On the operating table, this child did not open his mouth, but it moved countless people

On Monday, a pediatric anesthesia that has been notified on Friday officially began.

Before the child entered the operating room, the colleague in charge of the preoperative visit told Dr. Liu, who was in charge of anesthesia, that the child had a little problem with his intelligence, and asked Dr. Liu to pay attention to it. As for what to pay attention to, there may be different points of attention for everyone.

【Knowledge point】Preoperative visits are part of anesthesia work. Usually, the physician in charge of anesthesia goes to the ward the day before the operation to check the patient's condition and formulate a sound anesthesia plan for the various test results in the medical record. In hospitals with particularly high surgical volumes, the anesthesiology department may also send a person to complete all preoperative visits.

Knowing that the patient is a child and has intellectual problems, Dr. Liu carefully smoothed out the anesthesia plan carefully, for fear that the anesthesia method or anesthetic drugs will affect the intelligence of small patients. Even if it is possible to have an impact, try to avoid it.

Since small patients have tonsil surgery, only general anesthesia can be selected. Therefore, efforts can only be made in the specific medication and anesthesia control.

This operation can be described as meticulous to every point:

Before anesthesia, let the mother of the child carry the child into the door of the operating room. Inside the gate, there is a buffer belt, and after another door, you enter the corridor of the operating room. And in the first operating room near the entrance, this operation was arranged;

When preparing for anesthesia, Dr. Liu reconfirmed that the anesthesia machine could work properly. In particular, the complete normality of the manual breathing performance was checked. In order to relieve the respiratory obstruction caused by the possible fall of the tongue as soon as possible, equipment such as oropharyngeal ventilation and visual intubation is specially prepared. The anesthetic drugs that may be used in the anesthesia process are also fully prepared;

During the anesthesia, Dr. Liu came to the child with the usual anesthetic in his hand and the nurse. The nurse is also quite experienced, and immediately plays the role of a cute little sister and uses various methods to distract the child's attention. Dr. Liu, on the other hand, took the opportunity to push some medicine in the vein drip that had already been laid.

After a few seconds, the child's head was tilted to the side.

Seeing this situation, the nurse who was still teasing the child just now instantly turned into a Hercules, picked up the child and ran back to the operating room.

After putting the child on the bed, everyone performed their duties: some connected the child to the monitoring equipment such as blood oxygen probes, some unbuttoned the child, and Dr. Liu buttoned the mask for the child at the first time and immediately provided oxygen to the child with his hands. That scene was like a rescue scene.

Yeah, kids are not like adults. Adults can not take oxygen for several minutes, but children can develop severe hypoxemia without oxygen for tens of seconds. Because the weight of the child is too small to talk about how much reserve there is.

When the first dose of oxygen was successfully squeezed into the child's lungs, Dr. Liu breathed a sigh of relief. Such a child, he does not dare to let the child lack of oxygen.

After confirming that there was no problem with the child's ventilation, Dr. Liu told everyone not to panic and take it step by step.

After Dr. Liu asked his colleagues to help him push some muscle relaxants and analgesics for the child, Dr. Liu successfully intubated the child's trachea.

It was not until the regular end-expiratory carbon dioxide waveform appeared on the monitor that Dr. Liu carefully snorthed each lung area of the child with the stethoscope, which was safe to fix the catheter and adjust the breathing parameters.

In order to minimize the amount of anesthetics entering your child's body, Dr. Liu urges the surgeon to speed up all unimportant procedures, such as disinfecting a towel.

In the second half of the operation, Dr. Liu asked the surgeon to inform the progress of the operation in time so that he could accurately control the anesthesia.

3 minutes after the operation, your child's breathing returns.

After a few more minutes, the child's eyes opened.

Seeing this, the colleagues around them almost applauded and celebrated.

While the child is not fully awake, Dr. Liu grasps the preparations before the extubation, such as suctioning sputum and preparing the breath control tools after the extubation.

After seeing that the EEG monitoring values clearly reminded the child that consciousness had fully recovered, Dr. Liu carefully removed the tracheal catheter.

After the catheter is removed, the child makes a muffled sound. The voice sounded like a groan and a cry. In short, not crying like a normal child.

【Knowledge point】After adults wake up, anesthesiologists are usually worried that patients will cry. But the child wakes up differently, and the anesthesiologist likes the child to cry. The more fiercely you cry, the better the child wakes up and has no problem breathing. It's like a newborn being born, and the louder the cry the child, the better.

At this time, everyone recalled a strange phenomenon: the child did not seem to cry so much.

Combined with the medical history of children with intellectual problems, everyone speculates: some say that children may not be able to express themselves; some say that children may not be able to express themselves; some say that children who are not intellectually capable may not be rich in feelings; some say that such children do not know to be afraid, of course, they will not cry.... In short, there is everything that can be said.

At this time, the head nurse suddenly broke the news: the child usually does not live with his mother! Hired an aunt to take care of the kids around the clock for three years.

Hearing this, everyone couldn't believe it. Because the child is just a little more than three years old, this mother is willing to let others take the child for many years.

What must be explained here is that 24 hours a day refers to 24 hours. This means that at best, the child can see the mother several times, and it is impossible to get the mother's care, caress and companionship.

The child, who had just woken up, reached out and grabbed the nurse's arm. That scene seemed to be the child's cry for help, a silent cry for help. He wouldn't cry, and maybe he wouldn't cry again. How in the world, how can there be such a cruel mother!

【Warm tips】Point to pay attention, here is a lot of professional medical science, for you to reveal the secret of surgical anesthesia those things ~ ~