[Pu Ren Medical · Technology] Precise anesthesia, Perfect Obstruction -Under ultrasound guidance, neural blockage brings the gospel to patients with critical surgery

Du Grando is 77 years old and has "problems", chronic renal failure, hemodialysis treatment for more than 10 years, as well as hypertension, diabetes, and coronary heart disease with pulmonary arteries. Essence During this time, the left toe was urged. Due to the poor control of blood sugar, the left foot was formed, and the left foot was formed.

What anesthesia should I get? It is a challenge for anesthesia. Under the anesthesia department, Director Xia Jianhua, conducting discussion of critical patients, and comprehensive pre -surgery for various results. The patient has chronic renal failure (uremia), diabetes, severe anemia, poor cardiopulmonary function, and long -term oral anticoagulation. medicine. If you choose systemic anesthesia, it is easy to cause sharp fluctuations in blood pressure, and there are many postoperative lung complications. If you choose half -body anesthesia, it is difficult to operate, and there is a risk of paralysis in the spinal hemorrhage to compress the spinal cord. Is it more suitable for Du Grando's anesthesia? After comprehensive analysis, the anesthesia plan was finally determined: the outer peripheral nerve block under the ultrasound guidance! The influence of the outer peripheral nerve block has a small impact on respiratory cycle, and recovers quickly. Through the third "eyes" of anesthesiologist -ultrasound guidance, anesthesia doctors can accurately inject the hemp medicine to the target part, which not only ensures the precise anesthesia effect, but also avoid The risk of nerve injury.

On the day of the surgery, Deputy Director Chen Hong of the Department of Anesthesiology implemented the lower limb nerve block under the ultrasonic guidance for Du Grando, which blocked the femoral nerves, the outer skin nerve, the closing nerves, and the sciatic nerve. After testing, the anesthesia effect was satisfactory. During the entire surgery, Du Grando's life signs were stable and the surgery was smooth. After 1 hour, he successfully completed amputation surgery. There was no obvious discomfort after surgery, and the condition was good.

Ultrasonic guidance under the lower limbs, the anesthesia world is commonly known as "circular numbness". "Circle", which blocks all peripheral nerves around the root of the thighs, including: three in front of the thighs (the femoral nerve, external nerve and closed nerves) and the back of the thighs (the sciatic nerve and the rear skin nerves). The anesthesiology department of our hospital is constantly pioneering and aggressive, and actively carried out ultrasound guidance neural blocking technology, providing precisely optimized anesthesia for patients with crisis, bringing the gospel to patients with crisis.

Writing: Wei Yan

Review: Lu Yi

Edit: Propaganda Division

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