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Epidural infusionsEEpidural infusionsEpidural infusionsEnglishPain/AnaesthesiaChild (0-12 years);Teen (13-18 years)BodyNervous systemDrug treatmentCaregivers Adult (19+)NA2009-12-29T05:00:00ZLorraine Bird, RN, BScN, APN;Basem Naser, MBBS, FRCPC;Lori Palozzi, RN, MScN, ACNP7.0000000000000070.0000000000000580.000000000000Health (A-Z) - ProcedureHealth A-Z<p>Your child needs medicine to manage pain. They may have an epidural infusion to get this medicine. This page explains what an epidural infusion is and what will happen when your child has one.</p><h2>What is an epidural infusion?</h2><p>An epidural infusion is a way of giving pain medicine. The medicine is given through a small tube called a catheter into the epidural space. The epidural space goes from the bottom of the skull to the tip of the tailbone. While your child is asleep, the doctor will put a catheter into your child's back.</p> <figure> <span class="asset-image-title">Epidural infusion</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Epidural_infusion_child_MED_ILL_EN.jpg" alt="" /> <figcaption class="asset-image-caption">A tiny tube is inserted between two vertebrae in the spine. The epidural space is the space around the spinal cord and nerves. The tube delivers anesthesia medication into the epidural space during the operation and for a time after.</figcaption> </figure><h2>Key points</h2> <ul> <li>An epidural infusion uses a catheter to put pain medicine directly in around the nerves of the spine. </li> <li>Your child will be checked for any problems while they have the infusion. </li> <li>An epidural infusion usually lasts from one to three days. </li> <li>Most side effects from an infusion are not serious. </li> </ul><h2>Side effects from an epidural infusion</h2> <p>Side effects are problems caused by the medicine. The side effects your child may have depends on the kind of medicine that they get. Most side effects from epidural infusions are not serious. </p> <p>Your child may have some of these problems:</p> <ul> <li>feeling nauseated or sick to the stomach </li> <li>throwing up (vomiting) </li> <li>itchiness of the face, neck, chest or back </li> <li>weakness or numbness of the legs </li> <li>problems with urination (passing urine or peeing) </li> </ul> <p>Other medicines can help with these side effects.</p> <h2>For more information</h2> <p>Please ask your child's nurse or doctor if you have any questions.</p><h2>How does an epidural infusion work?</h2> <p>The epidural catheter is connected to a special pump. This pump is always putting some pain medicine into the catheter. Then the medicine goes into your child's back. The pain medicine surrounds the nerves in your child's spine. Your child will get this medicine during the operation and for a time after it. </p> <p>A clear bandage or dressing keeps the catheter in place.</p><h2>Monitoring during the infusion</h2> <p>While your child is taking the medicine, the nurses will watch for any problems. The nurses will check your child's blood pressure and heart rate. Your child's movement and feeling to the legs and parts of the body will also be monitored. The nurses will also check the area in your child's back where the catheter is. </p> <p>While the epidural infusion is in place, the nurses will try to get your child to move their legs and to turn from side to side in bed. Your child will also be on a heart and breathing rate monitor to watch for any side effects. </p> <h2>Checking and adjusting for pain</h2> <p>Your child's nurse will regularly ask your child how well the medicine is working. Your child may feel some pain.</p> <p>If your child has pain, the doctor may increase the amount of medicine for the pain or change the type of medicine that your child gets. The doctor may also give medicine by mouth (orally) in addition to the epidural infusion. </p> <h2>Your child may have the epidural infusion for a few days</h2> <p>Epidural infusions are usually given for one to three days. The length of time will depend on the type of operation and the amount of pain that your child has. </p> <p>When it is time to take out the catheter, it will be gently pulled out. It does not hurt to remove the catheter. Some children may not like the dressing tape being gently removed from around the catheter. </p> <p>Your child will then get pain medicine through the existing intravenous (IV) line or as a pill or liquid that they can swallow. An IV is a small tube that is put into a vein in your child's arm or leg to give medicine or fluids. </p>
