In recent years, due to the rapid development of the concept of accelerated postoperative rehabilitation, the concept of anesthesia has also kept pace with the times. Moreover, it has become one of the key factors in the concept of accelerated postoperative rehabilitation. Among them, compound anesthesia has become a weapon for anesthesiologists to control anesthesia.
From an industry perspective, the rise of accelerated postoperative rehabilitation may be related to the increasing volume of surgeries. The most immediate problem is the problem of insufficient beds. Large-scale tertiary hospitals are almost all "difficult to find a bed". Therefore, how to let patients safely and quickly discharge from the hospital has become a consensus goal of everyone.
On this day, Xiao Wang, who is in charge of anesthesia, is responsible for general surgery anesthesia. Look around, it's either thyroid or breast surgery. There was an appendix surgery mixed in and did not affect the whole.
Seeing so many surgeries, Xiao Wang thought in his heart: You can't delay time in the middle. If you delay the time, let alone leave work, you may have to "pick the lights to fight at night".
The surgical process cannot be controlled, and can only be worked on anesthesia. Since the maintenance phase of anesthesia must cover the entire surgical process, it can only be accelerated at the beginning and end stages. In general, you have to "numb quickly, wake up quickly."
In particular, "waking up quickly" is the most difficult. Once the patient wakes up slowly for various reasons, he will almost "soak the whole process".
It's like figure skating, no matter how good you skate, a four-way jump failure is enough to lose the gold medal.
In order to ensure that the awakening is "foolproof", Xiao Wang tries to use the combination of regional block and general anesthesia.
Compound anesthesia, simply put, is the use of more than two drugs or techniques to complete the anesthesia. Through this combination, the disadvantages can be reduced and the respective advantages of both can be utilized.
However, in the end, it is a rush of chaos. In a thyroid anesthesia, he hit most of the medication on the side that wasn't the main surgery.
Because the total amount of anesthetics is limited, if you hit too much, you will be poisoned, so you can only give up.
During the operation, he could only precisely adjust the various drugs of general anesthesia.
As for the cervical plexus anesthesia, it had an effect but was not obvious. Therefore, in the charging item, he crossed out the cervical plexus anesthesia.
At the end of the operation, the patient woke up on time, and he swept away the previous haze to continue to the next anesthesia.
In fact, from a purely academic point of view, he has nothing to blame for doing so. Even if you charge for this cervical plexus anesthesia, it is normal. Because his shallow cervical clump block is bilateral, but the deep clump block is reversed. Waking up "on time" after surgery is also partly credited to this seemingly "misstep" operation.
Interject: Deep plexus block is implemented primarily to control pain transmission during intraoperative treatment of the deep side of the thyroid gland and the upper pole. If the effect is good, the intraoperative dose will be greatly reduced. Reducing the dose of medication means that the likelihood of a smooth postoperative awakening is greatly increased.
As for the problem of deep bush blocking, we recommend that it is best not to fight. If you want to fight, try to implement it under visual conditions. After all, deep clumps can have many complications. In the state of general anesthesia, it may mask many abnormalities that should be manifested.
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