Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

400
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
400
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

31
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
31
Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

555
Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
555
Analgesia and Pain Management01:25

Analgesia and Pain Management

399
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
399
Guidelines for Writing Outcome01:11

Guidelines for Writing Outcome

2.6K
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
2.6K
Legal Guidelines for Documentation01:06

Legal Guidelines for Documentation

1.2K
The legal guidelines for nursing documentation are essential for ensuring accurate, professional, and ethical recording of patient care. The guidelines are discussed here:
1.2K

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Inhaled Isopropyl Alcohol for Refractory Cannabis Hyperemesis Syndrome: A Case With Pneumomediastinum and Pneumothorax.

Cureus·2025
Same author

Development and preliminary validation of the Meat Consumption Scale.

BMC psychology·2025
Same author

Safety and efficacy of mepolizumab in eosinophilic chronic obstructive pulmonary disease: a systematic review and meta-analysis.

Expert review of respiratory medicine·2025
Same author

Cancer Pain Is Not One-Size-Fits-All: Evolving from Tradition to Precision.

Clinics and practice·2025
Same author

The role of mineralization bacteria in the immobilization of cadmium and lead in aqueous solutions.

Journal of hazardous materials·2025
Same author

Occult Femoral Neck Fracture Misdiagnosed as Septic Arthritis: A Case Highlighting Diagnostic Challenges in Busy Emergency Settings.

Cureus·2025

Related Experiment Video

Updated: May 13, 2025

Author Spotlight: Enhancing Success of Ultrasound-Guided Neuraxial Anesthesia in Cases with Difficult Anatomy
03:14

Author Spotlight: Enhancing Success of Ultrasound-Guided Neuraxial Anesthesia in Cases with Difficult Anatomy

Published on: January 31, 2025

253

Adherence to Practice Guidelines for Postoperative Epidural Analgesia.

Sami Ur Rehman1,2,3, Muhammad Malik1,2,3, Adeel Sabir1,2,3

  • 1Department of Anaesthesia, Doctors Hospital and Medical Centre, Lahore, Pakistan.

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|April 16, 2025
PubMed
Summary

This clinical audit assessed surgical epidural analgesia practices, finding adherence to guidelines in 64.9% of cases. Complications occurred in 12.98%, with motor blockade most frequent, highlighting areas for improved epidural analgesia services.

More Related Videos

An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP
14:56

An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP

Published on: January 27, 2010

21.3K
Acupoint Needle-Embedding Combined with Ironing Therapy for Postoperative Pain After Anal Surgery
05:39

Acupoint Needle-Embedding Combined with Ironing Therapy for Postoperative Pain After Anal Surgery

Published on: June 23, 2023

1.3K

Related Experiment Videos

Last Updated: May 13, 2025

Author Spotlight: Enhancing Success of Ultrasound-Guided Neuraxial Anesthesia in Cases with Difficult Anatomy
03:14

Author Spotlight: Enhancing Success of Ultrasound-Guided Neuraxial Anesthesia in Cases with Difficult Anatomy

Published on: January 31, 2025

253
An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP
14:56

An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP

Published on: January 27, 2010

21.3K
Acupoint Needle-Embedding Combined with Ironing Therapy for Postoperative Pain After Anal Surgery
05:39

Acupoint Needle-Embedding Combined with Ironing Therapy for Postoperative Pain After Anal Surgery

Published on: June 23, 2023

1.3K

Area of Science:

  • Anesthesiology and Pain Management
  • Surgical Care
  • Clinical Audit and Quality Improvement

Background:

  • Epidural analgesia is a key component of postoperative pain management.
  • Adherence to practice guidelines and monitoring complications are crucial for patient safety.
  • Commonly used agents include Bupivacaine, with adjuvants like fentanyl, dexmedetomidine, and tramadol.

Purpose of the Study:

  • To evaluate adherence to practice guidelines for epidural insertion.
  • To assess the types of medicines used for postoperative analgesia.
  • To determine the incidence of complications associated with epidural analgesia.

Main Methods:

  • A clinical audit was conducted at Doctors Hospital and Medical Centre, Lahore, Pakistan.
  • Data were collected from January 2021 to December 2023 using a non-probability consecutive sampling technique.
  • Surgical Epidural Registers were reviewed, and calculations were performed manually.

Main Results:

  • A total of 308 surgical epidurals were inserted, predominantly for orthopaedic procedures (40.6%).
  • Guideline adherence for insertion level was observed in 64.9% of cases.
  • The overall complication rate was 12.98%, with motor blockade being the most frequent complication.

Conclusions:

  • The audit identified areas for improvement in surgical epidural analgesia services.
  • Findings can guide practice changes to enhance patient outcomes.
  • This audit serves as a benchmark for other epidural analgesia service providers.