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

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dc.contributor.advisor Warmann, S.W. (Prof. Dr.)
dc.contributor.author Lang, Stefanie
dc.date.accessioned 2014-06-17T08:39:07Z
dc.date.available 2014-06-17T08:39:07Z
dc.date.issued 2014-06
dc.identifier.other 407994580 de_DE
dc.identifier.uri http://hdl.handle.net/10900/53695
dc.identifier.uri http://nbn-resolving.de/urn:nbn:de:bsz:21-dspace-536953 de_DE
dc.description.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. en
dc.description.abstract Vergleichende Analyse zum Schmerzmanagement mittels Periduralkatheter in der onkologischen Pädiatrie nach chirurgischen Interventionen bei Kindern mit abdominalen Tumoren. de_DE
dc.language.iso de de_DE
dc.language.iso en de_DE
dc.publisher Universität Tübingen de_DE
dc.rights ubt-podok de_DE
dc.rights.uri http://tobias-lib.uni-tuebingen.de/doku/lic_mit_pod.php?la=de de_DE
dc.rights.uri http://tobias-lib.uni-tuebingen.de/doku/lic_mit_pod.php?la=en en
dc.subject.classification Anästhesie de_DE
dc.subject.ddc 610 de_DE
dc.subject.other Periduralanästhesie de_DE
dc.subject.other Kinder de_DE
dc.subject.other abdominaler Tumor de_DE
dc.subject.other Schmerzmanagement de_DE
dc.title Vergleichende Analyse des peri- und postoperativen Verlaufs bei Kindern mit abdominalen Tumoren mit und ohne Periduralkatheter de_DE
dc.type Dissertation de_DE
dcterms.dateAccepted 2014-05-08
utue.publikation.fachbereich Medizinische Fakultät de_DE
utue.publikation.fakultaet 4 Medizinische Fakultät de_DE

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