After two anesthesia operations, Xiao Li was ready to go back to the office to deal with the patient's anesthesia costs and other issues.
Just as I was about to leave the operating room door, I was stopped by the nurse and said: The ophthalmologist needs emergency.
Xiao Li, who was confused for a while, wondered: What can Ophthalmology do? Isn't it just a pterygium excision? No need for general anesthesia!
Although he did not understand the situation, he followed the nurse into the operating room.
When he got to the operating room, he subconsciously looked at the data on the monitor. The act of looking at the monitor became the behavioral memory of almost all anesthesiologists. Xiao Li is no exception, looking young, but the anesthesia technique is not ambiguous at all.
Although he has been in the battlefield for a long time, he is still calmed by the blood pressure in front of him: the high pressure is 180, and the low pressure has also exceeded 100. This kind of blood pressure can theoretically occur at any time cardiovascular and cerebrovascular accidents. So he immediately went to battle: eagerly inquiring about the operation and the patient's situation.
After understanding, he quickly figured out the situation: the patient himself had high blood pressure, and his blood pressure was measured 160 in the morning. The ophthalmologist thought it was no big deal, so he asked her to take a tablet of antihypertensive medicine urgently. Who knows, the operation has just begun and the patient suddenly shouts can't stand it. Therefore, the anesthesiology department was asked to rush to the rescue.
Hearing this, Xiao Li scolded in his heart: "Yes, let you not listen to the advice of our anesthesiology department usually." But then think about it, the patient is innocent. So, immediately asked the ophthalmologist to stop, he began to deal with it.
The matter was urgent, and he first injected the patient with a little short-acting antihypertensive drug to control blood pressure below the safety line.
As the ophthalmologist tried the operation again, the patient's over-nervous mood ignited blood pressure again. Blood pressure, which has been controlled at more than 140, has risen again to 170. This situation means that it should be difficult for a simple antihypertensive drug to calm blood pressure. So he talked to ophthalmology about the idea of using a drug that could have a sedative effect.
When the ophthalmologist heard that there was a way, he said straight there: Be well...
At this time, it is obvious that it is difficult to ride the tiger. However, the patient is innocent and most important. Therefore, Xiao Li did not embarrass the ophthalmologist.
After using a little antihypertensive medicine again, Xiao Li found an anesthesia signature form for the patient's family to sign. As long as it is not life-threatening, as long as there is time, the formal procedures still have to go.
When Yumei slowly entered the patient's body, the surging blood pressure was finally tamed.
Xiao Li knew that because the blood pressure was caused by nervousness and sympathetic excitement during the operation, the use of this drug just restrained this blood pressure, so the blood pressure would definitely not be a problem again. So, at the sound of an order, the operation continued.
However, this sedation can also have some problems: because the patient is in "oblivious" sedation, it is impossible to cooperate with the treatment of the key ophthalmology steps in time. For example, when the patient's eyeballs need to be turned to one side, the patient is still asleep there.
Seeing that the soft call did not respond, the ophthalmic assistant patted the patient's face. Who knows, the patient suddenly woke up. Not only did he wake up, he subconsciously made a gesture of looking up.
This action can scare everyone. It is no exaggeration to say that the knife in the master knife's hand almost stuck to the eyeball.
Under the continuous shouting of everyone, the patient lowered his head.
In fact, the patient did not move much from beginning to end. The only action was to lift his head off the pillow after being suddenly woken up. However, this is eye surgery! Therefore, everyone's excessive nervousness is also understandable.
This sudden scene really frightened Xiao Li. According to her understanding of the drug: it is a very good medicine. The patient appears to be asleep, but can be awakened at any time. Moreover, according to patients, when asleep, it is very empty and selfless. However, I did not expect that the patient seemed to be startled when he was suddenly woken up.
This time, Xiao Li has increased his experience again. However, this experience, the cost of the almost is a bit large.
After that, Xiao Li made a serious summary: since the patient can fall asleep with his eyes open, it means that the feeling of emptiness and selflessness is real; in addition, the moment of waking up is still risky, especially for head and face, ophthalmology and other parts of the operation. Be sure to protect yourself before waking up.
Finally, I also nagged you two sentences: if there is serious hypertension or other chronic diseases, you must not rush to do surgery, and you must wait for these chronic diseases to be controlled before going to surgery.
This is not to say that the level of doctors receiving treatment is not high, but the art industry has a specialty. Surgical treatment of surgical diseases is an expert, but the treatment of medical diseases such as blood pressure is still understatement.
Assuming that your blood pressure is unstable, you must not believe that you can go to the operating table by taking two tablets of antihypertensive drugs. If a drug can be stable and effective, it is by no means possible to do it in a few hours. If you want to adjust, find an internist or anesthesiologist, who is a master of regulating blood pressure.
【Warm tips】Point to pay attention, here is a lot of professional medical science, for you to decipher those things about surgical anesthesia ~