Anästhesiologische Akutschmerztherapie in Deutschland

Lassen, C.L.; Link, Fabian; Lindenberg, Nicole; Klier, Tobias; Graf, Bernhard M.; Maier, Christoph; Wiese, C.H.R.

doi:10.1007/s00101-013-2169-7

Cited by 14 publications

(9 citation statements)

References 25 publications

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“…Interessanterweise hat das Medikament aber lediglich in Deutschland, den Niederlanden, Belgien und Österreich eine weite Verbreitung gefunden. Eine telefonbasierte Umfrage von Lassen et al [35] zeigte 2013, dass Piritramid in 92,2 % der befragten deutschen Kliniken als Analgetikum der Wahl zur patientenkontrollierten Analgesie (PCA) verwendet wird. Seltener kommen Morphin (9,4 %), Oxycodon (9,4 %) oder Hydromorphon (2,0 %) zum Einsatz.…”

Section: Ländern Eine Weite Verbreitung Gefundenunclassified

“…Piritramid ist ein 1960 von Janssen Pharmaceutica in Belgien synthetisch hergestelltes Opioid, das insbesondere in Deutschland und anderen zentraleuropäischen Ländern als Analgetikum der Wahl in der postoperativen und posttraumatischen Schmerztherapie Anwendung findet [35,52]. Der vorliegende Übersichtsbeitrag soll die Evidenz der Piritramidanwendung mit ihren pharmakodynamischen und -kinetischen Vor-und Nachteilengegenüberandereningleicher Indikation eingesetzten Opioiden aufzeigen.…”

Section: Diskussionunclassified

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Piritramid

Hinrichs

Weyland

Bantel

2017

Schmerz

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Section: Ländern Eine Weite Verbreitung Gefundenunclassified

Section: Diskussionunclassified

Piritramid

Hinrichs

Weyland

Bantel

2017

Schmerz

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“…Die Anzahl der Akutschmerzdienste in den deutschen Krankenhäusern ist im letzten Jahrzehnt gestiegen. Bei einer telefonischen Befragung im Jahr 2012 gaben 65 % der befragten anästhesiologischen Kliniken an, einen Akutschmerzdienst vorzuhalten [32]. Die Finanzierung jeder Form von postoperativer Schmerztherapie, die über den Aufwachraum hinausgeht, ist im derzeitigen deutschen Fallpauschalensystem nicht vorhanden.…”

Section: Therapieunclassified

Viszeraler Schmerz

Elsenbruch

Haüser

Jänig

2015

Schmerz

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Chronic visceral pain is an unresolved neurobiological, medical and socioeconomic challenge. Up to 20% of the adult population suffer from chronic visceral pain and abdominal complaints constitute a prevalent symptom also in children and adolescents. Existing treatment approaches are often unsuccessful and patients typically suffer from multiple somatic and psychological symptoms. This complex situation requires integrative treatment approaches. This review summarizes current basic and clinical research on acute and chronic visceral pain with a focus on research groups in Germany. Despite significant clinical and scientific advances, a number of questions remain open calling for more funding to support research to elucidate the complex pathophysiology of chronic visceral pain and to develop and test new treatment approaches. Research support should focus on interdisciplinary concepts and methodology using expertise from multiple disciplines. The field would also benefit from a broader integration of visceral pain into teaching curricula in medicine and psychology and should aim to motivate young clinicians and scientists to strive for a career within this important and highly fascinating area.

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“…In the mid-1960s, Philip Sechzer, an American anaesthesiologist, developed the concept whereby the patient initiates the administration of pain medication on demand depending on the perceived level of pain [1]. Over the years, PCA has been well-established as a routinely used therapy option in hospitals with different routes of administration [2,3]. Compared to nonpatient-controlled analgesia modalities, patients report a higher satisfaction and better pain control [4].…”

Section: Introductionmentioning

confidence: 99%

Quo Vadis PCA? A Review on Current Concepts, Economic Considerations, Patient-Related Aspects, and Future Development with respect to Patient-Controlled Analgesia

Nardi-Hiebl

Eberhart

Gehling

et al. 2020

Anesthesiology Research and Practice

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This review assesses four interrelating aspects of patient-controlled analgesia (PCA), a long-standing and still widely used concept for postoperative pain management. Over the years, anaesthesiologists and patients have appreciated the benefits of PCA alike. The market has seen new technologies leveraging noninvasive routes of administration and, thus, further increasing patient and staff satisfaction as well as promoting safety aspects. Pharmaceutical research focuses on the reduction or avoidance of opioids, side effects, and adverse events although influence of these aspects appears to be minor. The importance of education is still eminent, and new educational formats are tested to train healthcare professionals and patients likewise. New PCA technology can support the implementation of efficient processes to reduce workload and human errors; however, these new products come with a cost, which is not necessarily reflected through beneficial budget impact or significant improvements in patient outcome. Although first steps have been taken to better recognize the importance of postoperative pain management through the introduction of value-based reimbursement, in most western countries, PCA is not specifically compensated. PCA is still an effective and valued technique for postoperative pain management. Although there is identifiable potential for future developments in various aspects, this potential has not materialized in new products.

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Anästhesiologische Akutschmerztherapie in Deutschland

Cited by 14 publications

References 25 publications

Piritramid

Piritramid

Viszeraler Schmerz

Quo Vadis PCA? A Review on Current Concepts, Economic Considerations, Patient-Related Aspects, and Future Development with respect to Patient-Controlled Analgesia

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