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Related Concept Videos

Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

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...
Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

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...
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...

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Reply to Gunka Et al.: Patient-Reported Outcome Measures After Labor Epidural Analgesia: Mental Presence as a Patient-Centered Endpoint.

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Related Experiment Video

Updated: Jun 18, 2026

Spinal Sonography for Ultrasound-Guided Lumbar Neuraxial Anesthesia
03:14

Spinal Sonography for Ultrasound-Guided Lumbar Neuraxial Anesthesia

Published on: January 31, 2025

Establishing Expert Consensus on Competencies for Safe Ward-Based Postoperative Epidural Analgesia Management:

Cornelia Charlotte Lamprecht1,2,3, Søs Bohart2, Kim Wildgaard2,3

  • 1Department of Orthopaedic Surgery, Copenhagen University Hospital, Herlev-Gentofte, Herlev, Denmark.

Acta Anaesthesiologica Scandinavica
|June 17, 2026
PubMed
Summary

This study establishes expert consensus on essential competencies for safe postoperative epidural analgesia (EA) management on hospital wards. Findings will guide training to improve patient safety and standardize EA practices.

Keywords:
Delphi techniqueclinical competenceepidural analgesianursing educationperioperative carepostoperative pain management

Related Experiment Videos

Last Updated: Jun 18, 2026

Spinal Sonography for Ultrasound-Guided Lumbar Neuraxial Anesthesia
03:14

Spinal Sonography for Ultrasound-Guided Lumbar Neuraxial Anesthesia

Published on: January 31, 2025

Area of Science:

  • Anesthesiology
  • Medical Education
  • Patient Safety

Background:

  • Postoperative epidural analgesia (EA) is crucial for managing surgical pain.
  • Current clinical practice and training for ward-based EA management lack standardization.
  • A consensus-based framework for EA competencies is needed.

Purpose of the Study:

  • To establish expert consensus on the essential competencies for safe ward-based postoperative epidural analgesia management.
  • To define the required competence levels for these essential EA management skills.

Main Methods:

  • A modified Delphi study involving expert consensus-building across three rounds.
  • Experts rated item relevance using a seven-point Likert scale with feedback.
  • Miller's pyramid was used in the final round to assess competence levels.

Main Results:

  • Consensus was reached on essential competencies for ward-based postoperative EA management.
  • Defined competence levels for each identified essential skill.
  • Identified key areas for training and practice standardization.

Conclusions:

  • The study provides a foundation for a competency-based training framework for postoperative EA.
  • Findings aim to enhance consistency in clinical practice and improve patient safety.
  • Expert consensus highlights critical skills for effective ward-based epidural analgesia management.