DerAnaesthesist.60450231.ger.abstr-passage-0
abstract
In einer prospektiven , randomisierten Untersuchung wurden nach Genehmigung durch die zustaendige Ethikkommission und schriftlicher Einverstaendniserklaerung durch die Patienten am ersten Tag nach traumatologischen Operationen entweder eine patientenkontrollierte intravenoese Analgesie ( i.v. -PCA , n=28), eine patientenkontrollierte intranasale Analgesie ( PCINA , n=26) bzw. eine stationsuebliche Schmerztherapie ( SUeT , n=25) durchgefuehrt . Es werden die Ergebnisse zur Patientenakzeptanz gegenueber diesen Analgesieverfahren vorgestellt . Sowohl die Patienten der PCINA-Gruppe als auch die Patienten der i.v. -PCA-Gruppe konnten sich maximal 0,025 mg Fentanyl pro 6 min selbst intranasal bzw. intravenoes verabreichen . Die stationsuebliche Therapie sollte vom Untersucher unbeeinflusst bleiben und wurde vom zustaendigen Stationsarzt bzw. der zustaendigen Stationsschwester festgelegt . Am Ende des 8stuendigen Untersuchungszeitraums wurden die Patienten zu ihrer globalen Zufriedenheit mit der durchgefuehrten Schmerztherapie befragt . Weiterhin sollten die Patienten Vor- und Nachteile der jeweiligen Verfahren frei formulieren . Die globale Zufriedenheit war in der Gruppe PCINA ( Median : gut und in der Gruppe ) i.v. -PCA ( Median : gut ) signifikant besser als in der Gruppe mit stationsueblicher Therapie ( Median zufriedenstellend ) . : Als wesentliche Vorteile nannten die Patienten der PCINA- bzw. der i.v. -PCA-Gruppe die gute Schmerzlinderung ( n=25 bzw. n=25) und die Unabhaengigkeit von Arzt oder Pflegekraft ( n=12 bzw. n=13). Nachteilig wurde von den Patienten der PCINA-Gruppe die haeufig notwendige intranasale Applikation ( n=6) und von den Patienten der i.v. -PCA-Gruppe Injektionsschmerz ( n=4) und Bewegungseinschraenkung ( n=5) genannt . Die vorliegenden Ergebnisse zeigen , dass die Patientenakzeptanz gegenueber der PCINA vergleichbar gut ist wie bei der konventionellen i.v.-PCA.
DerAnaesthesist.60450231.ger.abstr-s1-r1-t11.1-t10.1
treats
DerAnaesthesist.60450231.ger.abstr-s1-t11
DerAnaesthesist.60450231.ger.abstr-s1-t10
DerAnaesthesist.60450231.ger.abstr-s1-r2-t6.1-t5.1
affects
DerAnaesthesist.60450231.ger.abstr-s8-t6
DerAnaesthesist.60450231.ger.abstr-s8-t5
DerAnaesthesist.60450231.ger.abstr-s1-r3-t7.1-t3.1
performs
DerAnaesthesist.60450231.ger.abstr-s8-t7
DerAnaesthesist.60450231.ger.abstr-s8-t3
DerAnaesthesist.60450231.ger.abstr-s1-r4-t8.1-t5.1
affects
DerAnaesthesist.60450231.ger.abstr-s8-t8
