Fat Brother went to the hospital to do gastroscopy and suffocate. Fortunately, the doctor found the cause in time
Author:Anesthesia Medical Group Time:2022.09.06
On Monday morning, long dragons were arranged at the door of the gastric and intestinal room.
Dr. Li, who is responsible for the gastroscopy, ran into the surgery quickly.
After everything was ready, the patient told the patient to "deeply inhale" and began to inject anesthetic.
After more than ten seconds, the patient slowly closed his eyes.
Blasting the eyelashes, no response, the laparoscopic doctor gave the heart and inserted the gastroscopy.
However, as soon as the gastroscopy was inserted, Dr. Li felt wrong: the normal breathing movement became weird. To say weird, it is actually abnormal and violates the routine.
Normally, especially men with large stomachs, the chest and belly will expand simultaneously when they inhale, and their stomachs are drumming out.
At this time, the patient's stomach was obviously recessed when inhaling.
The blood oxygen saturation on the guardians decreased, and Dr. Li pulled up the patient's chin.
However, the weight of more than 200 kilograms was too heavy. Although I almost cut my fingers, I just lifted my chin up a little.
Despite this, the experienced Dr. Li believes that he can relieve airway obstruction.
However, patients still have such breathing abnormal movements.
At this point, blood oxygen began to decline.
Dr. Li, who was anxious, immediately held the jaw with both hands. At the same time, the laparoscopic doctor exited the mirror.
However, it seems that there is still no effect.
But the careful Dr. Li found that the patient's throat came from "squeak". He immediately realized that the patient had laryngeal spasm.
The simple respiratory at hand is a weapon for rescue.
Dr. Li immediately tightened the mask and lifted his jaw hard to help others pinch the ball.
After more than a minute of pressure, when the blood oxygen fell to 50%, it finally controlled the situation.
With the rise of blood oxygen, everyone was relieved.
Comprehensive analysis, gastroscopy stimulation is a incentive; asphyxia caused by obesity itself cannot be ignored; in addition, the patient's throat sensitivity is not ruled out.
The patient who woke up asked blankly: finished?
Everyone comforted him: I haven't done it yet.
He was blank, and he could only include a natal medicine according to Dr. Li's command.
Dr. Li believes that through table numbness, the throat sensitivity can be reduced. Then properly control the anesthesia depth, so as to avoid respiratory tract obstruction and other respiratory tract obstruction after the tongue.
After preparing, the gastroscopy was implemented again.
This time, everyone is actually more nervous. Although there is a series of response measures, no one wants to be so dangerous again.
Fortunately, this time it was done smoothly, everyone was relieved.
After the patient left the surgery room, everyone wanted to hear whether Dr. Li had other opinions. After all, they know that the anesthesiologist's understanding of first aid is different.
Dr. Li said, some words cannot be said. To say too much, it may hurt and be angry.
Everyone listened, there is something in this word. Therefore, I also put down the face. This kind of life -threatening situation, they never want to encounter anymore.
Dr. Li said: When your gastroscopy operates, it stays in the throat for too long. In addition, in the esophagus, it is cheering and water. Or is there both reflux and suffocation?
Hearing this, laparoscopy did not speak anymore.
Fortunately, there was no accident this time, but Dr. Li's analysis may allow laparoscopic doctors to notice these details in the next operation.
[Reminder] Pay attention, there are a large number of professional medical sciences here to reveal those things about surgical anesthesia ~
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