Late at night, the ambulance sped into the hospital gate. Soon, the injured were taken to the emergency department.
At this time, all the relevant departments of the hospital are in place. Because, just learned from 120: the injured person may be very badly injured and may need surgery.
It may involve surgery, and it is natural that anesthesia is indispensable.
The anesthesia department, which received the news in advance, also sent Dr. Li on duty down to check the situation. After all, this kind of rescue, one more person will have more strength. In addition, if surgery is involved, it is also necessary to know the injury in advance.
When they saw the injured, everyone was shocked: the injured person had a steel pipe inserted in his back!
Looking at the section, it seems to be truncated. As for how it hurt, I heard that it was a car accident that pulled the iron pipe.
Hearing this, everyone suddenly felt that the old man's words of "poor do not pull the pipe, hungry do not pull the roll" is so reasonable. This means that no matter how short of money a cart driver is, he should not transport iron pipes or rolls of goods.
After some of the necessary examinations are perfected, the injured person is immediately taken to the operating room.
When we get to the operating room, the first problem arises: the patient cannot lie flat, how to get the anesthesia?
The surgeon, who had already prepared himself, also looked at Dr. Li with doubts at this time.
After determining that the patient could not lie flat, Dr. Li barely paused. Just when everyone was still questioning how to apply general anesthesia in the lateral lying position, Dr. Li had completed the endotracheal intubation with the assistance of visual intubation equipment.
With this life-guaranteeing tracheal catheter, everyone's hanging hearts were released.
However, a big problem in the operation came: the patient's breathing movements, which prevented the doctor from suturing the ruptured diaphragm. That is, breathing must be stopped before the surgeon can perform the suture.
The surgeon tentatively asked: Can you stop the ventilator?
How long do I need to stop? Dr. Lee of the Anesthesiology Department asked.
It may take 3 to 5 minutes.
How long does it take? Can it be done in 3 minutes?
We fight in 3 minutes. No, stop in the middle.
After some "negotiations", the operation continued on the pinch table.
Prior to this, in order to ensure that the patient did not lack oxygen and did not accumulate carbon dioxide, Dr. Li checked the blood gas once.
During the operation, Dr. Li kept a close eye on the data on the monitor.
At this point, due to apnea, all kinds of data have to be re-identified: if there is hypoxia, pulse oxygen may drop, heart rate and/or blood pressure will rise; as for the end-expiratory carbon dioxide, it has already crackled because of the shutdown control and suffocation alarm.
Feeling fine, Dr. Li took the time to see how the surgery was progressing. When the surgeon lifts the needle, he quietly delivers a little oxygen to the patient.
When the surgeon had fully processed the critical steps, Dr. Li was asked to quickly resume breathing.
At that time, they were still thinking: people can not breathe for so long!
In fact, this is Dr. Li quietly making all the preparations: after learning that it may take a long time to stop breathing, he manually controls breathing in advance, just to further improve the patient's oxygen reserves. In addition, several quiet oxygen transfusions during the operation also played a very big role.
When he saw that he was not hurried and did not slowly use his hands to restore the patient's breathing, the surgeon said impatiently: Hurry up!
Dr. Lee said: You can't be in a hurry. During this period, although the blood oxygen did not fall, it could not be ruled out that there was a accumulation of carbon dioxide. Once carbon dioxide is quickly excreted, it may cause spasms in the heart or cerebral blood vessels. In that case, it is likely to increase cardiovascular and cerebrovascular accidents.
After a few minutes, the data on the monitor was back to normal. In order to ensure the normality of the patient's internal environment, Dr. Li reviewed the patient's blood gas again.
Half an hour later, the operation was completed and the patient woke up.
The first sentence after waking up: Am I still alive?
Talking and talking, involuntarily crying. Seeing the situation, everyone quickly comforted him: you can't cry, affecting the healing of the knife edge.
In fact, crying or not crying has nothing to do with the healing of the knife edge. Such a well-intentioned deception only quieted him down. The emotional agitation at this time may disturb Dr. Li's vital signs on the observation monitor.
At the door of the operating room, the patient's family thanked Dade for the life-saving grace of the surgeon, while the anesthesiology department continued on the road to meet the next challenge.
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