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Management
By :
Tiara Eka Mayasari, S.Ked
Nuraidah, S.Ked
Nur Suci Trendi Asih, S.Ked
Advisor :
dr. H. Zulkifli, SpAn.KIC.M.Kes.MARS
L/O/G/O
What is pain?
Epidural Anesthesia
Epidural anesthesia in
labour
Conclusion
Background
Pain is one of the bad consequences after surgery can
be anticipated
Effective pain managementImprove the patients
comfort overcome the systemic effect
Widely used of epidural anesthesia for pain management
Intraoperative, postoperative, acute and chronic pain,
during labor
Popular, decrease mortality and morbidity due to pain
Pain
Pain is unpleasant sensory and emotional experience
associated with actual or potential tissue damage
Epidural Space:
Saccus duralis, spinal nerve roots ,
blood vessels, fat and lymphatic
tissue
Epidural Anasthesia
Patient position
Identification of epidural space
Level of blockade
Dose test
Identification of epidural space technique
Hand Position
Cont
Hanging drop technique
Once the interspinous ligament has been entered then
stylet has been removed, the hub of the needle be filled
with solution so that a drop hangs from its outside
opening. The needle is then slowly advanced deeper. As
long as the tip of the needle remains within the
ligamentous structures, the drop remains hanging.
Epidural Anesthesi drugs
Local
Opioid
Single Dose (mg) Onset analgesia (min) Effectivity (hour)
Epidural
Local anesthesi
Direct action to the spinal nerve rootblockade
Why is it important?
Stress response after surgery
Stress response after surgery pain morbidity such
as cardiovascular and respiratory complication especially
in elderly
Bad pain control after surgery
Morbidity
Cost
Take time for hospitalized
Conclusion