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Anasthesiol Intensivmed Notfallmed Schmerzther. 2019 Apr;54(4):268-281. doi: 10.1055/a-0636-2759. Epub 2019 Apr 12.

[Ultrasound-Guided Regional Anaesthesia in Obesity].

[Article in German; Abstract available in German from the publisher]

Abstract

in English, German

Obesity is associated with a number of anaesthesia-relevant risks. Regional anaesthesia procedures offer a number of advantages, but they also pose an anaesthetic challenge. For example, the identification of superficial landmarks according to the degree of obesity is difficult to impossible, which reduces the success rate compared to normal weight patients. The use of ultrasound (US) technology with the ability to visualize the target structures may be helpful in performing neuraxial and peripheral blockades. However, a lot of experience and training is required because the ultrasound imaging of very low-lying nerves in obese patients is limited due to the physical limitations of US technology.

PMID:
30978750
DOI:
10.1055/a-0636-2759

Conflict of interest statement

Der Autor hat für wissenschaftliche Vorträge Honorarzahlungen von den Firmen B.Braun (Melsungen), Bayer (Leverkusen) und CSL Behring (Marburg) erhalten. Es wird versichert, dass keine weiteren Verbindungen mit einer Firma, deren Produkt in dem Artikel genannt ist, oder einer Firma, die ein Konkurrenzprodukt vertreibt, bestehen. Die Präsentation des Themas ist unabhängig und die Darstellung der Inhalte produktneutral.

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