Abstract
Control of pain with epidural anaesthesia represents a major advance in the care of delivery and it is a part of standard gynecologic surgery. Side effects of this procedure are motor block, hypotension, rarely lower limb paralysis, hypothermia, and vertebral canal haematomas. A prolonged anaesthetic effect can be a primary risk factor of pressure ulcers development in healthy women.
Managing risk is a fundamental part of clinical practice and it is essential that equipment used is appropriate to the situation. Developing a training and educational program specifically is relevant for all the female patients and hospital multidisciplinary team.
There is a real need for all hospital teams to implement guidelines on prevention, surveillance and to monitor activities during the delivery and during the standard gynecological surgical procedures.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Wiedermann FJ, Lingnau W, Innerhofer P. Postoperative pressure sores after epidural anaesthesia. Good nursing care should prevent pressure sores. BMJ. 2001;322(7288):732–3.
Wildsmith JA. Postoperative pressure sores after epidural anaesthesia. Informed nursing care is needed. BMJ. 2001;322(7288):733.
Hughes C. Obstetric care. Is there risk of pressure damage after epidural anaesthesia? J Tissue Viability. 2001;11(2):56–8.
Shah JL. Lesson of the week: postoperative pressure sores after epidural anaesthesia. BMJ. 2000;321(7266):941–2.
Alfirevic A, Argalious M, Tetzlaff JE. Pressure sore as a complication of labor epidural analgesia. Anesth Analg. 2004;98(6):1783–4.
Naruse S, Uchizaki S, Mimura S, Taniguchi M, Akinaga C, Sato S. Pressure ulcer caused by long-term keeping of the same body position during epidural labour analgesia. Masui. 2016;65(6):643–5.
Takahashi E, Isonishi S, Suzuki M, Ogura A, Kunito S, Hirama M, Shoji H, Ochiai K, Tanaka T. Two cases of epidural anesthesia-associated postoperative decubitus. J Obstet Gynaecol Res. 2008;34(4 Pt 2):763–6.
Hoogendoorn I, Reenalda J, Koopman BFJM, Rietman JS. The effect of pressure and shear on tissue viability of human skin in relation to the development of pressure ulcers: a systematic review. J Tissue Viability. 2017;26(3):157–71.
Stausberg J, Kiefer E. Classification of pressure ulcers: a systematic literature review. Stud Health Technol Inform. 2009;146:511–5.
Beeckman D, Schoonhoven L, Fletcher J, Furtado K, Gunningberg L, Heyman H, Lindholm C, Paquay L, Verdú J, Defloor T. EPUAP classification system for pressure ulcers: European reliability study. J Adv Nurs. 2007;60(6):682–91.
Offori EM, Popham P. Decubitus ulcers after instituting epidural analgesia for pain relief in labour. Anaesthesia. 2000;55(2):194.
Jury CS. Postoperative pressure sores after epidural anaesthesia. Staff needs to recognise patients are at risk. BMJ. 2001;322(7288):733–4.
Aljezawi M, Al Qadire M, Tubaishat A. Pressure ulcers in long-term care: a point prevalence study in Jordan. Br J Nurs. 2014;23(6):S4. S6, S8, S10–1
Valiani V, Chen Z, Lipori G, Pahor M, Sabbá C, Manini TM. Prognostic value of braden activity subscale for mobility status in hospitalized older adults. J Hosp Med. 2017;12(6):396–401.
Siman AG, Brito MJM. Changes in nursing practice to improve patient safety. Rev Gaucha Enferm. 2017;37(spe):e68271.
Ayello EA, Dowsett C, Schultz GS, Sibbald RG, Falanga V, Harding K, Romanelli M, Stacey M, TEot L, Vanscheidt W. TIME heals all wounds. Nursing. 2004;34(4):36–41. quiz, 41–2.
Schultz GS, Sibbald RG, Falanga V, Ayello EA, Dowsett C, Harding K, Romanelli M, Stacey MC, Teot L, Vanscheidt W. Wound bed preparation: a systematic approach to wound management. Wound Repair Regen. 2003;11(Suppl 1):S1–28.
Westby MJ, Dumville JC, Soares MO, Stubbs N, Norman G. Dressings and topical agents for treating pressure ulcers. Cochrane Database Syst Rev. 2017;6:1–201.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer-Verlag London Ltd., part of Springer Nature
About this chapter
Cite this chapter
Janowska, A., Dini, V., Pradal, M., Davini, G., Uccelli, F. (2018). Pressure Ulcers After Epidural Anaesthesia. In: Romanelli, M., Clark, M., Gefen, A., Ciprandi, G. (eds) Science and Practice of Pressure Ulcer Management. Springer, London. https://doi.org/10.1007/978-1-4471-7413-4_11
Download citation
DOI: https://doi.org/10.1007/978-1-4471-7413-4_11
Published:
Publisher Name: Springer, London
Print ISBN: 978-1-4471-7411-0
Online ISBN: 978-1-4471-7413-4
eBook Packages: MedicineMedicine (R0)