Prophylaxe von Phantomschmerzen: Sind regionale Analgesieverfahren unwirksam?

Abstract

Perioperative EDA has been shown to be an effective prophylaxis of phantom limb pain. The most important differences between studies were the definition of phantom limb pain by intensity ratings. Thus, perioperative EDA does not completely abolish phantom limb pain, but increases the number of patients with a mild form of phantom pain.

Postoperative pain—from mechanisms to treatment

“… 6 Data at lower levels of evidence support the use of spinal anesthesia over general anesthesia for Caesarean section 121 and hysterectomy, 17 as well as the use of epidural analgesia after major abdominal surgery 92 and for amputations with regard to the reduction of phantom limb pain. 54 Interesting specifically for phantom limb pain is the idea of decreasing the already existing preoperative pain to reduce phantom limb pain after surgery; here, both epidural analgesia and systemic opioids seem to be effective. 75 Other data support the use of perioperative local anesthetics for wound infiltration.…”