On Friday afternoon, preparations for a huge malignant fibrous tissue sarcoma surgery began...
Since this tumor grows deep in the trapezius muscle of the neck, intubation is undoubtedly a difficult point. In addition, the lateral recumbent position, and even the position that may change, may affect airway safety. As a result, the department of anesthesiology developed a detailed intubation protocol and intraoperative airway protection measures.
Due to the well-preparedness, there were no waves in the anesthesia process. However, because the tumor is too large and too deep, it still creates a lot of trouble for the surgeon.
The trouble with surgery is the trouble with anesthesia. At the smallest, it is also a significant extension of the operation time; at the largest, it may be a "roller coaster-like" rescue.
What to say: During the operation, despite the use of electric knives, there is no way to control the bleeding to the extent that there is no blood transfusion.
Through an urgent blood gas analysis, the anesthesiologist believes that the patient's blood routine has reached its limit. Therefore, the ingredient blood is urgently used for blood transfusion treatment.
After the intervention of vasoactive drugs, the patient's circulation indicators put everyone at ease again.
Wipe the sweat and look at the operating table again, the tumor has been completely removed.
Because of the skin violation, the surgeon had to remove all the dangerous skin.
But in this way, a large piece of skin on the neck is missing. Therefore, the operation temporarily adds a step - skin grafting.
However, since the skin required is very large, the skin removed from the patient's trunk at one time is not enough. Therefore, the surgeon decided to take the method of skin punching. By cutting a small opening in the skin with a blade, the skin can be doubled.
Thinking of this method, the surgeon showed a happy expression.
However, such an operation requires an extremely soft dressing to cover. Not only soft, but also consistent everywhere. Otherwise, it is possible that local skin necrosis will fail and skin grafting will fail.
At this moment, the surgeon turned his head to look at the instrument nurse on the stage.
This nurse had been on the job for a few years and didn't know what the surgeon meant.
When "the second monk was confused", the surgeon smiled and said: Nurse sister, can you cut some gauze blocks?
The young nurse who could bear this immediately said yes, yes, yes.
However, it was destined to be a decision she regretted.
As both on stage and off stage were waiting for her pieces of gauze, the young nurse stepped up the speed of the scissors.
Ten minutes later, small hills of gauze were piled up in front of the surgeon.
Don't look at it for only ten minutes, the anesthesiologist's heart has become more and more anxious, and the blood pressure has also gone up. Fortunately, I saw that the gauze had been cut and the blood pressure gradually recovered.
Someone said, what are you in an anesthesiology emergency?
You know, over time, it means more anesthetics entering the patient's body. The effect of anesthesia awakening is different from time to time of surgery. For example, most appendicitis surgeries wake up better than longer surgeries such as gastric incisions.
When the surgeon finished the last stitch, the patient's eyelids moved slightly.
This movement made the anesthesiologist breathe a sigh of relief. This means that patients basically wake up on time.
Ten minutes later, the anesthesiologist successfully extated the patient.
Preparing to call the itinerant nurse to push the cart to send the patient, the anesthesiologist saw the itinerant nurse busy with disinfectant to help the instrument nurse punch.
Take a look, good fellow: two fingers, two big blisters! Moreover, the skin of the blisters is no longer complete. Pink exudate and disinfectant are mixed together, and it is painful to watch.
The anesthesiologist, who could not bear to look any further, returned to the patient and continued to take oxygen for the patient.
Seeing that the nurse's hand was injured, the surgeon was not in a hurry.
After another half a day, the head nurse came. Seeing the nurse's hand like that, he blamed and helplessly said: What a hurry, you can't cut it slowly!
The second surgery has been replaced by another nurse. Apparently, the young nurse was scrapped. Still too young!
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