Do you know that anesthesia can sit and fight?

At 7:50 in the morning, the anesthesiologist in the office of the Jiangnan West operating room was in the class.

"Deputy Chief Physician Liu Xiangyu, the patient's knee mirror patients in the last sports medical department of the 2nd today, 106kg. There was a history of gout, with a history of pharyngitis, bronchitis, rhinitis, and cholecystitis; in 2010 History of medical history, existing right lower rib neurological pain, suspected of repeated shingles; both lower limbs are slightly edema; a history of acute policic felmitis, cure after acupuncture therapy; two subcutaneous lipoma at 5 waist. Can try waist tatto. "

Dr. Li Jing reported to his superiors of his superiors Liu Xiangyu today.

Deputy Director Liu Xiangyu said: "Patients are obese, the chance of success in a single lumbar numbness is small.

Today they are going to face a patient with a severe obesity.

Patient male, weighing 106kg and 167cm tall. The BMI value of the weight index is as high as 38, which is a severe obesity. At 14:40 in the afternoon, enter the operating room to prepare anesthesia. Because the patient's belly is too large, there is no way to put on a relatively standard side lying position. Therefore, after fully communicating with the patient, Dr. Li Jing chose the anesthesia puncture position of the sitting position to implement the patient's spinal canal in the patient's spinal canal anaesthetization.

After receiving the patients with conventional guardianship, the position of the patient was put in position, instructed the nurse to protect the patient safely, and then washed his hands and disinfected to prepare for puncture.

Due to the severe obesity of the patient, the probability of successful pests in the waist tweet is small. After the epidoir of the hard membrane enters the skin 7cm, it reaches the outer gap of the duct, and places the lumbar needle. It can be seen that the smooth device is flowing back, and there is no blood.

The anesthesia in the spinal canal was successful. After setting up the position of the surgery, the surgery began. A small amount of intravenous drugs were given during surgery, so that patients were sleeping steadily, and the surgical coordination was high. Patients with stable blood pressure during the operation and smooth surgery. 16:00 Back to the ward safely.

"Both modern anesthesia and clinical anesthesia textbooks say that the puncture position of spinal anesthesia has a side lying and sitting position. The former is commonly used. There are difficult patients with difficulty lying, and I will choose to help them sit and anesthetize. "

Author: Li Jing's Third Hospital Affiliated to Guangzhou University of Traditional Chinese Medicine

[Reminder] Pay attention, there are a large number of professional medical sciences here to reveal those things about surgical anesthesia ~

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