During the operation, she felt that her legs were raised high, which was too uncomfortable
Author:Anesthesia Medical Group Time:2022.08.25
On Monday, a fallopian tube cyst removal surgery was underway.
Since the patient had two previous operations, it is expected that the abdominal pelvic adhesion is a mess, so he chose to open the abdomen detection surgery.
The concept of adhesion is the two organizations that were originally adjacent to organs. The adhesion is severe, and each organ is tightly wrapped together, which is unclear or easy to separate.
To this end, everyone has long -term surgery preparation.
In terms of anesthesia, I was worried that the waist tattoos did not have enough time, so I hit a lumbar hard combination anesthesia. In this way, there will be no problems even if the operation is done for five or six hours.
In order to maximize the effect of anesthesia, Dr. Li, responsible for anesthesia, injected the maximum amount of lumbar anesthetic in her spinal canal.
After the patient lay down, he began to disinfect towels and surgery.
However, as soon as the belly skin was opened, the patient was very irritable.
Seeing this situation, Dr. Li immediately asked her alert: What's wrong? Does it hurt?
Due to regional anesthesia, in addition to the safety of patients, the most worried about anesthesia doctors is the effect of anesthesia. After all, many factors such as dissection mutation, misjudgment, and whether the anesthetic are appropriate will affect the ultimate effect of this anesthesia.
However, the patient did not answer him directly. The twisted expression and the twisting body show that she is very painful at this moment.
The doctor on the stage also felt wrong and immediately stopped operation.
The operation on the stage stopped, but she was still so painful. This expression made Dr. Li feel that it might not be pain.
Finally, after repeated questioning, she said that she was not stomachache, but her legs were uncomfortable. Ask her how uncomfortable, she said that her legs were raised high and let everyone help her put her legs down.
However, how could her legs be tilted. Everyone assured her that her legs were lying flat on the operating table.
Seeing that everyone insisted that the legs were lying flat, she no longer insisted, and twisted her expression there.
Modern anesthesia not only emphasizes painlessness and safety, but also is also an important part of comfort. Of course, Dr. Li couldn't sit at the sight: it was no problem to confirm the analgesic effect. After a sedative, she fell asleep soon.
When I heard her snoring, the doctor on the stage asked: There is very little about this, what is going on?
Dr. Li explained that this is the manifestation of the disappearance of the patient's body.
The body feels? The doctor on the stage asked puzzledly.
Dr. Li explained that the body feels that the feeling of sports organs such as muscles, tendons, and joints itself (for example, a person can perceive the position of the body's parts when closed eyes). Due to the deeper position, it is also known as deep feeling.
In addition, in the body sensation pathway, the fine touch of the skin is also transmitted (such as identifying two points and the thickness of the texture of the object, etc.).
No wonder she said where she is not allowed to be! The doctor on the stage whispered.
Immediately afterwards, the doctor on the stage asked: Under what circumstances can the body feel disappear?
Dr. Li explained: During the spinal anesthesia, the order of obstruction from shallow to deep nerve is blood vessels to reduce nerve fibers, disappear, disappearance of pain, disappearance of tactile sensation, paralysis of exercise, disappearing pressure, and disappearance of the body.
Usually, Dr. Li itself is very real person.
At this moment, he said embarrassedly: This time the anesthesia was deep. Don't you say that the adhesion is not easy to do, so the anesthetic is enough. In addition, the turning process is a bit slow, resulting in the anesthesia concentrated on one side of the lower limbs, which has disappeared with a leg body.
Then he said: In fact, you only need to "disappear". However, this level is really difficult to grasp. Although some medicines can "feel the separation of exercise" now, it is only theoretical. In reality, it is not necessarily controlled.
Listening to Dr. Li's explanation, the doctor on the stage knew that he was serious and could not answer anymore, and the operation continued.
Looking back, it is really worth thinking about precisely the depth of anesthesia. After all, anesthesia methods or anesthesias may be double -edged swords, which may be too late.
[Reminder] Pay attention, there are a large number of professional science sciences here to reveal those things about surgical anesthesia ~
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