DerAnaesthesist.60450231.ger.abstr-s8-t5
DerAnaesthesist.60450231.ger.abstr-s1-r5-t8.1-t3.1
isa
DerAnaesthesist.60450231.ger.abstr-s8-t8
DerAnaesthesist.60450231.ger.abstr-s8-t3
DerAnaesthesist.60450231.ger.abstr-s1-r6-t6.1-t3.1
isa
DerAnaesthesist.60450231.ger.abstr-s8-t6
DerAnaesthesist.60450231.ger.abstr-s8-t3
DerAnaesthesist.60450231.ger.abstr-s1-r7-t6.1-t4.1
affects
DerAnaesthesist.60450231.ger.abstr-s8-t6
DerAnaesthesist.60450231.ger.abstr-s8-t4
DerAnaesthesist.60450231.ger.abstr-s1-r8-t11.1-t3.1
isa
DerAnaesthesist.60450231.ger.abstr-s1-t11
DerAnaesthesist.60450231.ger.abstr-s8-t3
DerAnaesthesist.60450231.ger.abstr-s1-r9-t5.1-t1.1
performs
DerAnaesthesist.60450231.ger.abstr-s8-t5
DerAnaesthesist.60450231.ger.abstr-s9-t1
DerAnaesthesist.60450231.ger.abstr-s1-r10-t6.1-t10.1
treats
DerAnaesthesist.60450231.ger.abstr-s8-t6
DerAnaesthesist.60450231.ger.abstr-s1-t10
DerAnaesthesist.60450231.ger.abstr-s1-r11-t5.1-t8.1
performs
DerAnaesthesist.60450231.ger.abstr-s8-t5
DerAnaesthesist.60450231.ger.abstr-s8-t8
DerAnaesthesist.60450231.ger.abstr-s1-r12-t8.1-t4.1
affects
DerAnaesthesist.60450231.ger.abstr-s8-t8
DerAnaesthesist.60450231.ger.abstr-s8-t4
DerAnaesthesist.60450231.ger.abstr-s1-r13-t4.1-t9.1
uses
DerAnaesthesist.60450231.ger.abstr-s8-t4
DerAnaesthesist.60450231.ger.abstr-s1-t9
DerAnaesthesist.60450231.ger.abstr-s1-r14-t8.1-t10.1
treats
DerAnaesthesist.60450231.ger.abstr-s8-t8
DerAnaesthesist.60450231.ger.abstr-s1-t10
DerAnaesthesist.60450231.ger.abstr-s1-r15-t8.1-t9.1
uses
DerAnaesthesist.60450231.ger.abstr-s8-t8
DerAnaesthesist.60450231.ger.abstr-s1-t9
DerAnaesthesist.60450231.ger.abstr-s1-r16-t6.1-t9.1
uses
DerAnaesthesist.60450231.ger.abstr-s8-t6
DerAnaesthesist.60450231.ger.abstr-s1-t9
DerAnaesthesist.60450231.ger.abstr-s1-r17-t7.1-t1.1
performs
DerAnaesthesist.60450231.ger.abstr-s8-t7
DerAnaesthesist.60450231.ger.abstr-s9-t1
DerAnaesthesist.60450231.ger.abstr-s1-r18-t5.1-t11.1
performs
DerAnaesthesist.60450231.ger.abstr-s8-t5
DerAnaesthesist.60450231.ger.abstr-s1-t11
DerAnaesthesist.60450231.ger.abstr-s1-r19-t7.1-t8.1
performs
DerAnaesthesist.60450231.ger.abstr-s8-t7
DerAnaesthesist.60450231.ger.abstr-s8-t8
DerAnaesthesist.60450231.ger.abstr-s1-r20-t4.1-t3.1
performs
DerAnaesthesist.60450231.ger.abstr-s8-t4
DerAnaesthesist.60450231.ger.abstr-s8-t3
DerAnaesthesist.60450231.ger.abstr-s1-r21-t11.1-t7.1
affects
DerAnaesthesist.60450231.ger.abstr-s1-t11
DerAnaesthesist.60450231.ger.abstr-s8-t7
DerAnaesthesist.60450231.ger.abstr-s1-r22-t5.1-t6.1
