Die explizit erinnerbare bewusste Wachheit mit Schmerzerleben wird auf 1:3000 Allgemeinanaesthesien geschaetzt . Die erinnerbare bewusste Wachheit ohne Schmerz wird in der Literatur mit 0,2-2% angegeben . Mit 7-72% weist die bewusste Wachheit mit Amnesie in Abhaengigkeit von den verwendeten Anaesthesieverfahren eine weit groessere Streuung auf . Unbewusste Wachheit mit postoperativer impliziter Erinnerung wird ebenso aufgrund methodischer Schwierigkeiten recht unterschiedlich mit bis zu 80% angegeben . Postoperativ kann sich nach einer intraoperativen Wachepisode beim Patienten ein sog . posttraumatisches Stresssyndrom entwickeln . Ursachen intraoperativer Wachheit koennen sein : Fehlfunktion der Narkosegeraete , die flache Allgemeinanaesthesie wie bei Sectio caesarea , der akuten Versorgung des polytraumatisierten Patienten , waehrend herzchirurgischer Operation , Bronchoskopie und bei erschwerter Intubation . Narkoseverfahren wie die alleinige Kombination von Relaxans und Lachgas , die alleinige Verabreichung von Opioiden und/oder Benzodiazepinen sind mit einer besonders hohen Inzidenz intraoperativer Wachheitsfaelle belastet . Grundlagen fuer die gerichtlichen Schritte sind aerztliche Behandlungsfehler oder die nicht vorliegende Aufklaerung und Einwilligung des Patienten fuer ein solches Ereignis .
DerAnaesthesist.50440743.ger.abstr-s1-r1-t8.1-t9.1
degree_of
DerAnaesthesist.50440743.ger.abstr-s8-t8
DerAnaesthesist.50440743.ger.abstr-s1-t9
DerAnaesthesist.50440743.ger.abstr-s1-r2-t8.1-t5.1
degree_of
DerAnaesthesist.50440743.ger.abstr-s8-t8
DerAnaesthesist.50440743.ger.abstr-s8-t5
DerAnaesthesist.50440743.ger.abstr-s1-r3-t8.1-t1.1
degree_of
DerAnaesthesist.50440743.ger.abstr-s8-t8
DerAnaesthesist.50440743.ger.abstr-s10-t1
DerAnaesthesist.50440743.ger.abstr-s1-r4-t2.1-t6.1
associated_with
DerAnaesthesist.50440743.ger.abstr-s10-t2
DerAnaesthesist.50440743.ger.abstr-s8-t6
DerAnaesthesist.50440743.ger.abstr-s1-r5-t2.1-t9.1
evaluation_of
DerAnaesthesist.50440743.ger.abstr-s10-t2
DerAnaesthesist.50440743.ger.abstr-s1-t9
DerAnaesthesist.50440743.ger.abstr-s1-r6-t2.1-t1.1
evaluation_of
DerAnaesthesist.50440743.ger.abstr-s10-t2
DerAnaesthesist.50440743.ger.abstr-s10-t1
DerAnaesthesist.50440743.ger.abstr-s1-r7-t4.1-t5.1
evaluation_of
DerAnaesthesist.50440743.ger.abstr-s8-t4
DerAnaesthesist.50440743.ger.abstr-s8-t5
DerAnaesthesist.50440743.ger.abstr-s1-r8-t2.1-t8.1
evaluation_of
DerAnaesthesist.50440743.ger.abstr-s10-t2
DerAnaesthesist.50440743.ger.abstr-s8-t8
DerAnaesthesist.50440743.ger.abstr-s1-r9-t2.1-t7.1
evaluation_of
DerAnaesthesist.50440743.ger.abstr-s10-t2
DerAnaesthesist.50440743.ger.abstr-s8-t7
DerAnaesthesist.50440743.ger.abstr-s1-r10-t6.1-t5.1
