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This article was chosen because it covers many aspects of the subject , it describes the process in its postoperative hospital setting; the perspective - how the concern is for patient satisfaction while keeping them safe; what happens as a result of this intervention; it compares the method with other forms of pain relief and evaluates the method , including both positive and negative aspects.
Epidural analgesia is now a commonly used technique used to manage the acute pain which comes after surgery, usually being a planned procedure, the best time to consider postoperative pain relief actually being before surgery begins. The method first became available in the 1960s ( Klein, 2011) and has increased in use especially since the1980s (Wheatley et al, 2001). Usually it is given for from 2 to 5 days postoperatively , this depending upon the surgery type undergone. After this period the patient should have recovered enough to cope with oral medication for their pain relief. ( Chumbley and Thomas, 2010, page 40). The method is especially used after any major surgery which involves the thorax or abdomen, as well as that involving the lower limbs ( Chumbley and Thomas , 2010, page 36). I t is a useful method after vascular surgery of any kind, as the medications used result in widening of the arteries which helps to maintain arterial grafts. It can quickly produce complete or almost complete, freedom from pain. If managed effectively, according to evidence based practice, this method reduces any risk of major adverse outcomes according to Chumbley and Thomas ( 2010, page 35). Both opioids and local anaesthetics can be used . These medications can however themselves produce serious, possibly fatal, side effects. Usually the epidural cannula will be put in place while the patient is still in the operating theatre. The role of the attending nurse is to monitor and assess patients receiving epidural anaesthetics, and to work with the evidence obtained , ...
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This essay will consider in detail an article by Chumbley and Thomas ( 2010) and consider how it supports evidence based nursing when epidural analgesia is chosen postoperatively. This article was chosen because it covers many aspects of the subject , it describes the process in its postoperative hospital setting; the perspective - how the concern is for patient satisfaction while keeping them safe; what happens as a result of this intervention; it compares the method with other forms of pain relief and evaluates the method , including both positive and negative aspects.
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