Uncle Zhang, 70 years old, due to perennial stomach pain, had to go to the hospital for a comprehensive examination. In order to better understand the condition, the doctor decided to perform a gastroscopy for him. However, because of his perennial smoking, he was struggling to catch his breath. A chest x-ray was examined to consider severe chronic bronchitis with emphysema and large alveoli.
Such lungs are really worrying. To this end, they asked the anesthesiologist to help and see if the anesthesiologist could help. On the one hand, they want to find a safer and more professional anesthesiology department to escort them; on the other hand, due to Uncle Zhang's severe chronic pharyngitis, it is almost impossible to do a normal gastroscope, and can only consider doing painless gastroscopy.
After Dr. Liu from the anesthesiology department came, he was also very worried. After all, such a lung, whether it is a small operation or examination, is risky, not to mention general anesthesia!
Speaking of which, let's first explain the painless gastroscope. So painless, that is, under anesthesia. To be precise, it is in the state of general anesthesia. However, there are very few anesthetics that are usually administered. The patient can still retain spontaneous breathing, but consciousness is lost.
Some people will ask, sometimes the doctor will cut the polyps, does it not hurt?
It doesn't hurt. The human digestive system is sensitive to traction or chemical stimuli, but is insensitive to operations such as cutting.
Therefore, it is only necessary to knock out the patient's consciousness.
However, even the smallest general anesthesia is also general anesthesia. Respiratory depression, reflux aspiration, anesthetic allergy, circulatory inhibition, cardiovascular and cerebrovascular accidents, and delayed awakening are also at risk.
In addition, from the perspective of anesthesia profession, this degree of anesthesia that still retains most of the patient's reflexes, and adverse reflexes such as cardiovascular diseases are more dangerous.
After weighing it up, Dr. Liu of the Department of Anesthesiology suggested trying to do gastroscopy under sober surface anesthesia first. If intolerable, go directly to the upper venous general anesthesia.
Although both Uncle Zhang and the gastroscopy doctor were reluctant, the risk warnings of the anesthesiology department could not be ignored. Therefore, you can only follow Dr. Liu's advice.
When doing the gastroscopy, the nurse also made the drip early according to Dr. Liu's requirements in case of general anesthesia.
When the mirror was just put into Uncle Zhang's mouth, he began to vomit. At the same time, it also induced him to cough violently.
At that time, I didn't know whether it was something in the stomach or something in the trachea, but I spit it out a lot.
In this case, the gastroscopy in the awake state is definitely not done. Therefore, everyone looked at Dr. Liu.
Although he had explained the risk to Uncle Zhang before, because he was worried that he was too nervous, Dr. Liu only briefly talked about the risk. At this time, when it was time to actually implement general anesthesia, Dr. Liu also seriously explained the relevant risks in detail.
In particular, Uncle Zhang's serious respiratory diseases do not rule out the possibility of serious accidents during surgery, or complications such as delayed awakening.
The children who have been worried about Uncle Zhang's body also firmly stated at this time: all the consequences are borne by themselves and have nothing to do with the hospital.
With such a resolute attitude from his family, combined with Uncle Zhang's physical condition, it does not mean that there will be improvement after adjustment, and Dr. Liu decided to work hard for him.
The gastroscopic process, although worrying, is not a big problem.
When he woke up, Uncle Zhang could not fully wake up for a long time. As long as he doesn't shoot him, he will continue to sleep.
Since there were still many gastroscopes waiting to be done, everyone moved him to the waking room and slowly woke up.
However, just as everyone was doing the next gastroscope, the nurse ran in and said: Uncle Zhang, who has just finished, is not ready.
Hearing the news, everyone quickly ran to the awakening room.
On the monitor, the blood oxygen is only a dozen percent that is looming. Electrocardiogram, half a day drifting through a waveform. Looking at the value, it will never exceed 20 times per point.
Some doctors say, hurry up and hit Atropine to mention the heart rate.
Dr. Liu directly stopped saying that it was useless to hit atropine, and direct chest compressions.
Although everyone was reluctant to press, they had to listen to this more professional opinion.
Some people will ask, why are you not willing to press it?
This is because the current doctor-patient relationship is very sensitive and everyone is very cautious. Imagine if you just come to do a gastroscope and you get chest compressions. Anyone who reads it may have an idea.
A few minutes later, Uncle Zhang let out a long breath of "burp". Immediately after that, he opened his eyes.
Seeing that the data on the monitor was greatly restored, everyone also stopped chest compressions.
After that, Uncle Zhang was stayed in the hospital for observation.
After settling Uncle Zhang in, someone asked Dr. Liu: Why not give Atropine a heart rate?
Dr. Liu said: "There was already a cardiac arrest at that time, and it was useless for you to give atropine. Because, his blood flow had stopped.
Everyone said a little confusedly: At that time, the ecG on the monitor did not form a straight line?
Hearing everyone ask this, Dr. Liu sighed and said: It does not mean that the heart must not be completely unmoved to be called cardiac arrest. As long as the heart loses the ability to pump blood, it can be considered to have had a cardiac arrest. At this point, the only effective way is to press chest pumps as quickly as possible!
Hearing this, everyone nodded their heads, indicating that they had learned again.
【Warm tips】Point to pay attention, here is a lot of professional medical science, for you to decipher those things about surgical anesthesia ~