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Postoperative Analgesie nach elektiven abdominalen Eingriffen by Gopal Balasubramaniyan

Postoperative Analgesie nach elektiven abdominalen Eingriffen

by Gopal Balasubramaniyan , Chellappa Vijayakumar , Sarath Chandra Sistla
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Book cover type: Paperback
  • ISBN13: 9786208101435
  • Binding: Paperback
  • Subject: N/A
  • Publisher: Verlag Unser Wissen
  • Publisher Imprint: Verlag Unser Wissen
  • Publication Date:
  • Pages: 72
  • Original Price: GBP 30.0
  • Language: German
  • Edition: N/A
  • Item Weight: 118 grams
  • BISAC Subject(s): General

Die Laparotomie ist ein häufig durchgeführter chirurgischer Eingriff. Das Ziel dieser Studie ist es, die Verschreibungs- und Verabreichungsmuster von Analgetika für postoperative Schmerzen nach Bauchoperationen, die Prävalenz und den Schweregrad postoperativer Schmerzen zu untersuchen, die unerwünschten Wirkungen von Medikamenten zu bewerten und die Patientenzufriedenheit zu beurteilen.Methodik: Prospektive Beobachtungsstudie, die in einem Krankenhaus der tertiären Versorgung in Südindien über 2 Jahre durchgeführt wurde. Ergebnisse: Von den 289 elektiven Laparotomien wurden in der Regel Inzisionen in der oberen Mittellinie (191/289) und in der unteren Mittellinie (64/289) durchgeführt. Intramuskuläres Morphin mit Ketorolac (99/289; 34,25 %) war das am häufigsten verwendete Analgetikum nach der Operation. Schlussfolgerung: NSAR und Opioide (Medianwert 1,2,1 nach 6,12 und 24 Stunden), Epiduralanalgesie mit zusätzlichem intramuskulärem Ketorolac (Medianwert 1,2,2 nach 6,12 und 24 Stunden) und PCEA-Gruppen (Medianwert 2,2,1 nach 6,12 und 24 Stunden) boten eine wirksame Schmerzlinderung mit hoher Zufriedenheit (Medianwert 3) und waren mit geringer Sedierung und wenig Nebenwirkungen verbunden.

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