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9780470019641

Epidural Analgesia in Acute Pain Management

by
  • ISBN13:

    9780470019641

  • ISBN10:

    0470019646

  • Edition: 1st
  • Format: Paperback
  • Copyright: 2006-03-31
  • Publisher: Wiley

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Summary

Epidurals are increasingly popular and have become more versatile, with applications in adult surgery, trauma, obstetrics and paediatric practice. This book of best practice guidelines aims to help develop and improve patient care, stimulate learning and highlight ideas for nursing research. It can be used as a quick reference guide for clinical practice or as a framework for developing individual local epidural services and practice guidelines.outlines the specific responsibilities of the multidisciplinary healthcare team in relation to epidural practicereviews the issues of risk benefit analysis and informed consentprovides an overview of the physiology of acute pain, epidural catheter insertion procedure and the pharmacodynamics and pharmacokinetics of the commonest classes of drugsdescribes the equipment required to ensure safe and effective delivery of epidural solution to patientsAn overview of the nature and frequency of the observations required for close monitoring of patients and a practical guide to the removal of the catheter are also provided. Clinical governance and competency-based training are also addressed, and a framework provided to fit the training into the Agenda for Change Knowledge and Skills framework.

Author Biography

Carolyn Middleton, Clinical Nurse Specialist, Nevill Hall Hospital, UK.

Table of Contents

List of Figures
ix
List of Tables
xi
Contributors xiii
Foreword xv
Preface xvii
Acknowledgements xix
Responsibilities of the Multidisciplinary Acute Pain Team
1(16)
Carolyn Middleton
Patient Selection
17(16)
Lynda Jenkins
Insertion and Epidural Catheter Management
33(16)
Carolyn Middleton
Physiology of Pain, Pharmacodynamics and Pharmacokinetics of Local Anaesthetic and Opioid Drugs
49(16)
Carolyn Middleton
Epidural Delivery Systems
65(12)
Carolyn Middleton
Lynda Jenkins
Epidurals in Obstetrics
77(18)
Carolyn Middleton
Epidurals in Paediatric Practice
95(16)
Carolyn Middleton
Patient Observations
111(14)
Carolyn Middleton
Discontinuation and Removal of the Epidural Catheter
125(8)
Carolyn Middleton
Troubleshooting
133(28)
Dee Comerford
Education and Training
161(10)
Carolyn Middleton
Clinical Governance and Clinical Audit
171(8)
Rachel Swinglehurst
Glossary 179(12)
Index 191

Supplemental Materials

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