Audio-Analgesia a Complementary Pain Relief Application within the Confines of Epidural Anesthesia

Wesley Lapommeray
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Abstract

Childbirth is an dynamic experience fraught with medical complications. The field of Anesthesiology has alleviated excruciating pain throughout modernity. The development of new medication and procedures have reduced adverse fatalities. Furthermore, epidural anesthesia have afforded rather painless childbirth. Before the advent of modern anesthesiology (epidural anesthesia), women were bereft of painless births. “Childbirth is painful, and we are in an era when most American women consider some chemical means of pain relief an accepted part of the delivery process” [1]. The advent of anesthesiology has remarkable reduced possible death of the fetus and the mother. However, complications arise not withstanding the fact of the proper implementation of standard protocol. Aspiration of vomitus in obstetric anesthesiology is ubiquitous in the hospital setting. A sizeable amount of pregnant, expectant mothers have vomited during or immediately after following inhalation of anesthesia. In addition, death from epidural anesthesia or spinal anesthesia may result from hypotension. A physiological response to the implementation of an epidural anesthesia is hypotension associated with sympathetic blockade. Effectively managing the blood pressure of an expectant, pregnant mother is an ongoing issue of the utmost importance. Diligent Anesthesiologists adequately resolve the factors leading to hypovolemic state of the patients. There are intrinsic psychosomatic factors that may exacerbate the precarious hypovolemic state blood in expectant, pregnant women.
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音频镇痛在硬膜外麻醉范围内的辅助镇痛应用
分娩是一种充满医疗并发症的动态体验。在整个现代社会,麻醉学领域减轻了难以忍受的痛苦。新药物和新程序的发展减少了不良死亡。此外,硬膜外麻醉提供了相当无痛分娩。在现代麻醉学(硬膜外麻醉)出现之前,妇女不能无痛分娩。“分娩是痛苦的,而我们正处在这样一个时代,大多数美国妇女认为某些缓解疼痛的化学手段是分娩过程中可以接受的一部分”[1]。麻醉学的出现显著降低了胎儿和母亲死亡的可能性。然而,即使正确执行标准协议,也会出现并发症。产科麻醉科呕吐物误吸在医院是普遍存在的。相当数量的孕妇和准妈妈在吸入麻醉期间或之后立即呕吐。此外,死于硬膜外麻醉或脊髓麻醉可能是低血压所致。硬膜外麻醉的生理反应是伴随交感神经阻滞的低血压。有效地控制准妈妈的血压是一个非常重要的问题。勤奋的麻醉师充分解决导致患者低血容量状态的因素。有内在的心身因素,可能加剧危险的低血容量状态的准,孕妇的血液。
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