| dc.contributor.advisor | Bergmann, Ingo PD Dr. | |
| dc.contributor.author | Dracklé, Joschka | |
| dc.date.accessioned | 2019-10-25T09:45:15Z | |
| dc.date.available | 2019-10-25T09:45:15Z | |
| dc.date.issued | 2019-10-25 | |
| dc.identifier.uri | http://hdl.handle.net/21.11130/00-1735-0000-0005-1288-D | |
| dc.identifier.uri | http://dx.doi.org/10.53846/goediss-7644 | |
| dc.language.iso | deu | de |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | |
| dc.subject.ddc | 610 | de |
| dc.title | Vergleichende Studie zum Verlauf röntgendichter Nervus femoralis-Katheter, die mit der In-plane- und der Out-of-plane-Technik angelegt wurden | de |
| dc.type | doctoralThesis | de |
| dc.title.translated | Comparative study for ultrasound guided placement of femoral nerve katheters in out-of-plane versus in-plane technique, in patients with femoral neck frakture | de |
| dc.contributor.referee | Petzke, Frank Prof. Dr. | |
| dc.date.examination | 2019-08-15 | |
| dc.description.abstracteng | Comparative study for ultrasound guided placement of femoral nerve catheters in out-of-plane versus in-plane technique, in patients with femoral neck fracture. In this study we aimed to compare two techniques of ultrasound guided femoral nerve catheter placement in patients with proximal femoral fracture. The techniques differ in the positioning of the ultrasound- transducer in relation to the positioning of the needle (in- and out of plane). Both methods are well established in the clinical routine. After randomization, 34 patients received either an in-plane or an out-of-plane catheter before undergoing hip surgery. The positioning of the catheter was verified by using ultrasound both during the procedure and two days after surgery in the postoperative X-ray imaging of the hip. Using the visual data, we tried to correlate the effectiveness in pain management, in paraesthesia and in the postoperative process with the position of the catheter. The quality and the postoperative pain therapy have been evaluated on day one and day two after surgery. A target area was defined in order to describe the correlation of catheter and nerve, using five regions. The analysis of the data showed that 60% of the in- plane catheters were dislocated in the opposite direction as intended. Furthermore, the overall distance to the target area was longer in the in- plane group. Surprisingly, numbness, pain scores and strength did not differ between the two groups. The lack of correlation between patient comfort and visual data was explained by the location of the catheter within the fascia compartment of the iliacus muscle, as earlier findings have already suggested. | de |
| dc.contributor.coReferee | Meyer, Thomas Prof. Dr. | |
| dc.subject.ger | Nervus femoralis, Ultraschall, Katheter, In-plane, Out-of-plane | de |
| dc.subject.eng | Femoral nerve, ultrasound, Katheter, In-plane, Out-of-plane | de |
| dc.identifier.urn | urn:nbn:de:gbv:7-21.11130/00-1735-0000-0005-1288-D-5 | |
| dc.affiliation.institute | Medizinische Fakultät | de |
| dc.subject.gokfull | Anästhesiologie / Intensivmedizin / Notfallmedizin / Analgesie - Allgemein- und Gesamtdarstellungen (PPN619875917) | de |
| dc.identifier.ppn | 1680028251 | |