In the surgical room, patients in the operating room suddenly increased their blood pressure, and the check even related to the doctor’s medication habits
Author:Anesthesia Medical Group Time:2022.09.05
On Monday, the patrol nurse at the 2nd operating room hurried out, and almost hit the director of the anesthesiology department.
Although the operating room is a highly tense and fast -paced environment, it is never panic. It is obviously abnormal. As a result, the director of the anesthesiology department caught up and asked what happened.
The nurse did not dare to stop and say: Teacher Li in the 2nd surgery wants a lower -voltage and an Ailo. Ailo is a medicine that reduces heart rate and has a certain antihypertensive effect.
When I heard the two medicines on the 2nd, the director of the anesthesiology department felt that the big deal was not good. This shows that patients must have high blood pressure, fast heart rate, or two situations. This situation needs to be dealt with immediately, otherwise there may be danger.
Why is it dangerous to consider the patient? This is because the average heart rate and high blood pressure can be solved with sedative pain. In other words, less than a last resort, the anesthesiology department generally uses less antihypertensive drugs.
In three steps, the director of the Anesthesiology Department came to the surgery room.
At a glance, the monitor was fluttering, and the harsh "Didi" alarm came from the harsh "Didi". Take a closer look, blood pressure 170, heart rate 150.
Looking at the patient, his head was large and his neck was thick. Dr. Li was holding the mask to press the oxygen for him. It is obvious that the patient's thorax is undulating.
Unexpectedly, the director of the anesthesiology department grabbed the mask and gave the oxygen in person. At this time, he found that patients had a combat movement. Look at the remaining medicines on the anesthesia, he knows that he was being induced by anesthesia just now.
Anesthesia induction is the process of interpolation of general anesthesia. In this link, anesthesia doctors injected various drugs in order, so that patients gradually entered a state of no consciousness and no breathing. Once the breathing stops completely and the muscles are completely relaxed, the anesthesiologist will immediately establish an artificial airway for the patient. The process of establishing an artificial airway is the process of inserting ventilation pipe roads such as tracheal duct or laryngeal mask into the patient's airway.
However, why did Dr. Li continue to take care of it?
Looking at the "huge" face under his hand and the exposed wide shoulders, he understood that the patient's physical body and good physique were not enough to pour this "giant". There is also the remaining intravenous anesthesia on the anesthesia table. Director of the Department of Anesthesiology asked Dr. Li to push all the medicines.
At the same time, the patrol nurse who took the medicine also returned. Hurry up: Can you draw it?
no need.
Hearing the director of the Department of Anesthesiology, "No need", the nurse took the medicine to wait for the next doctor's order.
With the entry of sedatives, patients with high blood pressure and fast heart rate have eased.
At this time, the director of the anesthesiology department intends to say: Every patient's condition is different, and it must be used for individual medication.
Dr. Li, who didn't speak, knew that the director was talking about him. Because when he was generally hemp, he was basically two muscle pine, 20 mg of analgesic, and an venous general anesthesia.
In most cases, there is nothing wrong with this medication. However, the person encountered this time was a athlete. Whether it is weight or drug resistance, it is not comparable to ordinary people. The only medicines for the intubation have some effects. Other sedatives and analgesic drugs are coordinated together, and they just fainted him and blurred him. As a result, his body instinct made him start confrontation. As a result, blood pressure and heart rate began to soar.
He said involuntarily: Birds all day, but the birds were pecking. It seems that it will not be used in the future.
Fortunately, there is no accident, do we ask ourselves: Do the medication of the same medicine also happen to us?
[Reminder] Pay attention, there are a large number of professional medical sciences here to reveal those things about surgical anesthesia ~
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