Bian Xiao went through caesarean section. I remember that during the operation, the child just took it out and needed to start sewing his stomach. Next to the little nurse asked, do you want an analgesic pump? Actually, this was communicated before entering the operating room. I made it clear that my attitude is absolutely necessary! However, during the operation, doctors and nurses will talk to you from time to time to ensure that you are conscious from time to time and can answer questions completely to eliminate the tension of the parturient.
Spinal anesthesia by caesarean section
After coming out of the operating room, I didn't really feel anything. Compared with the mothers in labor, the biggest discomfort during the whole operation is fear. Especially during spinal anesthesia, when you see such a big needle stuck in your back and your spine, you usually tremble, and many parturients cry with fear. Generally, spinal anesthesia requires several injections!
Anesthesia needle for caesarean section, about 20cm.
Next, that's an analgesic pump.
I began to feel pain slowly about 4 hours after operation, especially when I took the uterine contraction needle for the second time, and I didn't feel it at all for the first time. From the second time, as long as I saw the nurse coming with a plate of uterine contraction needles, I slammed the analgesic pump!
Sometimes when you press it, you really feel a clear stream flowing from behind, and sometimes it's useless to push again.
Later, I finally understood that the analgesic pump is not what we thought. If you press it, it will really deliver analgesic liquid!
Analgesic pumps can be divided into automatic and manual.
Automatic analgesia pump automatically delivers once every once in a while, usually eight or ten hours; In principle, the manual analgesia pump is to manually press the drug once. But at present, the manual analgesia pumps used in hospitals are all set, that is, they are basically given once every hour or eight hours. If it is only half an hour since you last pressed the button, then even if you press the button, there is nothing! That is to say, after you press the painkiller once, all the times you press it in the middle of six or eight hours are just to comfort you and make you feel that something is alleviating your pain!
Disposable analgesic pump
Why are you doing this?
It's simple. I'm afraid I anesthetized you too much! In the face of severe pain, people often choose to escape, which is instinct!
But, but, but, if you know the composition of analgesic liquid, you will understand why all analgesic pumps do not support unlimited dose injection!
Painkillers mainly include the following:
1, narcotic analgesics: including morphine, fentanyl and tramadol, with strong analgesic effect. Postoperative pain belongs to acute and short-term pain, so there is no need to worry about addiction when using opioids for a short time. However, the side effects of opioid drugs, such as respiratory depression, nausea and vomiting, urinary retention, skin itching and so on. It is also the reason why patients who use analgesic pumps sometimes have the above complications. This medicine is used after caesarean section.
2. Non-narcotic analgesics: mainly nonsteroidal anti-inflammatory drugs. Its effect is mainly in the periphery, and its analgesic intensity is weaker than that of opioid drugs, so it is suitable for moderate-intensity pain. There are no common side effects of opioids, but there are gastrointestinal symptoms such as nausea, which induce gastrointestinal ulcers. Because of its antipyretic and anti-inflammatory effects, it is often used for analgesia of orthopedic patients.
Commonly used by orthopedic patients
3. Antipsychotics: such as droperidol and midazolam. These drugs have no analgesic effect, but they can enhance the analgesic effect. Because droperidol has a strong antiemetic effect, it is also used to combat the gastrointestinal symptoms of narcotic analgesics.
5. Antiemetics: Azasetron is usually used as a serotonin receptor blocker.
After reading these, you will know that morphine is an important part of opium drugs! Of course, the dosage we use in the operation is not addictive, but if we overdo it, addiction will be a trivial matter. The big thing is that you are likely to die of respiratory depression!
Do you want to use it or not?
My suggestion is still useful! Although I am breast-feeding, this small dose will not be given to the child with the milk, because anesthesia is epidural, that is, it does not pass through your blood and does not participate in the exchange of nutrients! So you can't reach the milk!
A mother in my ward gave birth to a second child at that time, which was useless and really painful! Of course, it may also be because everyone has different pain sensitivity. But who knows the pain before! And this analgesic pump can't be installed under the operating table! Just wait!
Anyway, I think, even if it is comfort, at least press it twice more, and my heart will feel better! Because when the psychological stress reaction is particularly strong, it will affect the recovery of the wound, and tension will also lead to massive bleeding! It is like a life-saving straw when you are in pain. Even if you know that you may not be able to relieve the pain, your fear will be much less!
Psychological effect of placebo
How long can I use it?
Don't think it will last long, it can only be used for 48 hours. People who have caesarean section should insert a catheter, which is usually pulled out in 24 hours. The analgesic pump is 48 hours. Whether you like it or not, the nurse will remove it for you when she comes. So the pain behind is only borne by myself.