When the doctor was anesthetized, the thigh was suddenly like a shock, wouldn't it be broken?
Author:Anesthesia Medical Group Time:2022.06.29
On Monday morning, the busy and orderly surgery suddenly became crowded.
The nurse who took a hurry to run in the hurry knew that the patient between the No. 2 surgery suddenly refused to continue the anesthesia. She was going to find the director of the anesthesiology department.
Look at the patient's life signs in his room is stable, so he ran into the 2nd surgery to see what's going on.
During the 2nd surgery, Dr. Li, responsible for anesthesia, was advising the patient.
Looking at the patient again, as if he was frightened.
As soon as I asked Dr. Li, I knew that they might encounter nervous root during the puncture. Suddenly I felt that the legs were shocked by electricity. The patient thought it was broken and said nothing. During the talk, the director arrived.
Seeing that some leaders came, the patient had stabilized a lot.
After clarifying the situation, the director explained that it is common to encounter nerve roots in spinal canal anesthesia. Don't make a fuss. If you feel unable to accept this anesthesia, you can give her a full numbness, which is more money.
When the patient must ensure that the legs will not leave sequelae to accept continuing anesthesia, the director agrees without hesitation.
Seeing the patient's anesthesia, the operating room returned to a busy state.
Dr. Li, who has been holding a long day, actually wants to persuade the director not to say so absolutely. In case of sequelae!
The director said: From the description of your just now, this is a simple touch of the nerve root event.
How to judge that it is not spinal cord injury? Dr. Li asked.
The director explained: If it is damaged to the spinal cord, the patient will immediately feel the pain. That kind of pain is very strong, and may be "ah" unconsciously. In severe patients, there may be a sense of sexual consciousness or the feeling of damage below the plane. Some patients may relax paraplegia.
Will that hurt the nerve root and cannot recover?
Because the nerves that control the lower limbs are a nerve clue integrated by multiple groups of nerve root, even if it is damaged to a nerve root, motor disorders generally do not occur. If there is nerve root damage, the lack of feeling is limited to the leather area dominated by 1 to 2 spinal nerves.
How to avoid accidental injuries during puncture?
First, patients must not move. No matter what the situation, you can't move. Only when the patient does not move, the doctor's operation can have a quasi -star.
Secondly, the choice of the puncture point must not be on. What is said here is that if the low waist and high waist areas can be selected as possible. Theoretically, punctures above the waist 2 or higher have the risk of damage to the spinal cord. Once the spinal cord is damaged, the consequences are very serious.
Again, the movement is soft, and you must not be punctured violently, nor can you speed up the operation because you are in a hurry or get off work.
Finally, it is also a focus: Once the patient's waist or leg responds, you must not add medicine blindly. Mistaketing is a damage, and drug injection may be more serious damage.
It is reminded that this operation of anesthesia doctors is generally based on experienced blind exploration operations. Therefore, we must believe in doctors, cooperate with doctors, and understand doctors. No doctor will deliberately go through. If so, the medical community will not accommodate him. Assuming an accident, active cooperation with treatment can also get satisfactory results.
[Reminder] Pay attention, there are a large number of professional science sciences here to reveal those things about surgical anesthesia ~
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