performs
DerAnaesthesist.60450231.ger.abstr-s8-t5
DerAnaesthesist.60450231.ger.abstr-s8-t6
DerAnaesthesist.60450231.ger.abstr-s1-r23-t7.1-t11.1
performs
DerAnaesthesist.60450231.ger.abstr-s8-t7
DerAnaesthesist.60450231.ger.abstr-s1-t11
DerAnaesthesist.60450231.ger.abstr-s1-r24-t11.1-t9.1
uses
DerAnaesthesist.60450231.ger.abstr-s1-t11
DerAnaesthesist.60450231.ger.abstr-s1-t9
DerAnaesthesist.60450231.ger.abstr-s1-r25-t7.1-t6.1
performs
DerAnaesthesist.60450231.ger.abstr-s8-t7
DerAnaesthesist.60450231.ger.abstr-s8-t6
DerAnaesthesist.60450231.ger.abstr-s1-r26-t4.1-t1.1
performs
DerAnaesthesist.60450231.ger.abstr-s8-t4
DerAnaesthesist.60450231.ger.abstr-s9-t1
DerAnaesthesist.60450231.ger.abstr-s1-r27-t4.1-t8.1
performs
DerAnaesthesist.60450231.ger.abstr-s8-t4
DerAnaesthesist.60450231.ger.abstr-s8-t8
DerAnaesthesist.60450231.ger.abstr-s1-r28-t11.2-t3.1
isa
DerAnaesthesist.60450231.ger.abstr-s1-t11
DerAnaesthesist.60450231.ger.abstr-s8-t3
DerAnaesthesist.60450231.ger.abstr-s1-r29-t6.1-t7.1
affects
DerAnaesthesist.60450231.ger.abstr-s8-t6
DerAnaesthesist.60450231.ger.abstr-s8-t7
DerAnaesthesist.60450231.ger.abstr-s1-r30-t4.1-t11.1
performs
DerAnaesthesist.60450231.ger.abstr-s8-t4
DerAnaesthesist.60450231.ger.abstr-s1-t11
DerAnaesthesist.60450231.ger.abstr-s1-r31-t11.1-t5.1
affects
DerAnaesthesist.60450231.ger.abstr-s1-t11
DerAnaesthesist.60450231.ger.abstr-s8-t5
DerAnaesthesist.60450231.ger.abstr-s1-r32-t8.1-t7.1
affects
DerAnaesthesist.60450231.ger.abstr-s8-t8
DerAnaesthesist.60450231.ger.abstr-s8-t7
DerAnaesthesist.60450231.ger.abstr-s1-r33-t5.1-t9.1
uses
DerAnaesthesist.60450231.ger.abstr-s8-t5
DerAnaesthesist.60450231.ger.abstr-s1-t9
DerAnaesthesist.60450231.ger.abstr-s1-r34-t7.1-t9.1
uses
DerAnaesthesist.60450231.ger.abstr-s8-t7
DerAnaesthesist.60450231.ger.abstr-s1-t9
DerAnaesthesist.60450231.ger.abstr-s1-r35-t11.2-t2.1
isa
DerAnaesthesist.60450231.ger.abstr-s1-t11
DerAnaesthesist.60450231.ger.abstr-s9-t2
DerAnaesthesist.60450231.ger.abstr-s1-r36-t5.1-t3.1
performs
DerAnaesthesist.60450231.ger.abstr-s8-t5
DerAnaesthesist.60450231.ger.abstr-s8-t3
DerAnaesthesist.60450231.ger.abstr-s1-r37-t4.1-t6.1
performs
DerAnaesthesist.60450231.ger.abstr-s8-t4
DerAnaesthesist.60450231.ger.abstr-s8-t6
DerAnaesthesist.60450231.ger.abstr-s1-r38-t11.1-t4.1
affects
DerAnaesthesist.60450231.ger.abstr-s1-t11
DerAnaesthesist.60450231.ger.abstr-s8-t4
DerAnaesthesist.60450231.ger.abstr-s2-r1-t2.1-t1.1
affects
DerAnaesthesist.60450231.ger.abstr-s9-t2
DerAnaesthesist.60450231.ger.abstr-s9-t1
