Vergleichende Analyse des peri- und postoperativen Verlaufs bei Kindern mit abdominalen Tumoren mit und ohne Periduralkatheter

DSpace Repository


Dateien:

URI: http://hdl.handle.net/10900/53695
http://nbn-resolving.de/urn:nbn:de:bsz:21-dspace-536953
Dokumentart: PhDThesis
Date: 2014-06
Language: German
English
Faculty: 4 Medizinische Fakultät
Department: Medizinische Fakultät
Advisor: Warmann, S.W. (Prof. Dr.)
Day of Oral Examination: 2014-05-08
DDC Classifikation: 610 - Medicine and health
Keywords: Anästhesie
Other Keywords: Periduralanästhesie
Kinder
abdominaler Tumor
Schmerzmanagement
License: http://tobias-lib.uni-tuebingen.de/doku/lic_mit_pod.php?la=de http://tobias-lib.uni-tuebingen.de/doku/lic_mit_pod.php?la=en
Order a printed copy: Print-on-Demand
Show full item record

Inhaltszusammenfassung:

Vergleichende Analyse zum Schmerzmanagement mittels Periduralkatheter in der onkologischen Pädiatrie nach chirurgischen Interventionen bei Kindern mit abdominalen Tumoren.

Abstract:

Abstract PURPOSE: The purpose of this study was to assess the use of continuous epidural analgesia in pediatric patients undergoing major abdominal tumor surgery. METHODS: Children undergoing major abdominal tumor surgery at our institution between 2008 and 2012 (n=40) received continuous epidural analgesia via an epidural catheter. Surgical trauma scores, pain scores, and clinical data of the children were compared to a pair-matched historical control group operated on between 2002 and 2007 without epidural analgesia. RESULTS: Pain levels in the study group on day 1 and 3 after surgery were lower compared to the control group. The differences did, however, not reach statistical significance (p=0.15 and 0.09). Children in the study group received significantly fewer additional doses of piritramide or morphine (45% versus 82%, p<0.001). Despite significantly higher surgical trauma scores in the study group (p=0.018), there were no statistical differences regarding clinical parameters, such as mechanical ventilation time, time on intensive care unit, and total hospital stay. There were no catheter-related complications. CONCLUSIONS: Continuous epidural analgesia is beneficial for children undergoing complex abdominal tumor surgery with regard to pain levels, postoperative recovery, and general clinical course. Expertise of the managing team, a careful patient selection, and a continuous quality assessment are essential for success.

This item appears in the following Collection(s)