A few days ago, an emergency surgery was the target of a case discussion in the anesthesiology department. In fact, there is nothing special about this operation, just a hand trauma. However, the anesthesiology department ultimately refused to administer anesthesia. There is no way, the orthopedic department can only do surgery under local anesthesia. The pain in the operation, the person next to him could not bear to look directly. After that, everyone discussed: how to anesthetize such a patient and such an operation? How can I be safe?
At this time, some people will say: Too inhumane, right?
Making such a decision is indeed a helpless move.
Of course, the benevolent see the benevolent, and the wise see the wise. Let's take a look at the specifics of the event:
The patient was injured in the hand and was admitted to the hospital urgently. Since the wound is open, surgery is required as soon as possible in order to avoid infection. However, the blood pressure of more than 200 and the thick left ventricle are a reminder that this person's high blood pressure is very serious. Rushing to lower blood pressure can lead to serious risks.
The inquiry revealed that the patient's mouth was very heavy. Coupled with the fact that both of his parents had high blood pressure, he developed high blood pressure very early.
From his indifferent attitude, Dr. Li, who was in charge of anesthesia, felt a very headache. No way, Dr. Li turned to the family, hoping that the family would understand.
However, the attitude of his family members made his heart cold at once.
Outside the operating room door, he was accompanied by his brother.
A tattooed brother, a mouthful of a "what do you mean?" ”。 Constantly questioning Dr. Li whether he wanted to shirk responsibility or something like that.
At this time, the family's path is also not feasible. There was no way, he could only hope that the patient would understand.
Turning around, Dr. Li began to communicate with the patient again.
The main content of communication is mainly how to anesthetize and the risks that may arise in anesthesia.
After hearing Dr. Li say that there might be local anesthetic poisoning, diaphragm paralysis, and even the possibility of nerve damage, he "snorted" and stood up.
His height of nearly one meter and nine meters frightened Dr. Li to retreat one after another.
Although Dr. Lee explains that it is only a matter of probability. But he kept asking Dr. Lee to give assurances that he wouldn't show up.
Who would dare to guarantee medical matters?
Dr. Lee immediately reported the situation to the head of the anesthesiology department.
Hearing that patients were difficult to communicate, the director of the anesthesiology department instructed at that time: Let the orthopedic surgeon do the operation on his own local anesthesia!
After that, Dr. Li euphemistically told him: After discussion, local anesthesia was operated on. In this way, there will certainly be no complications such as nerve damage.
Eventually, the surgery began under local anesthesia.
Local anesthesia means that the anesthesiologist does not need to perform anesthesia between the operations, or even do not need supervision.
Despite this, across the operating door, everyone can hear the painful moans such as "pain and pain" constantly coming from inside.
In fact, why don't you feel pain in your heart? The anesthesiology department itself aims to relieve the patient's pain and ensure the safety of the operation. It can be said that the anesthesiology department is the most unsightly for the patient's pain. However, this operation is really no longer possible.
Although the patient's blood pressure is very high, and the change in the structure of the heart also indicates a great risk, the anesthesiology department is fully confident and capable of controlling. Although I dare not say 100%, it is difficult to have major problems under the eyes of an anesthesiologists.
The key is: first, this debridement surgery can be done under local anesthesia; second, the attitude of the patient and the family is prohibitive for the doctor.
It can be said that every treatment is not only a gamble for patients, but also a challenge for doctors. Only by trusting and supporting each other can we dare to challenge and overcome the disease.
【Warm tips】Point to pay attention, here is a lot of professional medical science, for you to decipher those things about surgical anesthesia ~