Why do you need a plaster to the patient first?

Author:Anesthesia Medical Group Time:2022.07.24

In the anesthesia monitoring of each minimally invasive cardiac surgery I have participated, my colleagues would get used to hearing that when I was monitored by the patient's room, it was a routine sentence: Come, our back, the ribs stick to " Plasine ", a bit cold, don't be afraid.

Patients are very cooperative, but few patients ask me, why did this "plaster" use? Let's talk about today.

Plasine -A very proud topical drug worthy of the Chinese people. The number and type of plaster made in China account for 90%of the world's output, which can play a role in disease external treatment and auxiliary treatment.

When a minimally invasive heart surgery, the role of "plaster" posted to the patient is even more important -keep life! This "plaster" has a proprietary term -vitro defibrier electrode. As the name implies, this electrode film is placed in the body of the patient, and the function is to perform electrode defibrillation or electrolytic treatment for patients.

Minimally invasive cardiac surgery, whether it is a small incision of the armpit of the cardiac scholarship or the intercostal side of the intercostal side, or the internal medicine through the intervention of the catheter sophisticated cardiac surgery, it is different from the tradition from the sternum nest to the sword. Open chest surgery. The heart cannot be completely exposed under direct sight, so the cardiac defibrier electrode plate that is often used in cardiac surgery can not be used.

And why is the cardiac defibrier electrode a life -saving artifact used for patients to protect life during the perioperative period?

Because this artifact can correct the fast arrhythmia of death in many types of death. Conditional abnormalities are patients with surgery. Whether patients with heart disease or non -heart disease patients are the most common clinical complications. They are distinguished according to the fast and slow frequency of heart rate. They are divided into fast and slow. However, the exact incidence of arrhythmia is more difficult to count. According to relevant data, the incidence of various arrhythmias compares that the most common is premature fighting, atrioventricular tachycardia, atrial fluttering and tremor.

Among them, the incidence of sinus arrhythmia is the highest incidence of 25%to 27%; the sinus heart is excessive, with 20%to 22%; It is 14%to 16%; premature room -like fighting is 5%to 7%; atrial fibrillation is 11%to 15%; atrioventricular block blockage is 5%to 7%; other various arrhythmias are 5%to 8 to 8 %.

In patients with severe patients, patients with acute myocardial infarction patients have 100%pre -contraction rate, and asymptomatic arrhythmia detection rates can reach 88%; the incidence of sinus arrhythmia in patients with sleep respiratory syndrome is 76%~ 98%, the incidence of ventricular arrhythmia is 57%to 74%; the incidence of ventricular arrhythmia in patients with chronic renal failure is 76%, and the incidence of ventricular arrhythmia is 69%. The occurrence and treatment of malignant arrhythmia during the sin period is a clinical issue of worldwide attention.

For fast -deprivation of arrhythmia, such as ventricular speed, ventricular fibrillation, etc., defibrillation or electrical compounding is the most direct first -line treatment method. The working principle of defibrillation is to pass the heart through the current of positive and negative electrode through the heart to remove the heart. After the pole, it will restore its independent pairing function with the highest pairing site. Generally speaking, the sinus knot is the most exciting blog. Therefore, when ventricular fibrillation is to remove the abnormal ventricular fibrillation, thereby restoring the normal function of the sinus. Therefore, once the patient is diagnosed with ventricular tremor, the patient must be given to the patient in a short time.

With the development of medical science in recent years, the reserves of people's health knowledge have increased significantly, and the original scene of some TV series can be clearly said that the specific name of the operation of "defibrillation" can be clearly said, not like I am like myself. When they first went to work, many patients and family members would control the cognitive level called "electric shock". However, patients and family members still have fear of the treatment of this defibrillation (or electrical compound).

In order to avoid unnecessary panic psychology to the patient, I told the patient a good -faith lie. Regardless of the operation of the placing vibration electrode, it is called "paste".