DerAnaesthesist.60450231.ger.abstr-s2-r2-t1.1-t2.1
performs
DerAnaesthesist.60450231.ger.abstr-s9-t1
DerAnaesthesist.60450231.ger.abstr-s9-t2
DerAnaesthesist.60450231.ger.abstr-s4-r1-t2.1-t1.1
performs
DerAnaesthesist.60450231.ger.abstr-s9-t2
DerAnaesthesist.60450231.ger.abstr-s9-t1
DerAnaesthesist.60450231.ger.abstr-s5-r1-t3.1-t1.1
affects
DerAnaesthesist.60450231.ger.abstr-s8-t3
DerAnaesthesist.60450231.ger.abstr-s9-t1
DerAnaesthesist.60450231.ger.abstr-s5-r2-t3.1-t2.1
treats
DerAnaesthesist.60450231.ger.abstr-s8-t3
DerAnaesthesist.60450231.ger.abstr-s9-t2
DerAnaesthesist.60450231.ger.abstr-s5-r3-t1.1-t3.1
performs
DerAnaesthesist.60450231.ger.abstr-s9-t1
DerAnaesthesist.60450231.ger.abstr-s8-t3
DerAnaesthesist.60450231.ger.abstr-s7-r1-t2.1-t1.1
uses
DerAnaesthesist.60450231.ger.abstr-s9-t2
DerAnaesthesist.60450231.ger.abstr-s9-t1
DerAnaesthesist.60450231.ger.abstr-s8-r1-t6.1-t3.1
interacts_with
DerAnaesthesist.60450231.ger.abstr-s8-t6
DerAnaesthesist.60450231.ger.abstr-s8-t3
DerAnaesthesist.60450231.ger.abstr-s8-r2-t7.1-t5.1
affects
DerAnaesthesist.60450231.ger.abstr-s8-t7
DerAnaesthesist.60450231.ger.abstr-s8-t5
DerAnaesthesist.60450231.ger.abstr-s8-r3-t3.1-t8.1
performs
DerAnaesthesist.60450231.ger.abstr-s8-t3
DerAnaesthesist.60450231.ger.abstr-s8-t8
DerAnaesthesist.60450231.ger.abstr-s8-r4-t1.1-t7.1
performs
DerAnaesthesist.60450231.ger.abstr-s9-t1
DerAnaesthesist.60450231.ger.abstr-s8-t7
DerAnaesthesist.60450231.ger.abstr-s8-r5-t8.1-t5.1
affects
DerAnaesthesist.60450231.ger.abstr-s8-t8
DerAnaesthesist.60450231.ger.abstr-s8-t5
DerAnaesthesist.60450231.ger.abstr-s8-r6-t5.1-t8.1
performs
DerAnaesthesist.60450231.ger.abstr-s8-t5
DerAnaesthesist.60450231.ger.abstr-s8-t8
DerAnaesthesist.60450231.ger.abstr-s8-r7-t1.1-t3.1
interacts_with
DerAnaesthesist.60450231.ger.abstr-s9-t1
DerAnaesthesist.60450231.ger.abstr-s8-t3
DerAnaesthesist.60450231.ger.abstr-s8-r8-t3.1-t7.1
performs
DerAnaesthesist.60450231.ger.abstr-s8-t3
DerAnaesthesist.60450231.ger.abstr-s8-t7
DerAnaesthesist.60450231.ger.abstr-s8-r9-t3.1-t1.1
treats
DerAnaesthesist.60450231.ger.abstr-s8-t3
DerAnaesthesist.60450231.ger.abstr-s9-t1
DerAnaesthesist.60450231.ger.abstr-s8-r10-t6.1-t4.1
performs
DerAnaesthesist.60450231.ger.abstr-s8-t6
DerAnaesthesist.60450231.ger.abstr-s8-t4
DerAnaesthesist.60450231.ger.abstr-s8-r11-t5.1-t7.1
performs
DerAnaesthesist.60450231.ger.abstr-s8-t5
DerAnaesthesist.60450231.ger.abstr-s8-t7
DerAnaesthesist.60450231.ger.abstr-s8-r12-t1.1-t4.1
performs
