{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T07:57:22Z","timestamp":1761897442433,"version":"3.37.3"},"reference-count":33,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2020,12,29]],"date-time":"2020-12-29T00:00:00Z","timestamp":1609200000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,12,29]],"date-time":"2020-12-29T00:00:00Z","timestamp":1609200000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100003385","name":"Georg-August-Universit\u00e4t G\u00f6ttingen","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100003385","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Anaesthesist"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Hintergrund<\/jats:title>\n                <jats:p>Die patientenkontrollierte intraven\u00f6se Analgesie (\u201epatient controlled intravenous analgesia\u201c, PCIA) ist als Verfahren in der Akutschmerztherapie etabliert. Ziel dieser Untersuchung war es, Anwendungspraxis, \u00dcberwachung, unerw\u00fcnschte Vorkommnisse und Komplikationen unter einer PCIA-Therapie an deutschen Krankenh\u00e4usern zu erfassen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methoden<\/jats:title>\n                <jats:p>Alle 995 bei der Deutschen Gesellschaft f\u00fcr An\u00e4sthesie und Intensivmedizin e. V. registrierten Chef\u00e4rzte wurden zur Teilnahme an der elektronischen Umfrage eingeladen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergenisse<\/jats:title>\n                <jats:p>Aus 244 Kliniken wurden Antworten zur\u00fcckgesandt. In 193 (79\u202f%) dieser Kliniken kam die PCIA zum Einsatz. Alle folgenden Angaben beziehen sich auf diese Krankenh\u00e4user. Das am h\u00e4ufigsten genutzte Opioid war Piritramid. Bei Patienten mit PCIA setzten 94\u202f% der Kliniken zus\u00e4tzlich Nichtopioidanalgetika ein, 38\u202f% retardierte orale Opioide sowie 4\u202f% parenterale Opioide. Bei Anwendung der PCIA auf Normalstation lag lediglich in 31\u202f% der Kliniken ein standardisiertes \u00dcberwachungskonzept vor, das \u00fcber die Routineversorgung der Stationen hinausging.\nInsgesamt 82\u202f% der befragten Kliniken berichteten von unerw\u00fcnschten Vorkommnissen im Zusammenhang mit der PCIA. In 39\u202f% der Kliniken war in den vorangegangenen 6 Monaten mindestens eine potenziell vital bedrohliche Komplikation aufgetreten, insgesamt wurden 335 Einzelf\u00e4lle berichtet (bei ca. 50.000 durchgef\u00fchrten PCIAs). Kliniken, die \u00fcber Komplikationen berichteten, hatten einen h\u00f6heren \u00dcberwachungsstandard als Kliniken, die \u00fcber keine Komplikationen berichteten.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Schlussfolgerungen<\/jats:title>\n                <jats:p>Die PCIA ist ein verbreitetes, aber durchaus mit Risiken verbundenes Analgesieverfahren. Anwendungs- und \u00dcberwachungspraxis sind heterogen. Konsentierte, aktuelle Empfehlungen hinsichtlich Behandlungs- und \u00dcberwachungsstandards sowie der systematischen Erfassung von Komplikationen bei Anwendung der PCIA stehen aus.\n<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00101-020-00907-2","type":"journal-article","created":{"date-parts":[[2020,12,29]],"date-time":"2020-12-29T14:02:36Z","timestamp":1609250556000},"page":"476-485","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Sicherheit und Monitoring der patientenkontrollierten intraven\u00f6sen Analgesie","Safety and monitoring of patient-controlled intravenous analgesia"],"prefix":"10.1007","volume":"70","author":[{"given":"M. I.","family":"Emons","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Maring","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"U. M.","family":"Stamer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"Pogatzki-Zahn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F.","family":"Petzke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Erlenwein","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,12,29]]},"reference":[{"key":"907_CR1","unstructured":"Abbiehl C, Abbiehl B (2020) Promise to Amanda. www.promisetoamanda.org. 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Die Finanzierung dieser Studie erfolgte durch Eigenmittel der beteiligten Arbeitskreise (Software, Verlosungspreis bei R\u00fccksendung [zwei Teilnahmepl\u00e4tzen am Akutschmerzkurs der Deutschen Schmerzgesellschaft in G\u00f6ttingen]) und durch Personal- und Sachmittel der Klinik f\u00fcr An\u00e4sthesiologie der Universit\u00e4tsmedizin G\u00f6ttingen zur Umsetzung der Studie.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}},{"value":"Alle beschriebenen Untersuchungen am Menschen oder an menschlichem Gewebe wurden mit Zustimmung der zust\u00e4ndigen Ethikkommission, im Einklang mit nationalem Recht sowie gem\u00e4\u00df der Deklaration von Helsinki von 1975 (in der aktuellen, \u00fcberarbeiteten Fassung) durchgef\u00fchrt. Von allen Beteiligten liegt eine Einverst\u00e4ndniserkl\u00e4rung vor.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}