What is the post-epidural care procedure?

What is the post-epidural care procedure?

You may have some understanding of how epidural anesthesia works. In fact, it means numbing the lower half of the human body, including the uterus. After anesthesia, patients will not feel uterine contractions, so it is used in the delivery process to help mothers reduce or eliminate pain. So, what should be done for post-epidural anesthesia care? Let’s take a brief look at it!

Epidurals are used during the first stage of labour – when the cervix is ​​dilating. Sometimes (not always) this will fail during labor, as labor is more difficult if you are fully anesthetized. The epidural procedure is fairly simple: A needle is inserted into your back, into the membranes that surround your spine, and then a catheter is threaded in. The anesthetic medicine is given into your body through this catheter. This anesthesia numbs your lower body, either partially or completely, depending on the dosage. The anesthesia process itself may be somewhat painful (or just scary), but your doctor will usually give you a local anesthetic before the epidural, so most women don't feel any pain afterwards.

Epidural block anesthesia is the process of injecting local anesthetics into the epidural space to block the spinal nerve roots and temporarily paralyze the area they control. This is called epidural block anesthesia, or epidural block for short.

Treatment:1. Lie flat without a pillow, with the head down and feet up: the foot of the bed is raised 30 degrees to improve the circulation of cerebrospinal fluid and help increase the pressure of cerebrospinal fluid.

2. Drink plenty of water, preferably normal saline, 3000 ml to 4000 ml per day. Large doses of normal saline, more than 2000 ml per day, can reflexively increase cerebrospinal fluid secretion and restore intracranial pressure to normal.

3. In severe cases, saline or air is injected intrathecally or intraventricularly, 20 ml to 30 ml each time. It can stimulate cerebrospinal fluid secretion, increase and maintain cerebrospinal fluid pressure.

4. Clinical symptoms are mainly treated according to the cause. You can take some ibuprofen for headaches and drink more coffee to help prevent headaches. The effect of Zhennaoning Capsules is limited.

Indications: In theory, epidural block can be used for any surgery except the head. However, from a safety perspective, epidural block is mainly used for surgeries in the abdomen and below, including urology, obstetrics and gynecology, and lower limb surgery. Although it can be applied to the neck, upper limbs and chest, the management is complicated. High epidural is mainly used for postoperative analgesia or general anesthesia combined with epidural anesthesia to reduce the amount of general anesthetics used. In addition, any surgery that is suitable for subarachnoid block can also use epidural block anesthesia. It is also used for postoperative analgesia.

Epidural anesthesia is not suitable for everyone. It is not suitable for patients with hypovolemia and shock, and it is not suitable for patients with infection at the puncture site or bacteremia. If the patient's friends and parents have concerns about the operation, don't do it. Anesthesia after the puncture operation may worsen the condition, so you need to pay attention to this.

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