Pharmacologic Pain Management During Labor
Pharmacologic Pain Management During Labor ( 10 Questions)
A nurse is educating a client about the advantages of combined spinal-epidural (CSE) anesthesia over epidural or spinal anesthesia alone.
Which of the following statements by the client indicates understanding of the teaching?
CSE anesthesia will not make the client feel less numb in the legs. The spinal component of CSE anesthesia will produce a similar degree of sensory and motor blockade as spinal anesthesia alone. The epidural component may allow for lower doses of local anesthetics and opioids, which may reduce the risk of side effects such as pruritus, nausea, and urinary retention, but it will not affect the degree of numbness.
This statement indicates that the client understands the advantages of CSE anesthesia over epidural or spinal anesthesia alone. CSE anesthesia combines the rapid onset and reliable blockade of spinal anesthesia with the ability to extend and adjust the analgesia through epidural catheterization. This makes CSE anesthesia suitable for procedures that require timely, effective, and prolonged pain relief, such as labor and delivery, abdominal surgery, and lower extremity orthopedic surgery.
CSE anesthesia will not reduce the risk of bleeding or infection in the spine. The risks of bleeding and infection are similar for CSE, epidural, and spinal anesthesia, and depend on factors such as patient’s coagulation status, use of anticoagulants, presence of infection at the site of needle insertion, and adherence to aseptic technique. CSE anesthesia may have a slightly higher risk of post-dural puncture headache (PDPH) than epidural or spinal anesthesia alone, due to the use of two needles.
This statement indicates that the client understands the advantages of CSE anesthesia over epidural or spinal anesthesia alone. CSE anesthesia combines the rapid onset and reliable blockade of spinal anesthesia with the ability to extend and adjust the analgesia through epidural catheterization. This makes CSE anesthesia suitable for procedures that require timely, effective, and prolonged pain relief, such as labor and delivery, abdominal surgery, and lower extremity orthopedic surgery.