Patient Controlled Epidural Analgesia

The purpose of the critical analysis of the Patient Controlled Epidural Analgesia (PCEA) and Assessment of Motor and Sensory Response in Hip and Knee Surgery Patients Post Combined Spinal Epidural Anaesthesia Guideline is to determine whether the evidence used to produce the document and the guideline itself are up-to-date, relevant and clinically proven sources of information. (Maltby et al, 2010). Additionally (Maltby et al, 2010) suggests that a critique will examine the strengths and weaknesses of the protocol by viewing the evidence in an objective way rather than accepting it at face value.

Before critiquing a piece of work the process of critical thinking comes into place , this is when a questioning approach and thoughtful attitude…show more content…
Additionally rather than concluding that there is only one way to provide the best care possible it is suggested that a requirement of nurses is to be open to and actively seek alternatives (Aveyard et al, 2011). All of this quality advice will be put into practice to ensure patients are receiving the highest standard of care.

REFERENCES

Aveyard, H. and Sharp, P., 2013. A beginner’s guide to evidence-based practice in health and social care. Open University Press, pp30-48.
Aveyard, H. et al., 2011. A beginner’s guide to critical thinking and writing in health and social care. McGraw-Hill Education, pp5-24.
Bali, A. et al., 2007. Combined Spinal Epidural Anaesthesia. JK Science, 9(4), pp161-163.
Block, B.M. et al., 2003. Efficacy of Postoperative Epidural Analgesia: A Meta-analysis. JAMA, 290(18), pp2455-2463.
Bourne, T.M. et al., 1997. Patient’s assessment of sensory levels during epidural analgesia in labour. International Journal of Obstetric Anaesthesia, 6,…show more content…
How to read a paper- the basics of evidence based medicine. 4th ed. Wiley-Blackwell, pp132-148, p226
Maltby, J. et al 2010. Research Methods for Nursing and Healthcare, Pearson Education, pp240-260.
Moule, P. and Hek, G, 2011. Making sense of research: an introduction for health and social care practitioners, pp 45-53.
Mulroy, M.F., 2002. Regional Anaesthesia, An Illustrated Procedural Guide. 3rd ed.Philadelphia, PA: Lippincott Williams and Wilkins.
Owen, A. et al 2004. A critical analysis of a locally agreed protocol for clinical practice. Radiography,
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Smet, I. et al., 2007. Randomized controlled trial of patient controlled epidural analgesia after orthopaedic surgery with sufentanil and ropivicaine 0.165% or levobupivacaine 0.125%. British Journal of Anaesthesia, 100(1), pp99-103.
Standl, T. et al., 2003. Patient-controlled epidural analgesia reduces analgesic requirements compared to continuous epidural infusion after major abdominal surgery. Canadian Journal of Anaesthesia, 50(3), pp258-264.
Swinglehurst, D., 2005. Evidence-based guidelines: The theory and the practice. Evidence-Based Healthcare and Public Health, 9, pp308-314.

Moule, P. and Hek, G., 2011. Making sense of research: an introduction for health and social care