The woman's belly is as big as a drum. After inserting the ureter, the blood pressure suddenly plummeted. Doctor: Don't do this!
Author:Anesthesia Medical Group Time:2022.08.10
Just a premature meeting, the urology called the patient. Probably, the patient's stomach pain should be surgery as soon as possible. As a result, the operation of this plan started in advance.
This emergency surgery has moved quickly. After a while, the nurse took the patient into the surgery room. On the side of the Anesthesiology Department, Dr. Li was also prepared for all aspects.
As soon as the patient came in, everyone rushed up. Some are dripped, some sticky electrode stickers, and some connect to various wires. On the anesthesia, I was waiting for the medicine to be ready.
Seeing that the life signs and the life signs on the monitor were roughly normal, Dr. Li began to push the medicine.
However, after a few minutes, Dr. Li discovered abnormalities. On the monitor, the blood pressure decreased at the speed of the naked eye. This decline is obviously not caused by anesthetics.
Recall that the patient has no hypertension and does not take antihypertensive drugs! heart disease? What's more impossible, the electrocardiogram and heart ultrasound before the operation are normal. Blood loss? It's impossible!
Between the electric light and firestone, Dr. Li quickly injected a pinrse for the patient. No matter what, let's get the blood pressure first. This blood pressure does not give you any time for thinking.
After pushing the medicine, the blood pressure is measured, just about 80. Obviously, the normal dose rose is not obvious. However, this blood pressure is not so dangerous.
No matter what, insert the trachea tube first. There are two aspects of respiratory cycle, and there should be no problems.
At the same time, he let go of both groups. At that time, the liquid flowed into the patient like the line.
After fixing the catheter, look at blood pressure, and it still does not rise due to the stimulation of the catheter. This means that the cause of hypotension has not been completely lifted.
As Dr. Li was looking for clues, he saw that the urine he had just been inserted was full of urine.
The urine bag that almost exploded was not his most shocking. What he was shocked was how to put it so fast?
In the subconscious, he thinks there must be a problem here. Carefully recall the operation process of the bladder empty, which is clearly wrong!
In the book, I have always told everyone that the bladder empty after inserting the ureter should not be too fast. Urine at a time, it is advisable to not exceed 500 ml.
Because there is no problem, everyone may be indifferent to this request.
What causes the bladder to empty too fast?
Due to the sudden narrowing of the swollen bladder, the stress of the abdominal cavity decreased sharply. The capillaries controlled by pressure suddenly became expanded without constraints. Therefore, it will be manifested as hypotension. Some patients may also lead to rupture and bleeding from the capillary wall of the bladder wall.
If you have heart disease, you may also cause heart incidents due to the sudden decrease in the load of the heart.
Dr. Li, who was more afraid of, became more and more scared, watching the changes in the guardian intently.
Looking at the blood pressure to rise little by little, it felt really worried. In his mouth, he couldn't help complaining a few words of nurse who was just responsible for the ureter. However, it can't be said too hard. After all, it is not intentional.
Let everyone remind everyone: Do not get too fast for bladder! Urine volume should be less than 500 ml at a time!
[Reminder] Pay attention, there are a large number of professional science sciences here to reveal those things about surgical anesthesia ~
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