Epidural

1941 Rees and Abajian utilized the epidural space for thoracic anesthesia. The progression of epidural anesthesia finally peaked with continuous infusion of an anesthetic in thoracic surgeries in 1953 (Blas, 1996). Hemodynamic complications associated with epidural anesthesia include the possible development of severe bradycardia or asystole. According to Hines and Marschall, this is most likely to occur an hour after the epidural is used for injection (2012). Approximately half of the patients that develop a bradydysrhythmia experience shortness of breath, nausea and vomiting, restlessness, light-headedness, and a deterioration in mental status prior to the onset of a dysrhythmia. This side effect can even persist into the postoperative…

occiput posterior position, and the patient is not feeling the urge to bear down due to her working epidural anesthesia. The obstetrician caring for the patient asks you to start actively pushing with the patient, states that they will be back in an hour or so to check on the patient’s progress, and to call them if anything changes. The patient is helped into a lithotomy position and her legs are placed in stirrups. The patient is then instructed when the contraction starts and told to take a…

The patients were randomly assigned into 2 groups. Group I, called the steroid group, received 2 sets of epidural injections one week apart, each injection contained 40 mg methylprednisolone (Depomedrol) with 8 mL lidocaine 0.5% under c-arm at the site of stenosis. Group II, called the calcitonin group, received 2 sets of epidural injections one week apart composed of 40 mg methylprednisolone (Depomedrol) added to 8 mL of 0.5% lidocaine plus 50 international units (IU) of calcitonin. The patient…

out healthy, no matter what they consumed or did. Many were not able to live with their child and died, sometimes along with the baby. Some nurses and doctors would only help deliver the baby, weigh it, check to see if it was healthy, tell the mother and leave. This problem was fixed rapidly. Women are now presented with a selection of drugs to help bear the pain during labor and the amount is dependent on the type of drug. They are given daily check-ups with their doctor before and after…

I believe that the charge nurse exhibited her leadership role very well. Remaining calm and provide safe, effective care without frightening the mothers any further was caring behaviors observed during my preceptorship. I believe that showing caring behaviors is very important when dealing with theses mothers because some have participated in childbirth class, and therefore, were more prepared, however, for those who have spontaneous rupture of their membranes before the anticipated date were as…

Brief Description During my clinical at Magnolia Regional Health Center, I got the opportunity to observe a patient have a Caesarean section (C-section) which “is a surgical procedure used to deliver a baby through an incision in the mother 's abdomen and a second incision in the mother 's uterus” (Mayo Clinic, 2012). This surgical procedure is often done when a vaginal delivery would put health complications in the baby’s or mother’s life. In addition, a pregnant women can request to have this…

The article, The Score by Atul Gawande, illustrated the history of pregnancy deliveries with the article profiling Elizabeth Rourke and her journey of giving birth to her daughter. The Score is an article where I acquired knowledge from a topic that I knew very little about. For example, the process of how women are in labor and how long they must wait until they are “in labor.” In addition, how long they must wait until their contractions are in a certain pace, “the nurse asked if the…

also recommends that if an indwelling catheter is placed it should be removed as soon as possible to reduce the risk for infection. In the world of labor and delivery the usage of indwelling urinary catheterization is controversial. The Association of Women’s Health, Obstetric and Neonatal Nurse (AWHOON) has recommendations similar to that of the CDC. According to an article published in the Journal of Obstetric, Gynecologic & Neonatal Nursing (JOGNN) indwelling urinary catheters should not…

difficult. Due to the women not being able to communicate or push either a cesarean section or forceps were often crucial for the birth to be carried out. Typically when the child’s born after the mother being medicated so heavily, the child is usually generally very sleepy, as well as a reduced drive to breathe properly, often needing the child to have resuscitation, because their is a chance that the child is not breathing at all. Spinal anesthesia was developed in the mid-20th century,…

Uterine prolapse surgeries What is uterine prolapse surgery? Uterine prolapse is a condition which occurs when uterus drops down into or juts out of the vagina. Prolapse happens when the pelvic ligaments and muscles grow weaker and stretch, as long as insufficient patronage for the uterus. Prolapse might be complete or incomplete. Depending on factors like age of the women, desire for becoming pregnant and the overall state of women’s health, surgery is performed. Uterine prolapse surgery is…