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Die Epiduralanalgesie zur Geburtshilfe

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Zusammenfassung

Die Epiduralanalgesie (EDA) ist die effektivste Form der geburtshilflichen Schmerztherapie und wird als "Goldstandard" angesehen. Für eine gute geburtshilfliche Analgesie ist eine Schmerzausschaltung über einen weiten Bereich von Th 10 bis S 4 notwendig. Dieser Weiterbildungsartikel umfasst sowohl pathophysiologische Grundlagen, aufklärungsspezifische Aspekte als auch praktische Empfehlungen zur Katheteranlage, zur Medikamentenwahl und zum Applikationsmodus. Der Einfluss der EDA auf den Geburtsverlauf, die instrumentelle Entbindungsrate und Sectiorate wird besprochen.

Abstract

Epidural analgesia is the most effective means of pain relief during labor and is considered to be the "gold standard". For sufficient epidural analgesia, a wide range of nerve-block has to cover the segments Th10 to S4. This article includes the pathophysiological background as well as aspects of risk information and informed consent. Practical issues such as the insertion of the epidural catheter, choice of medication and application modes are described. The influence of epidural analgesia on labor, instrumental delivery and rate of caesarean section is discussed.

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Authors and Affiliations

  1. Klinik für Anästhesiologie und Operative Intensivmedizin, Klinikum Augsburg

    D. Craß & J. Friedrich

  2. Klinik für Anästhesiologie und Operative Intensivmedizin, Klinikum Augsburg, 86156 , Augsburg

    D. Craß

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  1. D. Craß
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  2. J. Friedrich
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Correspondence to D. Craß.

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Craß, D., Friedrich, J. Die Epiduralanalgesie zur Geburtshilfe. Anaesthesist 52, 727–746 (2003). https://doi.org/10.1007/s00101-003-0542-7

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  • DOI: https://doi.org/10.1007/s00101-003-0542-7

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