Why does epidural anesthesia have to lie down for six hours, or if the back hurts, will it be fine if it hurts?

First, I will explain my personal point of view: if the patient is conscious and able to maintain unobstructed breathing after epidural anesthesia, the pillow can be thinned after the operation. The reasons are as follows:

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

Secondly, according to the medical routine system I have come into contact with, it is confirmed that "sit back for 6 hours after operation" is mainly used as a routine postoperative care, and there is no distinction between "epidural" and "spinal anesthesia" in the nursing routine. Treated as "intraspinal anesthesia" without discrimination. This is related to the historical reasons for the disconnection between nursing theory and medical theory. In nursing work, epidural anesthesia and spinal anesthesia have been used as the same anesthesia for postoperative care for a long time. There are factors to prevent low intracranial pressure headaches, but more importantly, it focuses on intraoperative sedative and analgesic drugs. It is related to the management of postoperative respiratory tract that patients are prone to blockage caused by the use of. The nurse in the hospital asked the patient to "go to the pillow and lie supine and fast for 6 hours" even after the patient is under general anesthesia. This is not scientific. General anesthesia and intraspinal anesthesia are completely different even in the nursing routine after surgery. This is another problem not to be long-winded here.

Finally, as far as the information I have at present, it is also epidural anesthesia. After the operation, patients with thin pillows and patients who are lying on the pillow have basically no headaches after the operation. However, there are significant differences in patient comfort.

Of course, doctors should always insist on specific analysis of specific issues. There are no patients who are exactly the same, and they need to be specific. If it is a deeply sedated patient who is pushed back to the ward after subdural surgery, of course, he should lie supine 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. If the puncture is not smooth and repeated puncture, the damage will be greater, so it will cause back pain. As for when will he recover? Since the repair of the ligament cannot be exactly the same as the original, it is like a serious ligament strain, which may indeed leave pain, but it is generally not very 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 does not happen 100%.

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