result_of
DerAnaesthesist.50440743.ger.abstr-s8-t6
DerAnaesthesist.50440743.ger.abstr-s8-t5
DerAnaesthesist.50440743.ger.abstr-s1-r11-t6.1-t1.1
result_of
DerAnaesthesist.50440743.ger.abstr-s8-t6
DerAnaesthesist.50440743.ger.abstr-s10-t1
DerAnaesthesist.50440743.ger.abstr-s1-r12-t6.1-t9.1
result_of
DerAnaesthesist.50440743.ger.abstr-s8-t6
DerAnaesthesist.50440743.ger.abstr-s1-t9
DerAnaesthesist.50440743.ger.abstr-s1-r13-t4.1-t3.1
evaluation_of
DerAnaesthesist.50440743.ger.abstr-s8-t4
DerAnaesthesist.50440743.ger.abstr-s10-t3
DerAnaesthesist.50440743.ger.abstr-s1-r14-t8.1-t7.1
degree_of
DerAnaesthesist.50440743.ger.abstr-s8-t8
DerAnaesthesist.50440743.ger.abstr-s8-t7
DerAnaesthesist.50440743.ger.abstr-s1-r15-t8.1-t3.1
degree_of
DerAnaesthesist.50440743.ger.abstr-s8-t8
DerAnaesthesist.50440743.ger.abstr-s10-t3
DerAnaesthesist.50440743.ger.abstr-s1-r16-t8.1-t6.1
result_of
DerAnaesthesist.50440743.ger.abstr-s8-t8
DerAnaesthesist.50440743.ger.abstr-s8-t6
DerAnaesthesist.50440743.ger.abstr-s1-r17-t6.1-t4.1
associated_with
DerAnaesthesist.50440743.ger.abstr-s8-t6
DerAnaesthesist.50440743.ger.abstr-s8-t4
DerAnaesthesist.50440743.ger.abstr-s1-r18-t2.1-t5.1
evaluation_of
DerAnaesthesist.50440743.ger.abstr-s10-t2
DerAnaesthesist.50440743.ger.abstr-s8-t5
DerAnaesthesist.50440743.ger.abstr-s1-r19-t6.1-t8.1
result_of
DerAnaesthesist.50440743.ger.abstr-s8-t6
DerAnaesthesist.50440743.ger.abstr-s8-t8
DerAnaesthesist.50440743.ger.abstr-s1-r20-t4.1-t1.1
evaluation_of
DerAnaesthesist.50440743.ger.abstr-s8-t4
DerAnaesthesist.50440743.ger.abstr-s10-t1
DerAnaesthesist.50440743.ger.abstr-s1-r21-t4.1-t9.1
evaluation_of
DerAnaesthesist.50440743.ger.abstr-s8-t4
DerAnaesthesist.50440743.ger.abstr-s1-t9
DerAnaesthesist.50440743.ger.abstr-s1-r22-t6.1-t2.1
associated_with
DerAnaesthesist.50440743.ger.abstr-s8-t6
DerAnaesthesist.50440743.ger.abstr-s10-t2
DerAnaesthesist.50440743.ger.abstr-s1-r23-t4.1-t6.1
associated_with
DerAnaesthesist.50440743.ger.abstr-s8-t4
DerAnaesthesist.50440743.ger.abstr-s8-t6
DerAnaesthesist.50440743.ger.abstr-s1-r24-t4.1-t8.1
evaluation_of
DerAnaesthesist.50440743.ger.abstr-s8-t4
DerAnaesthesist.50440743.ger.abstr-s8-t8
DerAnaesthesist.50440743.ger.abstr-s1-r25-t2.1-t3.1
evaluation_of
DerAnaesthesist.50440743.ger.abstr-s10-t2
DerAnaesthesist.50440743.ger.abstr-s10-t3
DerAnaesthesist.50440743.ger.abstr-s1-r26-t6.1-t3.1
result_of
DerAnaesthesist.50440743.ger.abstr-s8-t6
DerAnaesthesist.50440743.ger.abstr-s10-t3
DerAnaesthesist.50440743.ger.abstr-s1-r27-t6.1-t7.1
result_of
DerAnaesthesist.50440743.ger.abstr-s8-t6
DerAnaesthesist.50440743.ger.abstr-s8-t7
DerAnaesthesist.50440743.ger.abstr-s1-r28-t4.1-t7.1
evaluation_of
DerAnaesthesist.50440743.ger.abstr-s8-t4
