Tags: anesthesia carbohydrate-rich drinks ERAS protocol NPO perioperative Perioperative fasting
For the longest time, any procedure requiring anesthesia was accompanied with perioperative instructions mandating a fast from midnight until the surgery. However, anyone that’s lived long enough has learned to understand that just because something has been done for a long time, it doesn’t mean it should be done for the rest of time. With technological advances and improvements in research, medical practices and patient instructions should evolve. Here, we’ll explore the rationale behind the old modality as it pertains to preoperative care and instructions, what’s changed in research and technology, and finally, what new modalities should be learned, taught, and implemented.
Read More →Tags: anesthesia health care professionals nausea PACU post-op risk factors treatment options vomiting
Common treatments reviewed for the treatment of postoperative nausea and vomiting, mostly in the PACU phase of care.
Read More →Tags: anesthesia bsn professional rn Regional anesthesia
This article offers a small introduction and overview regarding regional anesthesia. You have nerves that run all through your body. Nerves provide a pathway for impulses to communicate between the brain and other parts of your body. Not only do your nerves tell your muscles to move, they tell your brain when something is painful.
Read More →Tags: analgesia anesthesia multimodal pain management Regional anesthesia
This article addresses ways to use multimodal analgesia such as opioids, anti-inflammatories, regional anesthesia, etc to achieve greater pain control in patients.
Read More →Tags: anesthesia Healthy PACU
Some patients in the post anesthesia care unit (PACU) are young and or very healthy. These qualities sometimes give the impression that there will not be complications from surgery or anesthesia. This is not always the case. These patients may be overlooked for experiencing complications because they are healthy. I have seen a number of patients who have no health problems experience side effects from anesthesia and surgery.
Read More →Tags: anesthesia awake awareness perioperative
Anesthesia awareness definition is an unexpected recall of events while under general anesthesia. The majority of the authors place the rate of anesthesia awareness to one patient out of every one thousand patients that experience some form of anesthesia awareness, however the exact mechanism of the pharmacological action of anesthetic is not clearly understood.
Read More →Tags: anesthesia bradycardia labetolol medicine PACU pain
In medicine there is never a playbook about how things are going to unfold and this is especially true when it comes to recovering from surgery and anesthesia. For example, sometimes as nurses we give medications to treat one symptom and unintentionally cause another.
Read More →Tags: anesthesia catheters comfort
Foley insertion in alert patients not in retention: males benefit from lidocaine jelly. All staff appear to underestimate discomfort.
Read More →Tags: anesthesia Epidural epidural vs spinal block Regional anesthesia Spinal Block spinal block vs epidural
Spinal anesthesia, also called spinal analgesia, sub-arachnoid block (SAB) or intrathecal, is a form of regional anesthesia involving an injection of a local anesthetic into the cerebral spinal fluid with a fine needle. The term epidural is often short for epidural anesthesia, a form of regional anesthesia involving injection of drugs through a catheter placed into the epidural space. The injection can cause both a loss of sensation (anesthesia) and a loss of pain (analgesia), by blocking the transmission of signals through nerves in or near the spinal cord.
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