The patient is full, and the doctor carefully insisted on avoiding a potential risk

Today's duty is really a busy day. In the morning, the three inpatient department anesthesia. In the afternoon, I first made three anesthesia in the outpatient operating room. Then I went to the delivery room for two painless delivery. I just returned to the office to drink saliva, and hearing the rapid operating room door bell.

Opening the operating room door and seeing a young mother holding a six or seven -year -old girl (pseudonym Xiaoli), she hurriedly said that Xiaoli had a cross -injury at school. The outpatient doctor said that the wound was needed. Considering that Xiaoli was young, he could not cooperate with the sewing wound of the subtravity of the bureau.

Immediately asked Xiaoli's basic situation: Xiaoli was seven years old, weighing 22 kg, no history of anesthesia surgery, medicine and food allergies. I ate rice three hours ago and drink milk an hour ago.

When I heard Xiaoli's diet, I immediately realized that because Xiaoli's fasting time was too short. If you adopt systemic anesthesia, the possibility of food by mistake into the lungs is very high. It belongs to a general taboo. The reflection is not inhibited to avoid vomiting and misusure. After comprehensive consideration, it is determined that the lumbar anesthesia (sub -slimper cavity anesthesia) is a better anesthesia choice.

While talking to Xiaoli's mother, she said that she was planned to suture the wound under the anesthesia of the waist. Xiaoli's mother was worried that Xiaoli was nervous and crying in a sober state, and she did not cooperate with sutures.

I patiently explained that before surgery anesthesia, solid foods need to fast for more than 6 to 8 hours, milk needs to fast for more than 6 hours, and drinking drinks and water need to fast for more than 2 hours. As Xiaoli's fasting time is too short, after the general anesthesia induction consciousness disappears, the throat reflection disappears. Once the food is vomiting and reflux, you can mistakenly inhale the trachea and lungs, causing tracheal obstruction and inhaled pneumonia, which will endanger life and safety. Therefore, it is safer to use lumbar numbness and fully meet the requirements of suture surgery.

Later, Xiaoli's mother agreed to formulate the formulation of anesthesia and signed the anesthesia knowledge consent.

After the women's obstetrician entered the operating room, she said that she was the acquaintance of Xiaoli's mother. She was worried that she had back pain and headaches after lumbar numbness. She needed to observe and observe problems. She required systemic anesthesia.

Explain to colleagues the risk of full numbness and vomiting in the stomach, and the consciousness of patients with lumbar numbness, and the throat reflex does not disappear. Even if there is food vomiting during surgery, the possibility of reflux accidental suction is less likely. Headache after lumbar numbness is more common in the large lumbar tingling needle used to use before, which can easily cause leakage of the cerebrospinal fluid, which causes the intracranial pressure to reduce the headache. At present, the pen tip type fine waist tingling needle is used, which causes the probability of headache very small. As for low back pain, especially long -term low back pain, it has nothing to do with waist tattoos. Colleagues immediately expressed the use of high security lumbar numbness.

During the operation, low -concentration of bureau anesthetic (Luo Yaine) successfully performed lumbar numbness operations. The anesthesia effect was good, and the child's life signs were stable. Bi'an was sent to the ward, and there was no anesthesia complications after the postoperative follow -up.

Afterwards, any medical operation should strictly abide by the operation specifications to avoid contraindications of illegal operations. This will not only cause harm to the patient, but also bring unnecessary trouble to themselves.

Author: Ren Xintao

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