DerAnaesthesist.50440743.ger.abstr-s8-t7
DerAnaesthesist.50440743.ger.abstr-s2-r1-t2.1-t1.1
affects
DerAnaesthesist.50440743.ger.abstr-s10-t2
DerAnaesthesist.50440743.ger.abstr-s10-t1
DerAnaesthesist.50440743.ger.abstr-s3-r1-t2.1-t1.1
evaluation_of
DerAnaesthesist.50440743.ger.abstr-s10-t2
DerAnaesthesist.50440743.ger.abstr-s10-t1
DerAnaesthesist.50440743.ger.abstr-s4-r1-t3.1-t1.1
affects
DerAnaesthesist.50440743.ger.abstr-s10-t3
DerAnaesthesist.50440743.ger.abstr-s10-t1
DerAnaesthesist.50440743.ger.abstr-s4-r2-t2.1-t3.1
associated_with
DerAnaesthesist.50440743.ger.abstr-s10-t2
DerAnaesthesist.50440743.ger.abstr-s10-t3
DerAnaesthesist.50440743.ger.abstr-s4-r3-t1.1-t2.1
result_of
DerAnaesthesist.50440743.ger.abstr-s10-t1
DerAnaesthesist.50440743.ger.abstr-s10-t2
DerAnaesthesist.50440743.ger.abstr-s4-r4-t3.1-t2.1
associated_with
DerAnaesthesist.50440743.ger.abstr-s10-t3
DerAnaesthesist.50440743.ger.abstr-s10-t2
DerAnaesthesist.50440743.ger.abstr-s4-r5-t2.1-t1.1
result_of
DerAnaesthesist.50440743.ger.abstr-s10-t2
DerAnaesthesist.50440743.ger.abstr-s10-t1
DerAnaesthesist.50440743.ger.abstr-s5-r1-t2.1-t1.1
degree_of
DerAnaesthesist.50440743.ger.abstr-s10-t2
DerAnaesthesist.50440743.ger.abstr-s10-t1
DerAnaesthesist.50440743.ger.abstr-s5-r2-t1.1-t2.1
degree_of
DerAnaesthesist.50440743.ger.abstr-s10-t1
DerAnaesthesist.50440743.ger.abstr-s10-t2
DerAnaesthesist.50440743.ger.abstr-s7-r1-t2.1-t1.1
degree_of
DerAnaesthesist.50440743.ger.abstr-s10-t2
DerAnaesthesist.50440743.ger.abstr-s10-t1
DerAnaesthesist.50440743.ger.abstr-s7-r2-t2.1-t1.1
associated_with
DerAnaesthesist.50440743.ger.abstr-s10-t2
DerAnaesthesist.50440743.ger.abstr-s10-t1
DerAnaesthesist.50440743.ger.abstr-s7-r3-t1.1-t2.1
degree_of
DerAnaesthesist.50440743.ger.abstr-s10-t1
DerAnaesthesist.50440743.ger.abstr-s10-t2
DerAnaesthesist.50440743.ger.abstr-s7-r4-t1.1-t2.1
associated_with
DerAnaesthesist.50440743.ger.abstr-s10-t1
DerAnaesthesist.50440743.ger.abstr-s10-t2
DerAnaesthesist.50440743.ger.abstr-s8-r1-t4.1-t2.1
performs
DerAnaesthesist.50440743.ger.abstr-s8-t4
DerAnaesthesist.50440743.ger.abstr-s10-t2
DerAnaesthesist.50440743.ger.abstr-s8-r2-t6.1-t2.1
precedes
DerAnaesthesist.50440743.ger.abstr-s8-t6
DerAnaesthesist.50440743.ger.abstr-s10-t2
DerAnaesthesist.50440743.ger.abstr-s8-r3-t2.1-t4.1
affects
DerAnaesthesist.50440743.ger.abstr-s10-t2
DerAnaesthesist.50440743.ger.abstr-s8-t4
DerAnaesthesist.50440743.ger.abstr-s8-r4-t4.1-t8.1
performs
DerAnaesthesist.50440743.ger.abstr-s8-t4
DerAnaesthesist.50440743.ger.abstr-s8-t8
DerAnaesthesist.50440743.ger.abstr-s8-r5-t6.1-t8.1
precedes
DerAnaesthesist.50440743.ger.abstr-s8-t6
DerAnaesthesist.50440743.ger.abstr-s8-t8
