I thought it was semi -numb, but during the operation, she suddenly had a black blindfold and stopped breathing.
Author:Anesthesia Medical Group Time:2022.07.31
Ms. Tian, 41, found a thing on the kidneys in a medical examination not long ago. After consultation with the doctor, it was benign, but it was also suggested that she surgical resection as soon as possible. So she was hospitalized after finding it.
During the operation before the operation, she didn't inquire about everything about the operation. Even what anesthesia should be studied, she studied.
Seeing the anesthesia accident seemed to be more a numb, she asked the doctor to give her a semi -numbness. She believes that consciousness is sober in the semi -hemp, so she can control something.
In medical, there is no saying of semi -Ma Ma. Semi -hemp is actually relative to full hemp. Extractional anesthesia, lumbar anesthesia, and lumbar hard combined anesthesia, these anesthesia generally produces the effect of lower body anesthesia. Therefore, everyone is considered semi -hemp.
Although most surgery is currently choosing a general anesthesia, in theory, this operation can be selected. As a result, the Department of Anesthesiology did not reject her request.
On the day of the operation, Ms. Tian was extremely nervous. Especially the anesthesia process, she would hiding reflected without waiting for the needle on the skin.
She hid like this, which obviously had a serious impact on the safety of anesthesia. In the event of a mess during the puncture, the puncture needle is likely to hurt the nerves by mistake.
Under the anesthesia doctor, she finally held back and finished the anesthesia.
After 5 minutes of hemp medicine injected into the experimental bureau, there was no signs of full -spine. As a result, the anesthesiologist injected the full anesthesia. After the evaluation surface T5 to L3, the right -handed operation position is placed.
For kidney surgery, a device of a waist bridge needs to be used. This device is better than the side waist on the side of the side, so that the position of the surgical side waist is better to facilitate surgical operations.
However, when the waist bridge was on the waist, Ms. Tian immediately felt difficult to breathe. However, after several rounds of medical staff, she did not dare to express their opinions. She was thinking, maybe this is the request for surgery. It is so comfortable to do surgery, forbearance.
After 20 minutes of the operation, she once again explained to the anesthesiologist that her breathing was uncomfortable. After the anesthesia doctor checks a lap, important indicators such as blood pressure, blood oxygen, and heart rate are okay. Considering that she might be too nervous, opened a sedative medicine for her.
However, just 5 minutes later, Ms. Tian was crooked, and she could no longer wake up. At this point, look at her lips and purple. In the side of the side position, the breathing state is not easy to observe. It can only be seen that blood oxygen is visible to the naked eye. At the same time, the rising heart rate, the anesthesiologist judged that severe respiratory suppression may occur. So, quickly let the doctor on the stage protect the surgical incision, and everyone quickly flattened her.
After flattening, immediately press the mask to give oxygen, pyrographic drugs, and quickly replenish.
When the patient's heart was not stopped and the ventilation state was good, everyone's tight heart was relieved. They know that this situation is hard to fall anesthesia doctors.
In just one or two minutes, Ms. Tian's lips returned to rosy. On the monitor, the blood oxygen also returned to 99%.
After more than ten minutes of toss, the sedative medicine is almost metabolized. Ms. Tian's autonomous breathing can meet the breathing requirements. As a result, everyone fixed Ms. Tian again on the side and continued surgery. The difference is that this time I did not make the waist bridge so high.
Although the vision is not as clear as before, the surgery at this moment dare not ask anything. After all, just happened. Moreover, in an emergency analysis, the anesthesiology department also unanimously pointed the spear head to the waist bridge too high.
It is precisely because the waist bridge is too high that some breathing suppression due to spinal anesthesia has increased. However, the Department of Anesthesiology did not completely throw responsibility to surgery, thinking that sedatives should not be used when the patient's irritability. At that time, I thought the patient was too nervous. Because this patient was very nervous from surgery or even before surgery, inertia thought that she was caused by nervousness.
After this incident, surgery, anesthesiology, and nursing teams conducted an in -depth discussion. The main purpose is to avoid similar situations in the future.
Here, I also have to say to my friends who perform surgery: inevitably nervous when performing surgery, but also learn to control. It has always been very nervous and easy to mislead the doctor's judgment. In addition, assuming that the body is very uncomfortable, don't be polite or dare not say. When there is a situation, the medical staff will not blame you.
[Reminder] Pay attention, there are a large number of professional medical sciences here to reveal those things about surgical anesthesia ~
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