Epidural behushlikdan keyin yostiqda yotish kerakmi?

After the pregnant woman is returned to the ward with epidural anesthesia, doctors often ask her to lie down on the pillow for 6 hours. Is this necessary? In order to let everyone know about this, let's analyze it below. Postoperative headache is a common complication of spinal anesthesia Symptoms, and lying on the pillow for 6 hours after surgery, the purpose is to try to avoid possible headaches. Epidural anesthesia is a method of injecting drugs into the epidural space to produce an anesthetic effect. Because the dura mater reaches the foramen magnum, and the periosteal fusion at the foramen magnum, that is, the epidural space is closed at the foramen magnum, and is not directly connected to the skull. After our routine anesthetics are injected into the epidural space, it is impossible to directly enter the subarachnoid space without affecting the volume and pressure of cerebrospinal fluid. Anatomically and physiologically, there will be no complications such as headache and bloating after epidural anesthesia. But some people may worry that the blood pressure of patients after epidural anesthesia will decrease, and they are afraid that sleeping on a pillow will affect the blood pressure. In fact, the basis for this concern is insufficient. Epidural anesthesia, especially some high-level epidural anesthesia, can cause paralysis of splanchnic nerves, dilation of intra-abdominal blood vessels, blood stasis, and fluctuation of blood pressure. Such as hypovolemia, acid-base balance disorders or poor cardiac function, the cardiac output decreases, and blood pressure drops more significantly. And these changes basically return to normal when returning to the ward or are already in the compensatory stage. At this time, whether the pillow is removed or not will not affect the changes in blood pressure and pulse. However, hypotension caused by hypovolemia and other reasons can occur regardless of whether the pillow is removed or not. In fact, proper supine position after surgery is not only beneficial to treatment, but also relieves the symptoms of some patients. Sleeping on your back is the comfortable lying position most people are accustomed to. If there are no other special requirements, a pillow can be given after surgery. This can not only reduce the patient's fear of the disease, but also eliminate the anxiety of family members. There was no significant difference in the effects of post-epidural anesthesia on blood pressure, respiration, pulse, and postoperative headache and dizziness with or without pillow removal. In clinical practice, we may encounter some other situations: such as epidural anesthesia combined with intravenous sedation, analgesic enhancement, etc. At the end of this type of surgery, although the patient is conscious, he may be in a state of lethargy, indicating that there is still a certain amount of residual intravenous drug. At this time, we recommend lying down with the pillow removed to ensure good ventilation and oxygen inhalation if necessary; for example, due to intraoperative drug reasons or some special surgical treatment, surgical site and other reasons, the patient will have nausea and vomiting after returning to the ward . At this time, we also recommend that the patient lie down on the pillow, and try to position the head sideways when vomiting, which is conducive to the outflow of vomit and prevents aspiration. Finally, let's conclude that, as far as epidural anesthesia is concerned, if the patient returns to the ward in a stable condition after surgery, there is no need to lie down on the pillow. However, if the epidural anesthesia penetrates the dura mater, you must go to the pillow and lie down, and it is best to stick to it for 1-2 days, and try to make up for the fluid. You can consult an anesthesiologist for details. If the patient develops drowsiness, nausea and vomiting, it is recommended to lie down on the pillow.

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