Just after midnight, the phone rang suddenly.
At this time, Dr. Liu only took a nap. Ten minutes ago, he had just returned from obstetrics. The obstetrics department seemed to be hanging on, one after another painless delivery. In order to continue fighting in the middle of the night, Dr. Liu forced himself to lie down and rest.
Unexpectedly, someone called just after falling asleep. Picking up the phone, he couldn't even figure out for a moment whether he was asleep or not. All in all, very tired.
On the other side of the phone, the orthopedic doctor anxiously shouted: Prepare an anesthesia, arm plexus. After saying that, he "clicked" and hung up the phone.
Talking so urgently is obviously a very urgent operation. Turning around, Dr. Liu rushed into the dark operating room.
Turning on the light, he quickly prepared everything he needed for anesthesia.
Of course, he prepared not only brachial plexus anesthesia, but also general anesthesia. Years of experience have taught him that no matter what anesthesia you do, be prepared for general anesthesia. General anesthesia is not only a backhand with poor anesthesia effect, but also a must for emergency and critical illness rescue.
Just as I was ready, the nurse rushed in with a flat cart. Nearby, it seems that the orthopedic doctor also followed. But at this point, Dr. Liu didn't have time to observe the others. First, he wants to observe the patient's state. For this emergency procedure, every effort is made to gather limited information before anesthesia to ensure patient safety.
With miserable white lips and gibberish, Dr. Liu initially determined that the patient had hemorrhagic shock. The blood pressure and heart rate that followed out also proved this.
At this time, the patient is obviously unable to cooperate. Therefore, Dr. Liu intends to abandon brachial plexus anesthesia.
However, when Dr. Liu confirmed the injury with the orthopedic doctor again, he felt that the anesthesia had to be well planned. This is because the wound on the girl's wrist is very deep, and it is very likely that the deep neurovascular damage has been damaged.
To make matters worse, it wasn't the first time she had cut her wrist. This means that scarring and adhesions will greatly increase the difficulty and time of the procedure.
Although she couldn't open her mind for a while, it was important to save people.
If general anesthesia is simply implemented, such a long period of surgery is bound to have a large number of anesthetics entering the patient's body. There may be no damage on the macro level, but dare not say it on the micro level. Although Dr. Liu has been paying attention to the research progress of whether anesthetics at home and abroad can damage the human body, inconclusive things should be avoided as much as possible.
In order to take into account the comfort of general anesthesia, the control of stress responses, and the exact analgesia of brachial plexus anesthesia, he decided to take compound anesthesia, that is, general anesthesia compound brachial plexus anesthesia.
But at this point, a conundrum lay in front of him — the patient was delirious and unable to cooperate with the anesthesia. Therefore, Dr. Liu intends to use unconventional operations.
Normally, this combination of anesthesia is followed by a nerve block followed by general anesthesia. However, at this time, the patient's situation is special, and can only be treated specially under special circumstances, and it is important to treat the disease and save lives.
In order to prevent the further suppression of the patient's blood pressure by general anesthesia drugs, Dr. Liu asked the nurse to establish a two-way venous passage for the patient, and at the same time, the vasoactive drugs that increased blood pressure were used before the injection.
To minimize the amount of general anesthesia, Dr. Liu opted for a laryngeal mask intubation that stimulates patients lightly.
After the intubation, the blood pressure did not change much, and Dr. Liu breathed a sigh of relief. Immediately after, pick up the ultrasound and start the nerve block.
It is said that special circumstances can stimulate potential, and this nerve block is surprisingly fast, almost a needle in place.
With a loud gesture, the orthopedic doctor began to disinfect.
For the next few hours, the atmosphere in the operating room remained oppressive. Because, what this girl has experienced, everyone has their own speculations. But such behavior that hurts oneself is not easy to discuss in private.
After the operation was completed, looking at the marks left by the girl's several wrist cuts and a longitudinal knife edge added this time, everyone could only shake their heads and sigh. We can cure the disease of the body, but the disease of the heart is difficult to cure, and we only hope that she will be all right in the future.
Back in the duty room again, Dr. Liu, who had calmed down, could not help but be afraid of his "unconventional operation": what should I do if I am poisoned by a game of anesthetic? But thinking about the operation under the guidance of ultrasound, his blood pressure heart rate gradually returned to calm.
Yes, if the medical staff who treat and save people do not rush, who will guarantee everyone's health?
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