Near the end of work, I suddenly received preparations for emergency surgery.
Dr. Liu, who had been preparing the drugs and items needed for anesthesia normally, received a call urging him. On the other side of the phone, the patient's condition and emergency are described in a language that is almost incomprehensible to laymen.
At this time, the strength of one person is not enough. So she immediately asked the director to come down and help. In such an urgent situation, there is no need to hold back on the superior-subordinate relationship. As director, he doesn't complain either.
Two people, it only took two or three minutes to get general anesthesia ready. In addition, the medical supplies needed for rescue are readily available.
The waiting time in the operating room was painful, so the director opened the monitoring at the door of the operating room and the corridor to check the situation.
As soon as the surveillance was turned out, i saw a group of people rushing to the operating room.
That kind of position, like the ancient chariot charge: a chariot, on both sides and behind the soldiers. The difference is that the "chariot" at this time is not to attack the city, but to compete with the god of death for life.
Looking closely, it seems that there are more than just patients in the car rushing in front. Above the car, there was a nurse.
At this time, someone will ask: The nurse is in the car?
yes. Yes, there was indeed a nurse in the car.
Look closely, the nurse is doing chest compressions hard and high frequency.
Zooming in on the lens, a colleague of the towing transporter did not forget to use a simple respirator to give the patient two mouthfuls of "oxygen".
Seeing the situation clearly, Dr. Liu and the director ran to the door with their legs.
When we got to the door, the operating room door had just opened.
At this point, no additional communication was needed: Dr. Liu flipped over, replaced the nurse, and continued the chest compressions. The key to rescue is that chest compressions cannot be stopped!
Entering the operating room, I pushed the booster and stopped the chest compressions to see how the patient's circulation was.
I exchanged with surgical colleagues who came to the rescue and learned that the patient should be a ruptured spleen. If you do not actively operate, there is no chance of rescue. Although the cardiac arrest was brief, the chest compressions were never stopped.
Pushed to the operating room, if the heartbeat is restored, the operation is performed; if the heartbeat cannot be restored, it means that there is no chance left for everyone.
During AC, the ecG that removes interference shows that the heart is rethinking, but it is beating faster. Look at pulse oxygen saturation, more than 90%. Judging from the waveform, cyclic low perfusion!
Immediately after that comes the blood pressure, 70/40.
Seeing this blood pressure, everyone looked at the anesthesiology department together.
At this point, as long as the anesthesiology department says "no", no one will object.
The director of the anesthesiology department didn't even think about it and said: Quick, take the vasopressor medicine. You come to intubate, I come to watch the loop!
In this way, while pushing the vasopressor drug, the anesthesia is performed.
Of course, for such patients who have fallen into a coma, there is not much anesthetic. The main medication is analgesics, plus some sedatives.
In order to prevent the pain of cutting the abdominal wall, two local anesthetics were specially taken to the table.
When the abdominal wall is opened, the blood in the abdominal cavity gushes out at once.
On the side of the anesthesiology department, immediately increase blood transfusions and vasopressors.
After reaching in with a hand, the surgeon general pinched the blood vessels in the spleen.
Seeing that the blood was no longer gushing out, the surgeon general said, you should step up the blood transfusion, I will pinch the blood vessel first.
Seeing this, the anesthesiology department silently gave the surgeon a thumbs up.
After a while, the blood pressure rose to more than 90.
Looking back at the underground suction, it was almost full. In addition to the blood foam, there are more than a thousand milliliters!
After that, at the sound of an order, the surgeon continued to move.
On the side of the anesthesiology department, it races against time to transfuse blood for patients and adjust the internal environment.
When the spleen that had already been split was removed, everyone's nervous mood could finally be eased.
With the improvement of circulation indicators, the anesthesiology department gradually added various drugs. This is because circulation improves and the brain's blood supply is sufficient. With shallow anesthesia, the patient may be conscious.
When the last stitch was completed, the surgeons gathered around to see the various life indicators on the monitor.
From their slight nod of their heads, it can be seen that they are also praising the anesthesiology department in their hearts.
However, after the patient was sent to the intensive care unit, everyone heard a distressing news: the nurse in charge of chest compressions on the rescue car had a herniated lumbar disc, and the person could not stand up and was sent to the orthopedic hospital. Fortunately, it was not a big deal. The orthopedic surgeon's treatment plan is to stay in bed for three months!
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