Die Ultraschalltechnik hat in den vergangenen Jahren das Spektrum regionalanästhesiologischer Verfahren deutlich erweitert. So sind Bauchwandblockaden und selektive periphere Blockaden der unteren Extremität zunehmend fester Bestandteil multimodaler postoperativer Schmerzkonzepte. Der Beitrag zeigt anhand ausgewählter Blockaden den Wandel im Einsatz regionalanästhesiologischer Verfahren bei Bauchwand- und Blockaden der unteren Extremität auf.
Abstract
Ultrasound (US) technology has significantly expanded the spectrum of regional anesthesiological procedures in recent years. Abdominal wall blocks are becoming an increasingly integral part of a multimodal postoperative pain concept after abdominal surgery, gynecological or urological interventions. Thoracic epidural analgesia remains the gold standard for extensive surgery. The requirement for rapid postoperative mobilization and discharge after lower extremity surgery has led to the abandonment of neuroaxial or plexus blocks in favor of selective, peripheral blocks such as the PENG block or adductor canal block. The following article is intended to show the reader the change in the use of regional anesthesiological procedures for abdominal wall and lower extremity blocks using selected blockages.
Schlüsselwörter
Tranversus-abdominis-Plane-Block - TAP - Quadratus-lumborum-Block - QLB - Adduktor-Kanal-Block - AKB - Trigonum-femorale-Block - TFB - PENG-Block - iPACK-Block
Keywords
tranversus abdominis plane block - quadratus lumborum block - adductor canal block - femoral triangle block - PENG block - iPACK block
