After the doctor's mouth was "offended", he opened the patient's eyes with his hand

On Sunday, Dr. Tang duty. Therefore, the preoperative visits of all surgical patients on Monday fell on him.

With the thick one -do visits, a mood of the upcoming victory came up. Unconsciously, he had already come to a 80 -year -old patient's ward.

Seeing this age, Dr. Tang immediately became alert: so old for surgery, no loss. Especially for the visits, do not leak in your own class.

After reading the medical records, he was a lot easier. Because, don't look at the age of others, and the indicators really can't pick too much problems.

Some people lift the bar and say that ECG shows arrhythmia.

In their 80s, degenerative changes are generally developed. This kind of arrhythmia is actually a form of degeneration.

However, when he came to the patient's bed, he was a bit calm. Because the patient did not notice that he visited before surgery. Until he shouted the name of the old man almost, the old man turned his head, but did not open his eyes.

Although the whole society is advocating to respect the elderly and loves the young, the old man is ignorant, but he has a little thought in his heart. He thought in his heart: No matter what, I will give you a doctor, I can't treat people like this!

After that, the old man seemed to enter a state of sleep again, and he didn't answer his question.

At this time, a young man quickly came out of the bathroom.

Seeing the doctor coming, he hurriedly said: Sorry, the old man's ears can't be, just ask him if you have any words.

Here, Dr. Tang finally figured out that the old man could not hear.

But, can't you help open your eyes?

The family members of the old man seemed to see Dr. Tang's meaning, and hurriedly said: The elderly's eyelids are too loose and open their eyes. Only when he opens his eyes can he barely open a seam.

Hearing such an answer, Dr. Tang was a little worried: How can he wake up? Can't always be a house, right?

But when I thought of not myself anesthesia the next day, I was relieved.

Unexpectedly, the director saw the patient special the next morning and arranged directly from Dr. Tang anesthesia. The reason is that Dr. Tang knows the situation of the elderly.

It is understandable. This is true. The more you know the patient's situation, the more safer anesthesia.

Since the task is given to yourself, you can only go all out.

In order to prevent the old man from waking up after surgery, he upgraded the anesthesia plan to a composite anesthesia, that is, an entire anesthesia of the general anesthesia.

By combining the two anesthesia together, the use of general anesthesia drugs can be significantly reduced, and problems such as slow drug metabolism can be reduced.

More than an hour of surgery passed quickly.

When the surgery began to sew, Dr. Tang stopped the general anesthetic. What he knows is very clear that the extra -hardening anesthesia he has completely blocked the pain completely, and the elderly will not feel pain. Doing this is only for one goal -let the elderly wake up in time.

However, when the surgeon posted a tape, the elderly did not show signs of awakening. The heart rate, the blood pressure, and the expression are so heart -stop.

Dr. Tang, who was anxious, tried to call the old man's name. The call even alarmed the person in the operation next shot. Nurses and anesthesia doctors of the surgery rushed over to ask: What happened.

Obviously, they thought something happened here. This is the case in the operating room. Once there is a situation, they will come immediately to help.

At first glance, the patient was not awake, and a few people went back with confidence.

As the old man kept waking up, Dr. Tang became more anxious.

Knowing that the elderly could not hear, they could only call loudly.

At first glance, half an hour passed.

Dr. Tang, who was a bit anxious, decided to take a look at the old man's eyes.

There is a saying that "the eyes are the windows of the soul." This sentence is also applicable to anesthesia, which can be said to be "pupils are the logo of anesthesia."

For more than a hundred years, at the beginning of modern anesthesia, ether anesthesia used pupils as an important symbol of anesthesia staging. This is because anesthetics can affect the size of the pupil. After using anesthesia, the pupils will become smaller. When anesthesia is particularly deep, the pupils will get closer to the eye. For example: The typical manifestation of morphine poisoning is the pupil -like pupil.

At this time, it was undoubtedly to verify whether the anesthetic was metabolized. If the metabolism of the anesthesia is clean, the wake -up time of the drug factors can be excluded.

Some people say: The drug metabolism is clean, can you not wake up?

There are some such situations, such as brain tissue edema. The edema of the brain tissue will definitely affect the awakening. There are more serious cases, such as cerebral infarction.

The more he thought, the more he was embarrassed. With a sorrowful mood, Dr. Tang said in silence "offensing" and then opened the long eyelids of the old man.

After picking it, he was relieved -both pupils were normal. In order to verify that the pupils of the elderly were abnormal, he observed the pupils of the nurses.

After confirming that the anesthesia had metabolized, he decided to take the old man a little.

Some people say that it will not be cerebral edema or cerebral infarction?

Generally not. If intracranial occurs, most of the pupils will perform. What often appears is that the pupils on both sides are different.

After gently pinching the loose skin on the arm, the old man frowned. The crowd quickly pressed the old man on the operating table.

After confirming that the elderly breathe is normal, look at the parameters on the guardians. Dr. Tang put the throat that was inserted in the old man's mouth.

At this time, he remembered that in order to make the elderly more comfortable, he applied anesthetic on the throat.With the role of anesthetic, of course, the elderly can withstand the throat.Summary afterwards, the plan of composite anesthesia achieves complete analgesics, and the unsightly sensitivity of the elderly in pain such as pain is the main reason.Factors such as poor listening and unable to open eyes are secondary factor.But in this special case, the secondary factor has also become the main factor.

There is a question here: If you are a anesthesiologist, is there any good way?

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

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