Language
Country/Area
No result found
The mysterious world around the spinal cord: Why do doctors choose epidurals?
With the advancement of medical technology, epidural anesthesia has become a commonly used analgesic method in obstetrics and surgical operations. The technique was first described by Spanish military doctor Federico Paes in 1921, and since then, the use of epidural anesthesia has gradually expanded over time. What makes this technology so popular?
Basic concepts of epidural anesthesia
An epidural is an injection of medication into the epidural space around the spinal cord to provide an anesthetic effect. This approach allows doctors and anesthesiologists to flexibly control pain perception, especially during childbirth and surgery. Unlike oral or intravenous medications, epidurals work directly on the nervous system, more effectively blocking the transmission of pain signals.
Main uses of epidural anesthesia
Pain control during labor
Many women choose an epidural as a pain relief option during childbirth. According to a 2018 meta-analysis, epidural anesthesia is more effective than traditional oral or intravenous anesthesia and has lower risks to the health of mother and baby.
Compared with oral analgesics, epidural anesthesia can reduce maternal hyperventilation and reduce the incidence of naloxone in newborns.
Pain relief during other surgeries
In addition to childbirth, epidural anesthesia has also shown its superiority in many surgeries. In lower abdominal surgery, lower limb surgery, and heart surgery, epidural anesthesia can reduce the need for postoperative systemic analgesia and reduce the risk of postoperative breathing problems and heart problems.
Risks and complications
While the risks of an epidural are relatively low, there are some possible complications, including headache, low blood pressure, and potential respiratory depression. Epidurals may be contraindicated for certain groups, such as people with blood clotting disorders or infections near the injection site.
Although the rate of serious complications is extremely low, a careful assessment of the patient's physical condition is usually required.
Technological Advances
With advances in imaging technology, doctors can now use ultrasound or fluoroscopy to place catheters and ensure the accuracy and safety of epidural anesthesia. Additionally, epidural catheters can be used to give a continuous infusion of pain relief medication, meaning that patients do not need to be re-administered with anesthesia injections as often.
Impact on patients
The long-term health effects of an epidural on the mother and newborn are usually mild. Most studies show that women who use epidurals have no increased risk of having a cesarean section in future deliveries. )
Conclusion
With the advancement of medical technology, epidural anesthesia has become a safe and effective method of pain relief, which not only protects the rights and interests of mothers, but also provides better health protection for newborns. However, in the face of this widely used technology, what we should think about is: How can we continue to ensure the safety and comfort of patients while pursuing progress?
