After connecting the patient to the monitor, adjusting the oxygen, and attaching a bottle of rehydration fluid to the indwelling needle for rescue, the nurse walked away. Only the anesthesiologist was left to operate.
The anesthesiologist needs to give the patient anesthesia. For this kind of surgery, the doctor has specified that it is an anal surgery patient, and the anesthesia method generally does not require the use of general anesthesia. The surgery can be performed without general anesthesia as much as possible. The risk of general anesthesia is high.
, it is expensive, and only these two shortcomings make anesthesiologists and surgeons not like to use it. This is something that ordinary people do not need to worry about.
My supervisor had previously told me to give the patient spinal anesthesia. Spinal anesthesia is a type of spinal anesthesia.
The teacher gave instructions, and the interns followed the teacher's instructions. As an intern, Liu Jingyun was more cautious. Liu Jingyun first checked whether the rescue equipment was in place, such as endotracheal intubation tools, and whether the defibrillator was at hand.
Open the anesthesia puncture bag and make sure everything is ready. Use a syringe to inhale the anesthetic and saline respectively.
When doing these things, Liu Jingyun's mind forgot that her junior sister was beside her, and her mind was filled with steps to follow.
During spinal anesthesia, the patient has to lie on his side. Xie Wanying helped the senior sister adjust the patient's position. Now that she is here, she must help the senior sister.
The patient's head should be bent down, with his hands holding his knees, so that the lumbar intervertebral space is open and his back is flush with the edge of the operating table. This will help the anesthesiologist operate.
However, the patient's aunt did not give anesthesia. She just asked her to lower her head. She complained that she felt uncomfortable, and asked her to hold her knees with both hands. She even said that she could not hold her knees: "My back hurts like crazy!"
After hearing this, anyone who has studied medicine or not will know that something is definitely wrong.
"Senior sister." Xie Wanying called her senior sister.
In fact, Liu Jingyun heard the patient cry out in pain, and her heart suddenly sank to the bottom of the sea.
That Dr. Zhang hates it most when interns call him back.
Liu Jingyun's eight-year program has more internship periods than five-year undergraduate students, so now she can basically operate alone, and the teacher will only come to inspect and supervise.
This kind of simple spinal anesthesia is not even combined spinal and epidural anesthesia, nor is the more complicated epidural anesthesia catheter placement. It only needs to accurately penetrate the two layers of dura mater and arachnoid mater to reach the subarachnoid space and inject anesthetic.
It is a relatively simple spinal anesthesia.
Subarachnoid anesthesia takes effect very quickly, and it is easy for the anesthesiologist to judge the effect of the anesthesia. In the eyes of the teacher, it is not a difficult operation.
Nowadays, there are more and more anesthesia methods, which must be coordinated with more advanced surgical methods. Spinal anesthesia is widely used, which is a threshold for anesthesia medical students, but for working anesthesiologists, especially anesthesiologists in top tertiary hospitals
, it’s called a job that can be done with just one bite of rice.
It is unreasonable to practice in the anesthesiology department of a top tertiary hospital and be unable to perform even spinal anesthesia and simple spinal anesthesia.
After adjusting her mentality, Liu Jingyun turned around, walked to the patient, and asked: "Where does it hurt? Tell me?"
"I can't bend down," said the aunt.
Unable to bend down, lumbar disc herniation?
Modern people have a fast pace of life, and many people have various minor diseases. Lumbar disc herniation is a common disease. If spinal anesthesia cannot be performed in such a situation, then spinal anesthesia has long been eliminated by all anesthesiologists. Therefore, lumbar disc herniation cannot be treated
The key factors that prevent spinal anesthesia.
Spinal anesthesia usually occurs in the second and third waist areas, and lumbar disc herniation is common in the fourth and fifth waist areas. This should not be a major problem.