Perfusions épiduralesPPerfusions épiduralesEpidural infusionsFrenchPain/AnaesthesiaChild (0-12 years);Teen (13-18 years)BodyNervous systemDrug treatmentCaregivers Adult (19+)NA2009-12-29T05:00:00ZLorraine Bird, RN, BScN, APN;Basem Naser, MBBS, FRCPC;Lori Palozzi, RN, MScN, ACNP7.0000000000000070.0000000000000580.000000000000Health (A-Z) - ProcedureHealth A-Z<p>Votre enfant a besoin de médicaments pour gérer sa douleur. Il se pourrait qu’il reçoive une perfusion épidurale pour obtenir ces médicaments. Cette page explique ce qu’est une perfusion épidurale et ce qui se produit lorsque votre enfant en reçoit une.</p><h2>Qu’est ce qu’une perfusion épidurale?</h2><p>Une perfusion épidurale (aussi nommée perfusion péridurale) est une façon de donner un médicament contre la douleur. L’analgésique est donné par un petit tube qu’on appelle un cathéter dans l’espace épidural (enocre qualifié de péridural). L’espace épidural commence à la base du crâne et se termine au bout du coccyx. Alors que votre enfant est endormi, le médecin insère un cathéter dans son dos.</p> <figure> <span class="asset-image-title">Injection épidurale</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Epidural_infusion_child_MED_ILL_FR.jpg" alt="" /> <figcaption class="“asset-image-caption”">Une petite aiguille est insérée entre deux vertèbres dans la colonne vertébrale, dans la région qui entoure la moelle épinière et les nerfs. Le tube permet d'insérer un médicament anesthésique dans la région épidurale durant l'opération et pendant un certain temps après l'opération.</figcaption></figure><h2>À retenir</h2> <ul> <li>Une perfusion épidurale injecte un analgésique directement autour des nerfs de la colonne vertébrale par un cathéter. </li> <li>Votre enfant sera surveillé afin de déceler tout problème qui pourrait survenir pendant la perfusion. </li> <li>Une perfusion épidurale dure habituellement 1 à 3 jours.</li> <li>La plupart des effets secondaires liés à une perfusion ne sont pas graves. </li></ul><h2>Les effets secondaires d’une perfusion épidurale </h2> <p>Les effets secondaires sont des problèmes causés par les médicaments. Les effets secondaires que votre enfant pourrait ressentir dépendent du médicament qu’il reçoit. La plupart des effets secondaires liés aux perfusions épidurales ne sont pas graves.</p> <p>Il se peut que votre enfant compose avec les problèmes suivants : </p> <ul> <li>nausée ou maux d’estomac; </li> <li>vomissements;</li> <li>démangeaisons sur le visage, le cou, la poitrine ou le dos; </li> <li>faiblesse ou engourdissement dans les jambes; </li> <li>problèmes pour uriner (faire pipi).</li></ul> <p>D’autres médicaments peuvent aider à réduire ces effets secondaires. </p> <h2>Pour obtenir d’autres renseignements</h2> <p>Si vous avez des questions, veuillez vous adressez à l’infirmier ou au médecin de votre enfant. </p><h2>Comment la perfusion épidurale fonctionne-t-elle? </h2> <p>Le cathéter épidural est branché à une pompe spéciale. Cette pompe pousse sans cesse le médicament dans le cathéter. Ainsi, le médicament pénètre dans le dos de votre enfant. L’analgésique entoure les nerfs situés dans la colonne vertébrale. Votre enfant reçoit le médicament au cours de l’opération, et par la suite pendant une certaine période.</p> <p>Un bandage ou un pansement transparent tient le cathéter en place. </p><h2>Surveillance pendant la perfusion</h2> <p>Pendant que votre enfant reçoit le médicament, les infirmiers le surveilleront afin de déceler tout problème. Ils vérifieront sa pression artérielle et son rythme cardiaque. Les mouvements et la sensation dans les jambes et d’autres parties du corps de votre enfant seront également contrôlés. Les infirmiers examineront également la zone du cathéter sur le dos de votre enfant. </p> <p>Lorsque la perfusion épidurale est en place, les infirmiers demanderont à votre enfant de bouger ses jambes et de se retourner d’un côté et de l’autre. Votre enfant sera également branché à un appareil qui mesure le rythme cardiaque et de la respiration afin de déceler tout effet secondaire. </p> <h2>Vérifier et soulager la douleur</h2> <p>L’infirmier demandera régulièrement à votre enfant si le médicament fonctionne bien. Il se peut qu'il ressente de la douleur. </p> <p>Si votre enfant a mal, le médecin pourrait augmenter la quantité d’analgésique que votre enfant reçoit. Il pourrait également lui donner un médicament à avaler (médicament oral) en plus de la perfusion épidurale.</p> <h2>La perfusion épidurale de votre enfant pourrait durer quelques jours</h2> <p>Les perfusions épidurales durent habituellement 1 à 3 jours. La durée dépendra du type d’opération et du niveau de douleur de votre enfant.</p> <p>Lorsqu’il est temps d’enlever le cathéter, il est délicatement retiré. Le retrait du cathéter n’est pas douloureux. Certains enfants peuvent ne pas apprécier le moment de retirer le pansement placé autour du cathéter.</p> <p>Votre enfant recevra ensuite son analgésique par le tube intraveineux (IV) déjà installé ou sous forme de pilule ou de liquide qu’il peut avaler. Une IV est un petit tube qui est installé dans une veine du bras ou de la jambe de votre enfant pour lui donner des médicaments ou des fluides.</p>

 

 

