At nine o'clock in the evening, an ambulance brought in a trauma patient. Due to the constant bleeding of the wound, emergency surgery is required.
Dr. Liu of the Anesthesiology Department received the news and began to prepare the items and medicines needed for anesthesia.
Everything was ready and the patient came in.
When he lifted the quilt, his heart shook: the patient was almost full of tattoos. Especially with the two upper arms, the color of the skin is almost invisible.
Dr. Liu thought to himself: I guess he is not a good person. It is not surprising that such a person is injured in a fight.
What was given to Dr. Liu here was shocked, and the nurse's side was miserable: after looking for half a day, there was no place for needles.
Some people say that the blood vessels on the feet are stuck.
This procedure requires a recumbent position and no foot prick. The reason is that once the patient unconsciously moves the lower limbs, it is possible to drum needles; in addition, in the emergency department, the lower limb path is too long, and the effect is not good.
Since the blood vessels could not be seen, several nurses took turns to touch the blood vessels. However, because the patient is relatively fat, it is not clear where the blood vessels are.
Somehow, an old nurse found a blood vessel. After a professional evaluation of their nursing care, this blood vessel can only be shot with a fine needle.
Turning back to Dr. Liu: Is fine needles ok?
Emergency surgery, and trauma, Dr. Liu is also worried about what happened during the operation, so he asked everyone to look for it again and strive for a rough injection.
However, after tossing and turning for more than ten minutes, the second blood vessel was not found.
Watching the time pass little by little, Dr. Liu said: Let me come.
A few nurses thought to themselves: Your anesthesia anatomy is indeed powerful, but the superficial veins are too varied, not necessarily more powerful than our nurses, right?
Just when everyone was surprised, Dr. Liu brought a deep vein puncture package.
At this time, everyone reacted: Dr. Liu is going to give the patient a deep vein puncture!
The nurse also wanted to remind him that he did not need to communicate with the surgeon, and Dr. Liu firmly said: Intraoperative safety is my responsibility. If they don't let Za, who is responsible for what happened? They can be responsible!
Nurses want the anesthesiology department to beat deep veins. In this way, there is no need to struggle to find blood vessels.
When the patient was told of the plan for deep vein puncture, the seemingly fierce person was immediately embarrassed: a slightly crying voice asked Dr. Liu to take it lightly.
Obviously, this can't be taken lightly.
After much deliberation, Dr. Liu decided to use the thin needle to induce intubation with anesthesia first. After intubation, a deep vein puncture is performed.
When the patient slept over, Dr. Liu also ridiculed: hundreds of tattoos are not afraid, they are actually afraid of injections.
But then again, after all, the environment is different. I'm not afraid to go to the operating room, and I can't touch a few a year.
After intubation is complete, the neck muscle markers are difficult to identify due to the effects of muscle relaxants. However, with his knowledge of the blood vessels in the neck, he still could not stop Dr. Liu.
After punching the deep veins, watching the liquid flow into the blood vessels like a column of water, everyone breathed a long sigh of relief.
After adjusting the rate of drip, Dr. Liu told everyone that they could turn over, and the operation began quickly.
After the operation, considering that the needle would be inserted for several days of hospitalization, this deep vein was left for surgery.
When I was sent back to the ward, the head nurse was still there and said: Seeing this person's arm can make us sad, this deep vein is too good.
In fact, this small operation does not require a deep vein. Deep vein puncture is typically used in situations where rapid fluids, blood transfusions, or rapid medication are required. As a routine procedure, a thick needle is generally sufficient. But because there was no condition for a thick needle, the patient had to be shot. Not to mention the guilt, there is an extra cost.
Here's a reminder: don't get tattoos easily! Once an injection is needed, it may affect the treatment!
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