Schmerztherapie in der Notaufnahme – Beispiel: akute Bauchschmerzen

Claudius Falch; Benedikt Brantner; Helene Häberle; Andreas Kirschniak; Sven Müller; Björn Brücher; Alfred Königsrainer

doi:10.1055/s-0032-1325311

Lege artis - Das Magazin zur ärztlichen Weiterbildung, Table of Contents

Lege artis - Das Magazin zur ärztlichen Weiterbildung 2012; 2(4): 250-257
DOI: 10.1055/s-0032-1325311

Fachwissen

Übersicht

Schmerztherapie in der Notaufnahme – Beispiel: akute Bauchschmerzen

Claudius Falch

,

Benedikt Brantner

,

Helene Häberle

,

Andreas Kirschniak

,

Sven Müller

,

Björn Brücher

,

Alfred Königsrainer

Abstract

Zusammenfassung

Die präoperative Schmerztherapie bei akuten Bauchschmerzen vor erfolgter Diagnostik ist ein häufiger Diskussionspunkt. Inzwischen konnte nachgewiesen werden, dass sie weder die Diagnosestellung noch die resultierende Therapie negativ beeinflusst. Unter Berücksichtigung der jeweiligen Kontraindikationen sind aktuell Paracetamol, Metamizol und Piritramid – jeweils intravenös verabreicht – die Analgetika der Wahl. Bei mittelstarken und starken Schmerzen sollen Nichtopioide und Opioide kombiniert angewendet werden. Therapieanpassungen aufgrund repetitiver Schmerzmessungen verbessern die Analgesie.

Schlüsselwörter

Schmerztherapie - Opioid-Analgetika - Nichtopioid-Analgetika - Bereitschaftsdienst - akutes Abdomen

Full Text

References

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