DerAnaesthesist.60450231.ger.abstr-s9-t1
DerAnaesthesist.60450231.ger.abstr-s8-t4
DerAnaesthesist.60450231.ger.abstr-s8-r13-t3.1-t5.1
treats
DerAnaesthesist.60450231.ger.abstr-s8-t3
DerAnaesthesist.60450231.ger.abstr-s8-t5
DerAnaesthesist.60450231.ger.abstr-s8-r14-t3.1-t4.1
performs
DerAnaesthesist.60450231.ger.abstr-s8-t3
DerAnaesthesist.60450231.ger.abstr-s8-t4
DerAnaesthesist.60450231.ger.abstr-s8-r15-t7.1-t1.1
affects
DerAnaesthesist.60450231.ger.abstr-s8-t7
DerAnaesthesist.60450231.ger.abstr-s9-t1
DerAnaesthesist.60450231.ger.abstr-s8-r16-t8.1-t1.1
affects
DerAnaesthesist.60450231.ger.abstr-s8-t8
DerAnaesthesist.60450231.ger.abstr-s9-t1
DerAnaesthesist.60450231.ger.abstr-s8-r17-t5.1-t4.1
performs
DerAnaesthesist.60450231.ger.abstr-s8-t5
DerAnaesthesist.60450231.ger.abstr-s8-t4
DerAnaesthesist.60450231.ger.abstr-s8-r18-t7.1-t2.1
treats
DerAnaesthesist.60450231.ger.abstr-s8-t7
DerAnaesthesist.60450231.ger.abstr-s9-t2
DerAnaesthesist.60450231.ger.abstr-s8-r19-t6.1-t8.1
performs
DerAnaesthesist.60450231.ger.abstr-s8-t6
DerAnaesthesist.60450231.ger.abstr-s8-t8
DerAnaesthesist.60450231.ger.abstr-s8-r20-t8.1-t2.1
treats
DerAnaesthesist.60450231.ger.abstr-s8-t8
DerAnaesthesist.60450231.ger.abstr-s9-t2
DerAnaesthesist.60450231.ger.abstr-s8-r21-t5.1-t3.1
interacts_with
DerAnaesthesist.60450231.ger.abstr-s8-t5
DerAnaesthesist.60450231.ger.abstr-s8-t3
DerAnaesthesist.60450231.ger.abstr-s8-r22-t8.1-t4.1
isa
DerAnaesthesist.60450231.ger.abstr-s8-t8
DerAnaesthesist.60450231.ger.abstr-s8-t4
DerAnaesthesist.60450231.ger.abstr-s8-r23-t6.1-t7.1
performs
DerAnaesthesist.60450231.ger.abstr-s8-t6
DerAnaesthesist.60450231.ger.abstr-s8-t7
DerAnaesthesist.60450231.ger.abstr-s8-r24-t7.1-t6.1
affects
DerAnaesthesist.60450231.ger.abstr-s8-t7
DerAnaesthesist.60450231.ger.abstr-s8-t6
DerAnaesthesist.60450231.ger.abstr-s8-r25-t7.1-t4.1
isa
DerAnaesthesist.60450231.ger.abstr-s8-t7
DerAnaesthesist.60450231.ger.abstr-s8-t4
DerAnaesthesist.60450231.ger.abstr-s8-r26-t3.1-t6.1
treats
DerAnaesthesist.60450231.ger.abstr-s8-t3
DerAnaesthesist.60450231.ger.abstr-s8-t6
DerAnaesthesist.60450231.ger.abstr-s8-r27-t1.1-t8.1
performs
DerAnaesthesist.60450231.ger.abstr-s9-t1
DerAnaesthesist.60450231.ger.abstr-s8-t8
DerAnaesthesist.60450231.ger.abstr-s8-r28-t8.1-t6.1
affects
DerAnaesthesist.60450231.ger.abstr-s8-t8
DerAnaesthesist.60450231.ger.abstr-s8-t6
DerAnaesthesist.60450231.ger.abstr-s9-r1-t1.1-t2.1
uses
DerAnaesthesist.60450231.ger.abstr-s9-t1
DerAnaesthesist.60450231.ger.abstr-s9-t2