What Is a Walking Epidural?

Analgesic pump is a liquid infusion device that maintains a stable concentration of the drug in the blood and can help achieve better analgesic treatment with fewer drugs.

Analgesic pump

Analgesic pump is a liquid infusion device that maintains a stable concentration of the drug in the blood and can help achieve better analgesic treatment with fewer drugs.
Patients are usually allowed to press on their own to increase an additional infusion dose based on the continuous infusion volume, so the treatment is more individualized, consistent with the characteristics of individualized differences in pain perception. Can be used for postoperative analgesia, cancer pain, childbirth analgesia, etc.
Chinese name
Analgesic pump
Field of use
Department of Anesthesiology
Function
Postoperative analgesia
Material
Local anesthetics,
For a long time, people think that postoperative pain is a natural phenomenon and it is inevitable. The pain of the opponent's postoperative pain is only silently endured. In fact, pain can be controlled, and can be reduced or painless with drugs or tools. The bad stimulus of pain can cause a series of pathophysiological changes in the body, such as the effect on the body's autonomic nervous system: speed up the heart rate, shortness of breath, and increase in blood pressure; mental changes cause irritability, depression, and subsequently affect the digestive system Function, physical recovery; endocrine and hormone effects directly and indirectly change various body functions. People who believe that they are nurses in the ward often witness the pain of patients suffering from pain. Analgesic pumps are a tool for controlling pain.
1. Reducing patient suffering is the main purpose. As the fifth vital sign, pain has been understood by more and more people, and it is the basic right of patients to ask for no pain.
2. Walkable epidural analgesia does not affect the patient's freedom of movement, increases patient comfort, and improves hospital service levels.
3. Perfect postoperative analgesia can enable patients to move early, reduce lower extremity thrombosis and
1. Patients with a wide range of operations and long time, such as cancer in various departments
The main analgesics used are:
1. Low-concentration local anesthetics: input through an epidural catheter
Analgesic pumps are divided into epidural pumps and intravenous pumps because of the different drugs in them. Epidural pumps often use local anesthetics,
The complications of postoperative analgesia vary depending on the medications used, mainly as follows:

Analgesic pump analgesia

First check whether the analgesic pump is connected correctly, whether the epidural pump is not receiving medicine, and whether the path of the intravenous pump is blocked; then ask the patient if they have pressed the dispenser, and the pressure is not enough; Medicine situation. If the analgesic drug has been used up (the transparent expansion capsule of the analgesic pump has been completely framed, close to the plastic cylinder), and the patient still has analgesic requirements, he can add the drug to the analgesic pump again.

Nausea and vomiting

Postoperative nausea and vomiting are caused by many factors, which can occur due to the effects of anesthesia itself, surgery, postoperative medication, analgesics, patient's constitution, and patient's influence. If opioids are selected as analgesics, the incidence of nausea and vomiting is higher than if they were not used. Distinguish the cause of nausea and vomiting, and treat the cause and symptom. Psychologically comfort and encourage patients while applying antiemetic drugs. Azazatron has a strong prevention and treatment of nausea and vomiting, so it can be used. The analgesia pump should not be blindly clamped, and the patient has the right to demand no pain.

Analgesia pump drowsiness

Analgesic pump (2 photos)
If narcotic analgesic and sedative drugs are used for postoperative analgesia, the patient will have mild drowsiness, and the elderly and frail patients may have a greater degree of drowsiness. As long as it does not affect your mind and breathing, you don't need to deal with it, but you should observe more.

Analgesia pump urinary retention

Local anesthesia and opioids may cause urinary retention. Once it occurs, patients are encouraged to try to urinate according to their usual habits. If the pain is unsuccessful, consider analgesia pump or urinary catheter.

Analgesic pump for itchy skin

For side effects of opioids. Those who are mild may not be treated, and those who are severe may try anti-allergic drugs. The only effect that is not good is the clipped analgesia pump.

Analgesia pump lower limb numbness

Occasionally seen in patients with epidural analgesia without limb weakness. After the residual effect of intraoperative local anesthetic or the possibility of nerve damage is ruled out, it can be left untreated. When the analgesics are used up, the symptoms disappear on their own.

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