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Klinisch-pharmakologische Grundlagen der Schmerztherapie

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Schmerztherapie bei Kindern, Jugendlichen und jungen Erwachsenen

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Nozizeption ist bereits ab der 20.–22. Schwangerschaftswoche (SSW) möglich. Kortikale Schmerzverarbeitung geschieht ab der 24. Schwangerschaftswoche (Wolf 1999; ▸ Kap. 1 u. 2) Dabei ist bei Früh- und Neugeborenen das zentrale Schmerzhemmungssystem deutlich schlechter ausgebildet als das nozizeptive System, sodass beim Früh- und Neugeborenen generell vom Überwiegen nozizeptiven Stresses auszugehen ist (▸ Kap. 2).

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Authors and Affiliations

  1. Universitäts-Kinderklinik, Joseph-Stelzmann-Str. 9, 50924, Köln

    C. Hünseler Dr. med.

  2. Klinik und Poliklinik für allgemeine Kinderheilkunde, Universität zu Köln, Joseph-Stelzmann-Str. 9, 50924, Kö ln

    B. Roth Dr. med. (Prof.)

  3. Klinik für Kinder und Jugendliche, Ortenau-Klinikum Offenburg-Gengenbach, Ebertplatz 12, 77654, Offenburg

    E. Michel PD Dr. med.

  4. Vodafone Stiftungsinstitut für Kinderschmerztherapie und Pädiatrische Palliativmedizin, Vestische Kinder- und Jugendklinik, Lehrstuhl für Kinderschmerztherapie und Pädiatrische Palliativmedizin, Universität Witten/Herdecke, Dr. Friedrich-Steiner-Str. 5, 45711, Datteln

    G. Dubbel & B. Zernikow PD Dr. med.

Authors
  1. C. Hünseler Dr. med.
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  2. B. Roth Dr. med.
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  3. E. Michel PD Dr. med.
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  4. G. Dubbel
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  5. B. Zernikow PD Dr. med.
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Editor information

Editors and Affiliations

  1. Vodafone Stiftungsinstitut und Lehrstuhl für Kinderschmerztherapie und Pädiatrische Palliativmedizin Vestische Kinder- und Jugendklinik Datteln, Universität Witten/Herdecke, Dr.-Friedrich-Steiner-Straße 5, 45711, Datteln

    Boris Zernikow

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© 2009 Springer Medizin Verlag Heidelberg

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Hünseler, C., Roth, B., Michel, E., Dubbel, G., Zernikow, B. (2009). Klinisch-pharmakologische Grundlagen der Schmerztherapie. In: Zernikow, B. (eds) Schmerztherapie bei Kindern, Jugendlichen und jungen Erwachsenen. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-74065-0_6

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  • DOI: https://doi.org/10.1007/978-3-540-74065-0_6

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-74064-3

  • Online ISBN: 978-3-540-74065-0

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