Nursing care in patients who receive Anesthesia for lumbar spine operation : Case Study

Abstract

Anesthesia for lumbar spine level L4-5 operation is carefully administered because there is the loss of a large amount of blood and lie prone position in operation, causing a potential risk of blocked respiratory system. The factors that bring about operation are lumbar spinal stenosis, backbone spondylolisthesis, intervertebral spondylolisthesis, tumor, infection or accident1. Due to the current hospital in Khon Kaen hospital medical specialists.It can serve more patients with specifc diseases and patients undergoing lumbar spine with lie prone position lots averaging about 150-170 cases/year2 especially Lumbar. spine level L 4-5, with a lot of care, which are both similar and different.

Then the study presents case studies of patients undergone lumbar spine L 4-5 operation; 3 compare to the doctor with symptoms of lumbar pain, hip pain radiating to the leg. frst patient also had lower back pain. The three cases were undergone surgery due to the following diagnosis; lumbar spinal stenosis, and degenerative spondylolisthesis. While the third patient also had hernitated intervertebral symptom resulting from being a truck driver sitting in the same position for long hours and lifting heavy objects. In the operations has signifcant blood and replacement. It takes time to heal in 10-11 days, Khon Kaen Hospital.

The purpose of this study To compare The patients received general anesthesia for the surgery, lumbar spine (lumbar spine) by the third break L4-5 level and to keep patients safe from complications during the anesthesia and surgery until. The discharge from the hospital The results of this study to be a nursing plan indicating the safety of anesthesia administration for patients undergoing lumbar spine L4-5 operations, more effective postoperative care, and for being data for other studies.