Epidural infusions987.000000000000Epidural infusionsEpidural infusionsEEnglishPain/AnaesthesiaChild (0-12 years);Teen (13-18 years)BodyNervous systemDrug treatmentCaregivers Adult (19+)NA2009-12-29T05:00:00ZLorraine Bird, RN, BScN, APN;Basem Naser, MBBS, FRCPC;Lori Palozzi, RN, MScN, ACNP7.0000000000000070.0000000000000580.000000000000Health (A-Z) - ProcedureHealth A-Z<p>Your child needs medicine to manage pain. They may have an epidural infusion to get this medicine. This page explains what an epidural infusion is and what will happen when your child has one.</p><h2>What is an epidural infusion?</h2><p>An epidural infusion is a way of giving pain medicine. The medicine is given through a small tube called a catheter into the epidural space. The epidural space goes from the bottom of the skull to the tip of the tailbone. While your child is asleep, the doctor will put a catheter into your child's back.</p> <figure> <span class="asset-image-title">Epidural infusion</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Epidural_infusion_child_MED_ILL_EN.jpg" alt="" /> <figcaption class="asset-image-caption">A tiny tube is inserted between two vertebrae in the spine. The epidural space is the space around the spinal cord and nerves. The tube delivers anesthesia medication into the epidural space during the operation and for a time after.</figcaption> </figure><h2>Key points</h2> <ul> <li>An epidural infusion uses a catheter to put pain medicine directly in around the nerves of the spine. </li> <li>Your child will be checked for any problems while they have the infusion. </li> <li>An epidural infusion usually lasts from one to three days. </li> <li>Most side effects from an infusion are not serious. </li> </ul><h2>Side effects from an epidural infusion</h2> <p>Side effects are problems caused by the medicine. The side effects your child may have depends on the kind of medicine that they get. Most side effects from epidural infusions are not serious. </p> <p>Your child may have some of these problems:</p> <ul> <li>feeling nauseated or sick to the stomach </li> <li>throwing up (vomiting) </li> <li>itchiness of the face, neck, chest or back </li> <li>weakness or numbness of the legs </li> <li>problems with urination (passing urine or peeing) </li> </ul> <p>Other medicines can help with these side effects.</p> <h2>For more information</h2> <p>Please ask your child's nurse or doctor if you have any questions.</p><h2>How does an epidural infusion work?</h2> <p>The epidural catheter is connected to a special pump. This pump is always putting some pain medicine into the catheter. Then the medicine goes into your child's back. The pain medicine surrounds the nerves in your child's spine. Your child will get this medicine during the operation and for a time after it. </p> <p>A clear bandage or dressing keeps the catheter in place.</p><h2>Monitoring during the infusion</h2> <p>While your child is taking the medicine, the nurses will watch for any problems. The nurses will check your child's blood pressure and heart rate. Your child's movement and feeling to the legs and parts of the body will also be monitored. The nurses will also check the area in your child's back where the catheter is. </p> <p>While the epidural infusion is in place, the nurses will try to get your child to move their legs and to turn from side to side in bed. Your child will also be on a heart and breathing rate monitor to watch for any side effects. </p> <h2>Checking and adjusting for pain</h2> <p>Your child's nurse will regularly ask your child how well the medicine is working. Your child may feel some pain.</p> <p>If your child has pain, the doctor may increase the amount of medicine for the pain or change the type of medicine that your child gets. The doctor may also give medicine by mouth (orally) in addition to the epidural infusion. </p> <h2>Your child may have the epidural infusion for a few days</h2> <p>Epidural infusions are usually given for one to three days. The length of time will depend on the type of operation and the amount of pain that your child has. </p> <p>When it is time to take out the catheter, it will be gently pulled out. It does not hurt to remove the catheter. Some children may not like the dressing tape being gently removed from around the catheter. </p> <p>Your child will then get pain medicine through the existing intravenous (IV) line or as a pill or liquid that they can swallow. An IV is a small tube that is put into a vein in your child's arm or leg to give medicine or fluids. </p>https://assets.aboutkidshealth.ca/akhassets/Epidural_infusion_child_MED_ILL_EN.jpgEpidural infusions

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