The patient's state during the operation is at stake, and it is related to the operation of the surgeon!
Author:Anesthesia Medical Group Time:2022.08.26
On Friday, a hernia surgery was underway.
Dr. Zhang, who was anesthesia, looked at the guardian with a dignified expression. The surgeon on the operating table seemed to be serious when I saw Dr. Zhang, and did not forget to make a joke to break the atmosphere.
However, a few words of idleness did not let Dr. Zhang look at him.
The doctor on the stage thought: Is a hernia surgery? Besides, the patient's state is not old, weak and disabled. Although this patient, although he is in his 60s, he has planted more than ten acres of land.
That's right, the old man lying on the operating table was really tough. It is said on the Internet who has a low body fat rate, and this old uncle is not inferior. Moreover, the tendon meat can work.
So the question is: The old man is so good, what is the anesthesiologist nervous?
Dr. Zhang saw an unusual problem. He said afterwards: This is the first case he encountered in recent years. The previous example was still a few years ago.
In the operating room, everyone was afraid of anesthesia doctors. If the anesthesia doctor chats with everyone and even watch a mobile phone, everyone will not be surprised. However, if the anesthesia doctor is busy, everyone will be nervous. This is because the main task of anesthesia doctors in the operating room is to be responsible for the safety of patients. Anesthesia doctors are busy, and patients may be in danger.
Dr. Zhang at this time was not busy, and he couldn't be busy. Because he didn't know what the patient happened. In the brain, I am thinking about why.
Although almost everyone avoids thinking about the worst aspects, the professional characteristics of anesthesiologists are the first to list the worst risks.
Dr. Zhang thought: Will it be a malignant high fever? If so, it is too dangerous. This danger may only have a wealth of anesthesia doctors. Unconscious, Dr. Zhang glanced at the old man lying on the operating table. In my heart, I couldn't help worrying about the old man. He knew that if he was really malignant, he did not grasp to save him.
On the operating table, only the assistant noticed everything on the stage. Others are concentrated on laparoscopic hernia repair.
At this time, it was more than 50 exhalation. This value must be alarm. Although his body temperature has been stable at 36 degrees, Dr. Zhang still pressed the mute key again and again, and he dared not easily eliminate malignant high fever. He knows that if you think about the problem simple, it may lead to insufficient rescue preparation later.
What made him nervous calmly was that over time and exhaling the value of the time exceeded 60, the body temperature was still stable.
Some people say, why not deal with the high value at the end of exhalation?
Of course he handled it! Quietly, he has increased fresh gas flow and increased moisture. Even, he had stopped the inhaled anesthetic at the first time that he had discovered the abnormality. One of the benefits of fresh gas with a large flow is to accelerate the discharge of carbon dioxide.
However, although so much has been done, the end of the exhalation can only be temporarily stayed at more than 50. On the surface, he was panicked. However, he can't let others see it. The anesthesiologist was panicked, so he couldn't play.
Although nervous, the amount of knowledge told him: Although the malignant high fever cannot be ruled out, various signs show that this scary situation comes from the operation of the doctor on the operating table. Because at this time, laparoscopic hernia repair is undergoing.
During the repair process, the cover of the hernia area needs to be left, and then put it on it. Without a complete membrane, carbon dioxide full of abdominal cavity may be scattered to loose tissue or other gaps, or even overflowing to the skin.
However, he stretched out his hand under the patient's front chest and found no abnormalities. However, he still can't rest assured.
Finally, after 20 minutes of suffering, he finally touched the "Snow of Snow" under the skin of the patient's chest.
Although the patient's exhalation was still more than 50 at this time, Dr. Zhang's heart was almost excited to "happy flowers." He knew that patients were not malignant high fever. The cause of the problem is that laparoscopy is used to establish carbon dioxide gas in the abdomen.
With a clear direction, Dr. Zhang further adjusted his breathing parameters, and restored the atmosphere he should have in the operating room.
[Reminder] Pay attention, there are a large number of professional science sciences here to reveal those things about surgical anesthesia ~
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Source: Hebei Health, People's Daily Online
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