Epidural narcotics for postoperative pain: nursing implications

The use of epidural narcotics is fast becoming an accepted technique for postoperative pain relief. Reduction of the patient's narcotic requirements, increased movement in bed and cooperation with postoperative exercises are the major advantages of this type of therapy for pain relief. Knowledge of the anatomy and physiology of pain transmission is essential in understanding how narcotics affect the central nervous system and provide pain relief. Nurses should also be knowledgeable about the technical aspects of the procedure for catheter insertion and the narcotics that might be used for postoperative pain relief. Nursing implications for patients receiving epidural narcotics for postoperative pain relief are presented.