Say "no" to the pickled products, from the call from the operating room

Friday is the day when the surgery is tie. Especially the No. 1 operating room must be an operation.

Seeing that he was assigned to the No. 1 surgery, Dr. Li Li immediately adjusted his state. He knew that today is another war.

Sure enough, a esophageal cancer was arranged in the first surgery.

However, it was a bit wondering that only one surgery was arranged. Theoretically, at least two are also arranged. Even if the surgery is difficult to perform, it will not only arrange an operation!

This question got the answer when he fully understood the patient: the patient's tumor position was very high and had violated it. Surgery is no longer recommended for surgery, but family members are determined to do, and their homes are not bad.

When the anesthesia signature, the patient himself and his family repeatedly emphasized that "it has nothing to do with the hospital."

Such patients and family members can't refuse. Although the operation is difficult to do, the risk is great, and it is not necessarily effective, everyone decides to work with them to get that "in case".

Dr. Li had a headache when he saw the patient's various examinations. The first level is that the patient has appeared in the esophagus-trachea fistula. In addition, the lungs were bad due to repeated infection.

Fortunately, colleagues who visited before surgery have allowed surgery to deal with inflammation and atomization. The results of blood gas analysis are also reluctant.

After the patient entered the operating room, everyone began to cooperate in division of labor. Dr. Li's side, while connecting various checking wires to patients, observing the patient's status, and asking some questions from time to time. However, the patient's weak performance made Dr. Li deeply worried.

Patients' weakness, this is also no way. Even without the esophageal-trachea fistula, the consumption of such patients and difficulties in eating will make their status poor.

In addition to being weak, his pale face and lips made Dr. Li look at the patient's blood test again.

After blood transfusion, hemoglobin has been barely. But the patient consumes so fast, who knows how much at this time.

The patient's state is poor and inevitably impervious. Therefore, the amount of anesthetic must be accurately calculated and changed in time.

All kinds of accidents that may occur during the operation, one after another in Dr. Li's brain.

Starting anesthesia, the first level is how to intervene.

Regular intubation, due to the leakage point of the trachea, it is likely that the gas ran to the stomach. As a result, Dr. Li plans to be soberly intubated after numbness. Such operations also avoid severe hypotension that patients are resistant to hemp drugs.

In order to alleviate the patient's tension, Dr. Li was preparing to make a numbness, pretending to chat with the patient, and asked some questions that seemed unrelated.

It is irrelevant, but the profession of anesthesiologists determines that some important information must be tapped inadvertently, especially information about safe or disease causes.

When asked about what habits he usually had a diet, the surgeon spoke: His family opened a sauce factory, and he ate pickled products all year round. It can be said that after eating for a lifetime, his father is also the disease!

Although there is no specific cause of the tumor at present, the industry consensus has listed pickled products as an important suspect. Many studies have also given competing results.

Dr. Li said nothing, but complained about him: Why is that good? It's over now!

Although the surface anesthetic agent was sprayed, the cough was very bad when the intubation was inserted. After all, a dual tube that is thicker than the single tube is inserted. Only when you insert a bilateral tube can you ensure that the tube is inserted deeper.

After seeing the tube crossing the fistula on the tracheal wall under the fibrous mirror, the assistant next to him quickly pushed the general anesthetic drugs.

However, there are infected lungs, and the trachea becomes very sensitive. After this stimulus, the nagging tract contracted extensively, and there was a silent lungs. If it wasn't for the fibrous pipes to see the catheter entering the trachea, the resistance would really make people feel wrong.

Fasting spasm, relieved after a few minutes, blood oxygen gradually picked up. However, after this toss, the heart rate is faster, the arrhythmia is uneven, and the blood pressure has become relatively low. Emergency checked blood gas, and various indicators are also messy.

If you can only predict difficulties before the intubation, it is the stage of injury after the intubation. Just pulling the patient's indicators to the normal value, it took a lot of effort.

Due to the high position of the esophageal lesion, this surgery took four hours to complete. Four hours, every minute is affecting Dr. Li's heart.

It wasn't until the surgery began to sew, and Dr. Li saw the dawn of victory. However, he can't loosen yet. Once relaxed, there may be problems. After so many years of anesthesia, he knew the risk of anesthesia awakening. This risk is as dangerous as the landing of ordinary planes.

Due to the tracheal repair during the operation, the bipolar tube needs to be pulled out with a single tube. As for the single tube, stay in the intensive care unit and then pull it out.

Under the surveillance of the fibrous mirror, the two -cavity tube retreats little by little. Everyone was very nervous when the fistula was retreated. Because once there is a problem at this time, the risk may be greater than before.

Fortunately, no accident happened. After that, the single tube was changed.

After confirming that the patient had changed from deep anesthesia to deep sedation, everyone sent the patient to the intensive care unit.

As for how patients can recover in the future, or whether everyone can expect "in case", no one dares to say. However, this time everyone did try their best.

I would like to remind everyone: Be sure to say "no" to the pickled products, don't eat it frequently, be a food.[Reminder] Pay attention, there are a large number of professional science sciences here to reveal those things about surgical anesthesia ~

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