Why do the epidural needles have to lie flat for six hours, or will my back hurt, and if it hurts, will it be okay?

First of all, I will explain my personal point of view: epidural anesthesia, if the patient is awake and can keep breathing smoothly, he can use a thin pillow after surgery. The reasons are as follows:

First of all, epidural anesthesia does not break the dura mater (when there is a break, it is called an accident, and it is broken), so unlike spinal anesthesia, there is a problem of cerebrospinal fluid leakage, and there is no low intracranial pressure. Headache problem.

Secondly, as far as the medical routine system I have come into contact with, it has been confirmed that "recumbent lying for 6 hours after surgery" is mainly used as postoperative nursing routine, and there is no distinction between "epidural" and "spinal anesthesia" in the nursing routine. Treated equally as "spinal anesthesia". This has to do with the historical reasons for the disconnect between nursing theory and medical theory. In nursing work, epidural anesthesia and spinal anesthesia have been used as the same type of anesthesia for postoperative nursing work for a long time. There are factors to prevent hypotension headache, but the more important emphasis is on intraoperative sedative and analgesic drugs. It is related to the management of the easily blocked airway of postoperative patients caused by the use of it. It is not scientific that the nurses in the hospital require the patient to "lie down on the pillow and fast for 6 hours" even after the patient is under general anesthesia. General anesthesia and neuraxial anesthesia are completely different in postoperative management even in terms of nursing routines, which is another issue that will not be discussed here.

Finally, as far as I currently have the information, it is also epidural anesthesia. Patients with thin pillows after surgery and patients who lie on their backs without pillows basically have no headaches after surgery. However, there are significant differences in patient comfort.

Of course, doctors should always insist on specific analysis of specific problems. There is no patient who is exactly the same, and they need to be specific. If it is a deeply sedated patient who has undergone epidural surgery and is pushed back to the ward, of course, he should go to lie down on the pillow.

As for why the back hurts? During epidural anesthesia, it will inevitably penetrate the skin, subcutaneous, supraspinous interspinous and ligamentum flavum, causing certain damage. As for when to heal? Because the repair of the ligament cannot be exactly the same as the original, just like a severe ligament strain, there may indeed be pain left, but it is generally not severe

This kind of back pain can be avoided at present, but it is more troublesome, so related measures are rarely used. Mainly because this kind of back pain is not 100% guaranteed to happen.

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