A anesthesiological operation lost more than one million, and the illegal operation made the doctors and patients cry
Author:Anesthesia Medical Group Time:2022.09.02
In 2019, Ms. Yang was hospitalized for hernia in the groin. Because there were no major problems before surgery, the hospital decided to perform surgery for it.
However, she was lying on the operating table and never dreamed: Since then, she will not be able to walk.
Before surgery, surgery decided to take abdominal hernia repair surgery, so the anesthesia method was determined as an extra -hardening anesthesia. However, it was the "semi -hemp" that was well known by the Chinese people to pay a painful price.
When implementing extracted anesthesia, I waited for more than 20 minutes. As a result, the anesthesiologist decided to change the extra anesthesia of the hard membrane to the waist hard anesthesia.
Compared with external anesthesia, the waist hard combined anesthesia increases the steps of the sub -absorbent pest injury injection.
The problem lies in this increased anesthesia operation: anesthesia doctors are also kind. In order to reduce the pain of patients' anesthesia puncture, they decided to puncture on the original puncture point. But what he was negligible was that the point he had punctured was 1 ~ 2.
For a long time, various materials have said that adult spinal cord cone will rise to the lower edge of the waist 1 vertebral body. However, some people have not risen, and stay in the waist 2 vertebral body, or even lower positions. In this way, the waist 2 ~ 3 of normal puncture may be dangerous.
Looking at this colleague, he dared to puncture the subaraidial cavity in the waist 1 ~ 2.
In addition to sympathy and surprise, we can't help echoing in our ears: come out and mix in the morning and evening. This is not the problem of wet and wet shoes. Careful anesthesia doctors even allow themselves to puncture themselves on the waist 3 ~ 4. Because as long as they are positioned, there is a possibility of segment error. Maybe you think the waist 2 ~ 3 is exactly 1 ~ 2!
Unfortunately, Ms. Yang's spinal cord structure belongs to that small part of the special person. Later judicial appraisal results showed that Ms. Yang's lower limbs had dysfunction. In other words, puncture is not cone, but a higher position.
Seeing this, some colleagues will say that the spinal canal puncture is blindly worn, and no one can position it so accurate. Is it necessary to pay if there is a problem?
It can't be said that the judicial appraisal opinions at the time were still objective.
The first item pointed out that "When the intra -diaphragm block is invalid, the waist is changed to the lumbar and united block, the medical party fails to reset the puncture gap according to the regulatory specification of the lumbar numbness, and the puncture plane is too high. The left lower limbs exist, indicating that the puncture may cause nerve damage. "
Although there are not many words, the amount of information is very large: pointing out the problem of puncture points; pointing out the problem of being susceptible to continuing operation.
The biggest problem here is that even if the puncture point is wrong, it may be different if the drug is not injected.
Insert a sentence: Expert consensus suggests that you can change anesthesia if you are susceptible. Although it is right, it is difficult to implement clinical implementation. Every family has a difficult scripture. Friends who agree, you can like to forward support.
The second item pointed out "the clinical manifestations of the main complaint on the day after the operation and the signs of the physical examination conform to the corresponding section of spinal cord injury caused by the dysfunction of the lower limb. Early diagnosis and treatment ".
The key information here is whether it is timely. At the same time, I also remind everyone that postoperative visits must be completed within the specified time and high quality, and postoperative visits are important.
If the situation is discovered in time and dealt with in time, dare not say that it can reverse the ending, and the benefits should be there.
The ending of the incident has compensated more than one million for the medical party. However, there are too many problems that need to be thought about: this still uses anesthesia method, most hospitals are still blindly worn, who can guarantee that there is no more problem? Do you have to use money to solve it?
If medical care is trading, such compensation is understandable. However, it is not actually: the hospital is not a merchant, and medical care is not a hawker.
Let's take a look at the performance of the affected party: Ms. Yang did not listen to the dissuasion of the relevant departments, and she took the case to take improper means to shit in multiple offices in the hospital and refused to transfer to the hospital. She has been in the hospital since 2020. There are three seized wards. In addition, the medical staff at any time, anywhere.
It is true that the affected side seems to be the disadvantaged group in people's mouths. But is the medical staff a strong group? Take off the white coat.
This reason is temporarily unclear. What sounds the alarm again is that it must be compliant and standardized! Find problems and solve it in time. Can't make all kinds of fear because of the current atmosphere.
Finally, I hope that colleagues will pay attention to safety, and everyone is safe and complete.
For patients, if there is a problem, we must take a regular way, and must not have all kinds of troubles and affect normal medical order. Which doctor and nurses are not harmful.
[Reminder] Pay attention, there are a large number of professional medical sciences here to reveal those things about surgical anesthesia ~
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