A cervical spine surgery, the fate of multiple people is changed
Author:Anesthesia Medical Group Time:2022.07.05
The 75 -year -old Pharaoh had a car accident not long ago. In the car accident, although his life was kept, he had multiple fractures and had to have multiple fracture surgery. Among them, the most dangerous surgery is cervical spine surgery.
During the previous visit, Dr. Li, who was responsible for the safety of the anesthesiologist in the surgery, learned in detail the medical records and the health of the elderly.
It was found that the fracture factors of the elderly caused severe disturbances in the body. If it is delayed in bed, it may be even more disorder and greater risk. Therefore, he did not recommend delaying the operation.
The operation was performed as scheduled. During the operation, everyone properly protected this fragile cervical spine and this fragile life.
The main knife is an expert invited to do this difficult operation.
After the doctor paved the surgical scarf, the experts came in with the two hands that finished brushing.
After "唰唰唰", I started surgery after wearing clothes.
Sure enough, it is an expert, short time, which makes Dr. Li very satisfied. In my heart, I secretly liked the experts.
After the main part was over, the suture incision was handed over to the doctor.
After stepped down, the experts asked the experts to go out to drink tea leisurely. When the surgery is over, they will fly away.
This team, but it was not disappointed. It was over half an hour, and the patient was awake.
Try your hands and feet, and the experts hurried to the next "field".
After the operation, it was okay after returning to the ward. However, the elderly suddenly had shortness of breath at night, and the blood pressure increased, and then the breathing heartbeat was completely absent.
Although he was rescued, the old man still left.
Family members of the medicine, put away the medical records.
It was pointed out at the time that the hospital was not strictly implemented in accordance with the first -level care. In accordance with the requirements, the nurse should inspect patients every hour, observe changes in the condition, and measure the signs of life.
Regarding this, although the nursing nurse Xiaoli was not idle, she could remember whether it was so accurate. She only remembers that the ward after reading the ward, not stopped overnight.
Dr. Li, the Department of Anesthesiology, has nothing to do: the pre -surgery visits have not fallen; the patient during the operation is also very stable; the patient after surgery also wakes up. Seeing that the patient woke up, the family also had nothing to do with the anesthesiology department by default.
Assuming that family members are looking for professional people to pick problems, it is difficult to pick them out. During the operation, it is not necessary to say respiratory circulation control. The problem -oriented problem that is most worried about is that the anesthesiology department directly uses the light rod to guide the intubation, which has no effect on the angle of the cervical spine.
After something happened, the spirit of the doctor in charge of the doctor collapsed a bit: the person responsible for the master was a foreign hospital, and everyone asked him if he had any questions. In those days, he had been living in the hospital.
The hospital was not obviously faulty, but the families of the doctor must explain some of them.
The punishment for the supervisor is to deduct three months of performance; the punishment of the responsible nurse was transferred to the original post ...
After that, the supervisor was more careful. But Xiaoli chose to resign. In her opinion, her care is not enough to be the main reason for the accident.
After identification, postoperative bleeding compression of the trachea is the main cause. The problem of breathing frequency, rhythm, and depth of observation every hour may not be found in time.
Cervical hematoma after surgery generally develops rapidly. However, in the process of development, patients may not show the problem of poor ventilation as soon as possible. The rising heart rate and irritability are likely to be considered pain or uncomfortable.
Therefore, when the guardians are relatively normal, it is really difficult for the nurse to find that the problem is really strong.
The most reliable method is to check the neck and knife mouth every hour. If hematoma occurs, the neck will inevitably become swollen, and blood seeping will be exuded.
Clinically, the most common situation is that the gauze covered with the knife mouth of the neck is red. In this case, we must pay great attention. Anyone found that they should call a doctor quickly as soon as possible.
However, a doctor manages dozens of patients, and it is difficult to check every hour. Moreover, neck bleeding may take shorter time.
Xiaoli, who was transferred to the post, was discouraged, thinking of her accounting certificate, so she went to a company to apply for a vacation. As a result, the company was short of people.
In this way, Xiaoli completely left the medical industry. In terms of salary, it has doubled, and no longer need to be on duty, and there are no various responsibilities that may occur at any time.
Everyone may say that she is a deserter, but how many people are insisting?
[Reminder] Pay attention, there are a large number of professional science sciences here to reveal those things about surgical anesthesia ~
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