{"id":120,"date":"2015-04-19T16:32:36","date_gmt":"2015-04-19T16:32:36","guid":{"rendered":"http:\/\/brooksidepress.org\/nursing411\/?page_id=120"},"modified":"2020-09-04T11:52:39","modified_gmt":"2020-09-04T16:52:39","slug":"continuous-lumbar-epidural-video","status":"publish","type":"page","link":"https:\/\/brooksidepress.org\/nursing411\/videos\/anesthesia-videos\/continuous-lumbar-epidural-video\/","title":{"rendered":"Continuous Lumbar Epidural"},"content":{"rendered":"<p><iframe loading=\"lazy\" src=\"https:\/\/player.vimeo.com\/video\/125378407\" width=\"640\" height=\"477\" frameborder=\"0\" allow=\"autoplay; fullscreen\" allowfullscreen><\/iframe><br \/>\n<input type='hidden' bg_collapse_expand='69e9aa39a16d20059657077' value='69e9aa39a16d20059657077'><input type='hidden' id='bg-show-more-text-69e9aa39a16d20059657077' value='Show Transcript'><input type='hidden' id='bg-show-less-text-69e9aa39a16d20059657077' value='Hide Transcript'><button id='bg-showmore-action-69e9aa39a16d20059657077' class='bg-showmore-plg-button bg-red-button  '   style=\" color:#fffcfc;\">Show Transcript<\/button><div id='bg-showmore-hidden-69e9aa39a16d20059657077' > <\/p>\n<p><strong>Continuous Lumbar Epidural<\/strong><\/p>\n<p style=\"padding-left: 30px\">Prepare your equipment and apply an antiseptic solution to the patient\u2019s back.<\/p>\n<p style=\"padding-left: 30px\">Create a sterile field.<\/p>\n<p style=\"padding-left: 30px\">Identify an appropriate lumbar spine interspace.<\/p>\n<p style=\"padding-left: 30px\">Administer local anesthetic to numb the skin.<\/p>\n<p style=\"padding-left: 30px\">Then anesthetize the deeper tissues.<\/p>\n<p style=\"padding-left: 30px\">Insert the epidural needle close to the ligamentum flavum. You should not encounter any resistence.<\/p>\n<p style=\"padding-left: 30px\">Attach a syringe filled with air.<\/p>\n<p style=\"padding-left: 30px\">Each time you advance the needle, see if the air can flow easily into the epidural space. Only after you pass the ligamentum flavum will the air flow smoothly.<\/p>\n<p style=\"padding-left: 30px\">Give a test dose of local anesthetic to be sure you\u2019re in the right space.<\/p>\n<p style=\"padding-left: 30px\">Then give the full dose of anesthetic.<\/p>\n<p style=\"padding-left: 30px\">Pass the catheter through the needle and into the epidural space.<\/p>\n<p style=\"padding-left: 30px\">Remove the epidural needle, sliding it off the end of the catheter.<\/p>\n<p style=\"padding-left: 30px\">Secure the end of the catheter with an injection port.<\/p>\n<p style=\"padding-left: 30px\">Spray the back with adhesive.<\/p>\n<p style=\"padding-left: 30px\">Secure the epidural catheter in place, using foam, and adhesive tape.<\/p>\n<p style=\"padding-left: 30px\">Re-dosing is done through the injection port.<\/p>\n<p> <\/div><br \/><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":82,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-120","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/brooksidepress.org\/nursing411\/wp-json\/wp\/v2\/pages\/120","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/brooksidepress.org\/nursing411\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/brooksidepress.org\/nursing411\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/brooksidepress.org\/nursing411\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/brooksidepress.org\/nursing411\/wp-json\/wp\/v2\/comments?post=120"}],"version-history":[{"count":6,"href":"https:\/\/brooksidepress.org\/nursing411\/wp-json\/wp\/v2\/pages\/120\/revisions"}],"predecessor-version":[{"id":608,"href":"https:\/\/brooksidepress.org\/nursing411\/wp-json\/wp\/v2\/pages\/120\/revisions\/608"}],"up":[{"embeddable":true,"href":"https:\/\/brooksidepress.org\/nursing411\/wp-json\/wp\/v2\/pages\/82"}],"wp:attachment":[{"href":"https:\/\/brooksidepress.org\/nursing411\/wp-json\/wp\/v2\/media?parent=120"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}