DerAnaesthesist.50440743.ger.abstr-s8-r6-t6.1-t4.1
affects
DerAnaesthesist.50440743.ger.abstr-s8-t6
DerAnaesthesist.50440743.ger.abstr-s8-t4
DerAnaesthesist.50440743.ger.abstr-s8-r7-t7.1-t1.1
affects
DerAnaesthesist.50440743.ger.abstr-s8-t7
DerAnaesthesist.50440743.ger.abstr-s10-t1
DerAnaesthesist.50440743.ger.abstr-s8-r8-t4.1-t2.1
uses
DerAnaesthesist.50440743.ger.abstr-s8-t4
DerAnaesthesist.50440743.ger.abstr-s10-t2
DerAnaesthesist.50440743.ger.abstr-s8-r9-t6.1-t2.1
uses
DerAnaesthesist.50440743.ger.abstr-s8-t6
DerAnaesthesist.50440743.ger.abstr-s10-t2
DerAnaesthesist.50440743.ger.abstr-s8-r10-t8.1-t2.1
uses
DerAnaesthesist.50440743.ger.abstr-s8-t8
DerAnaesthesist.50440743.ger.abstr-s10-t2
DerAnaesthesist.50440743.ger.abstr-s8-r11-t7.1-t2.1
uses
DerAnaesthesist.50440743.ger.abstr-s8-t7
DerAnaesthesist.50440743.ger.abstr-s10-t2
DerAnaesthesist.50440743.ger.abstr-s8-r12-t7.1-t4.1
affects
DerAnaesthesist.50440743.ger.abstr-s8-t7
DerAnaesthesist.50440743.ger.abstr-s8-t4
DerAnaesthesist.50440743.ger.abstr-s8-r13-t8.1-t1.1
affects
DerAnaesthesist.50440743.ger.abstr-s8-t8
DerAnaesthesist.50440743.ger.abstr-s10-t1
DerAnaesthesist.50440743.ger.abstr-s8-r14-t5.1-t8.1
location_of
DerAnaesthesist.50440743.ger.abstr-s8-t5
DerAnaesthesist.50440743.ger.abstr-s8-t8
DerAnaesthesist.50440743.ger.abstr-s8-r15-t8.1-t4.1
affects
DerAnaesthesist.50440743.ger.abstr-s8-t8
DerAnaesthesist.50440743.ger.abstr-s8-t4
DerAnaesthesist.50440743.ger.abstr-s8-r16-t4.1-t7.1
performs
DerAnaesthesist.50440743.ger.abstr-s8-t4
DerAnaesthesist.50440743.ger.abstr-s8-t7
DerAnaesthesist.50440743.ger.abstr-s8-r17-t6.1-t7.1
precedes
DerAnaesthesist.50440743.ger.abstr-s8-t6
DerAnaesthesist.50440743.ger.abstr-s8-t7
DerAnaesthesist.50440743.ger.abstr-s8-r18-t6.1-t1.1
measures
DerAnaesthesist.50440743.ger.abstr-s8-t6
DerAnaesthesist.50440743.ger.abstr-s10-t1
DerAnaesthesist.50440743.ger.abstr-s8-r19-t5.1-t2.1
location_of
DerAnaesthesist.50440743.ger.abstr-s8-t5
DerAnaesthesist.50440743.ger.abstr-s10-t2
DerAnaesthesist.50440743.ger.abstr-s8-r20-t5.1-t7.1
location_of
DerAnaesthesist.50440743.ger.abstr-s8-t5
DerAnaesthesist.50440743.ger.abstr-s8-t7
DerAnaesthesist.50440743.ger.abstr-s8-r21-t5.1-t1.1
location_of
DerAnaesthesist.50440743.ger.abstr-s8-t5
DerAnaesthesist.50440743.ger.abstr-s10-t1
DerAnaesthesist.50440743.ger.abstr-s8-r22-t4.1-t6.1
performs
DerAnaesthesist.50440743.ger.abstr-s8-t4
DerAnaesthesist.50440743.ger.abstr-s8-t6
DerAnaesthesist.50440743.ger.abstr-s8-r23-t5.1-t6.1
location_of
DerAnaesthesist.50440743.ger.abstr-s8-t5
DerAnaesthesist.50440743.ger.abstr-s8-t6
DerAnaesthesist.50440743.ger.abstr-s8-r24-t2.1-t1.1
affects
DerAnaesthesist.50440743.ger.abstr-s10-t2
DerAnaesthesist.50440743.ger.abstr-s10-t1