Epidural Management of Pain Essay Example
3Epidural Management of Pain
Epidural pain management is used in the treatment of patients who have chronic pains, those patients who are coming from surgery or even patients who are having other medical conditions that cause immense pain. Epidural management will involve continuous infusion of medication through the epidural space within the spinal cord (Greenwich Hospital, 2011).
The procedure of Epidural management of pain is conducted by a well trained anesthesiologist. This procedure is done under a sterile environment. The procedure will be performed in the theater and it will begin with the administration of local anesthesia in order to prevent discomfort for the patient. This will be followed by a catheter into the epidural space (Greenwich Hospital, 2011).
Epidural pain management is achieved by infusing medication into the cerebrospinal fluid which is contained in the epidural space. The medication causes the pain sensations to be blocked and thereby preventing the pain sensations from reaching the brain and this will result in the relieving of the patient from pain (Greenwich Hospital, 2011).
The epidural pain management is advantageous because it is one of the options of pain management that will require less medication to be used or administered with the desire to relieve pain adequately. The patients who undergo this procedure will also end up with fewer side effects compared to other medications of pain management which are administered orally, intravenously or through injections. The recovery period of the patients who have undergone epidural pain management will be shorter when compared to the other methods of pain management. This patient will also be able to participate in various activities that enhance recovery, cough, and take deep breaths and being able to move from one place to another with ease (Greenwich Hospital, 2011).
The assessment of the patients who have undergone epidural management of pain will involve the regular taking of the vital signs which will include the temperature, blood pressure, respiratory rate and pulse rate readings. Other assessments to be conducted will include the scoring of pain, vomiting and sedation. The assessment will also include the examination of the sensory (dermatones) or motor block. The catheter will also be examined for its position and the site of insertion will also be examined by the nurse. The patient will then be assessed for the presence of nerve compression and also the development of decubitus ulcerations or pressure sores. The patient will also be fixed with an intravenous line since all patients who have undergone epidural infusion must have an intravenous access with a minimum infusion rate being 5ml/hr (Royal Children’s Hospital, 2009).
The side effects of epidural management of pain are minor and will include nausea, headaches, itching and urinary retention. These side effects will normally present within the first 24hours after the epidural management of pain procedure has been done (Greenwich Hospital, 2011).
Various complications could result from epidural management of pain procedure and this will be associated or liked to the epidural infusion. The complications will include hypotension, respiratory distress,sedation,weakness on the limbs, or the patients will end up developing of epidural hematoma. Regular monitoring is therefore required for this patients to be able to identify complications on time for management (Royal Children’s Hospital, 2009).
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