Epidural Anesthesia and Nursing

The puncture position is the same as that of spinal anesthesia. Therefore, the nurse also has to assist in setting up a similar position. The puncture site is determined by the anesthesia segment. The puncture needle is different from the spinal anesthesia needle. The needle is thick and the front end is spoon-shaped, which is due to the need for puncture and tube delivery. Routine disinfection, drape, puncture through the skin, subcutaneous, supraspinous ligament, interspinous ligament and ligamentum flavum, when the ligamentum flavum is pierced, there is a sense of breakthrough, the resistance disappears, no cerebrospinal fluid is sucked back, the negative pressure is tested, and the catheter is sent to the catheter , After being fixed, put the surgical position, first give the test amount, observe for 5 to 10 minutes, no spinal anesthesia, and then start the formal administration. Nurses should cooperate during anesthesia, prepare anesthesia bags, position the patient, observe the patient after injecting anesthesia, and be especially alert to the occurrence of a serious complication of total spinal anesthesia. Anesthesia can also cause nerve damage, mostly by puncture. In addition, cervical and thoracic anesthesia may cause complications such as respiratory depression and blood pressure drop.

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