In the spring of March, although there are occasional spring colds, it cannot stop the vitality of spring. This season has long been expected for Xiao Li. To be precise, it has been looking forward to it for nearly ten months. Because, this year, she is 36 years old.
Ten months ago, when she heard the news of her pregnancy, she excitedly ran to tell her. During that time, she almost wanted to tell everyone about her pregnancy.
However, pregnancy in the third trimester seems destined to be a test. Complications such as headaches, dizziness, nausea, and vomiting appear one after another. It was not easy, and it lasted until 39 weeks. Persuaded by the doctor, she was admitted to the hospital and waited for delivery.
Ben was relieved to go to the operating table, but the doctor's words instantly made her feel desperate. This is because, the doctor told her: the risk of anesthesia is very large! And, it's all a matter of life-threatening risk!
Some people say: PREGNANCY, even if there are complications, is not so dangerous, right?
This is not pregnancy hyperchondria, Xiao Li also has a rare disease - congenital hemangioma.
The so-called congenital hemangioma is a benign tumor formed by the proliferation and expansion of the capillaries of the skin. Most attacks on the head, neck, and skin can occur, but can occur in mucous membranes, liver, legs, and muscles. During the growth process, the tumor can cause some comorbidities, such as bleeding or ulceration, arteriovenous fistula and thrombocytopenia in case of trauma or infection.
Xiao Li's hemangioma did not have other conditions, but this hemangioma was not in a good position. Huge hemangioma, covering half of her face. Most specifically, her hemangioma "spread" to the buccal mucosa and the body of the tongue. Not only is the tongue large, but the corners of the mouth are also severely deformed.
Some people will say: When you have a child, isn't it anesthesia on your waist? Staring at people's faces, is it a little worried?
What I would say as an anesthesiologist is that anesthesia is not so simple. Suppose that anesthesia is just a shot, and it is completely possible to go up and prick. However, the core of anesthesia is safety, to ensure the safety of patients. How to ensure security, there must be security measures. The guarantee of anesthesia methods cannot be "one road in Huashan". When an anesthesia method fails, there must be a backup anesthesia method to ensure that the operation is carried out normally and to ensure patient safety.
Therefore, even if it is the first choice to give anesthesia on the waist, at least it is necessary to make a general anesthesia option. If general anesthesia is not available, it can be dangerous.
Some people say: Anesthesia has failed, and I will fight it another day!
It's not that simple. If only the anesthesia method fails, it can indeed be re-injected on another day. But what if an anesthesia accident occurs during the administration of anesthesia and requires some of the procedures of general anesthesia (such as endotracheal intubation) for rescue?
The blood pressure that has been unstable, coupled with the impact of pregnancy hypertrophy on various arterioles, Xiao Li feels very bad all over the person. Some test results also show abnormal signs of renal function and fundus arteries. With pregnancy-height disease, children in the womb are also at risk of ischemia. It can be said that mother and child are in danger at any time.
Obstetrics are anxious, maternity is anxious, family members are anxious... It can be said that the pressure is concentrated on the anesthesia department.
The matter of having a child is not to mop the floor. It can be said that it is going to be on anyway. However, how to get on and how to get on it to be safe must be carefully studied.
On the same day, everyone in the anesthesia department worked overtime to discuss cases. The key to the discussion was which anesthesia to choose and how to keep the mother and child safe.
After discussion, it was agreed that although the difficulty of general anesthesia intubation is greater, the risk of pregnancy and hyperplasia of the mother itself is a greater risk to the mother and child. Therefore, it is safer to go directly to general anesthesia. Regarding how to intubate, everyone has a meticulous plan.
The next day, in order to ensure safety, the anesthesiology department deliberately coordinated the anesthesia of three people: one person was responsible for administering the drug; one person was responsible for intubation; and the other person was motorized.
Proper implementation is also the key to the successful implementation of this anesthesia: the maternal airway anatomy is seriously abnormal, which means that there is a high probability of unexpected situations. In view of this, the oropharyngeal airway was first inserted into the mother under the action of some anesthetics. After the oropharyngeal airway is inserted, the woman's airway is very patency.
Seeing this, everyone finally breathed a sigh of relief. So, quickly brush your hands on the stage and disinfect the towels.
In order to further shorten the time from the start of general anesthesia to the birth of the child to reduce the amount of anesthetics flowing into the child's body, the anesthesiologist specifically instructed the obstetrician to deliberately apply local anesthetics to the mother's belly.
When the obstetrician was seen scratching open the woman's belly, the anesthesiologist quickly injected the full amount of anesthetic.
Meanwhile, obstetricians are stepping up to pick up the baby. When the child's "croak" sound was heard from the stage, the anesthesiologist also just completed the endotracheal intubation.
Assessed: Apgar score of 8 in newborns at 1min and Apgar score of 10 in 5min. This means that the child is safe!
The operation lasted half an hour and the intraoperative vital signs were stable. After the operation, the mother's consciousness is clear, the swallowing action is good, the handshake is strong, and the breathing indicators are very good. Therefore, the anesthesiologist relieved to pull out the tracheal catheter.
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