This operation is like a sudden ripple on the calm water, which catches people off guard.
Before the operation, no abnormalities were found in all maternal examinations.
Dr. Guo, who is in charge of anesthesia, preoperatively assessed the mother urgently and seemed to be only a little fatter.
In the face of this mother who weighs more than 260 pounds, Dr. Guo mainly considers how to improve the success rate of anesthesia and maintain blood pressure stability.
Before the child was cut out, there was indeed a little bit of a situation: looking at the pulse oxygen waveform on the monitor screen, Dr. Guo was alert to see that the maternal blood pressure was falling. As for how much is lost, it can only be estimated that there are dozens. So he immediately tilted the operating table 15 degrees to the left.
In order to prevent the mother from falling out of bed, Dr. Guo could only use her 100-pound body to support the mother's stomach to the left.
The obstetrician saw the situation and stepped up steps such as disinfection.
Not for a while. The child also met with everyone smoothly in everyone's expectation.
Hearing the child's crisp crying, the mother shed tears of excitement.
Seeing the situation, Dr. Guo immediately comforted her.
After the child came out, it should have reached the stage of lifting all crises.
However, Dr. Guo again saw the pulse oxygen waveform on the monitor gradually shortening.
Alert, she pulled open the curtain and looked at the stage.
It didn't matter, the obstetrician on the stage was busy sucking the blood gushing from the uterine incision.
Perhaps, the obstetrician did not expect the anesthesiology department to find out so quickly.
Seeing Dr. Guo open the curtain, the obstetrician said: A little forward, the maternal vital signs depend on you.
Hearing the words "front", Dr. Guo's brain "buzzed". This means that a major hemorrhage may be underway, or it may be imminent.
Involuntarily, Dr. Guo went to the incubator and found several bags of crystals and colloids.
Blood generally can't come so quickly, so you can only hold it with liquid first. In addition, if the liquid is used well, it can also play a role in diluting the blood and reducing the loss of active components of the blood.
Despite the full horsepower accelerated infusion and the use of vasopressors, there is still a clear downward trend in blood pressure. If the reaction hadn't been so fast, I really couldn't imagine the consequences.
Fortunately, this person is not really placenta previa. After careful examination, only the knife edge "swept" to the edge of the placenta. It is precisely because of this that several consecutive obstetric examinations have not found problems.
The other thing that has to be said is that the weight is too large. Even if there is ultrasound, through the belly of more than 10 centimeters of fat, how can the eyes see clearly?!
In order to rescue this wave of children, obstetricians also gave the mother a lot of oxytocin and other drugs to shrink the uterus.
In this way, the mother suddenly felt that the stomach was turning upside down.
Dr. Guo sighed: If this mother is a little more temperamental, she will have to vomit all over the bed and all over the ground.
However, although the mother did not spit it out. Large doses of smooth muscle contraction drugs have led to exchange disorders in the lungs. Although it is not so serious, it also reduces the blood oxygen value by a few blocks.
Seeing the situation, Dr. Guo quickly used a mask to give the mother a high flow of oxygen.
Quietly empty-handed, Dr. Guo quickly gave the mother a blood gas analysis.
Although on the surface the crisis has passed, this inspection is necessary to prevent accidents.
Half an hour later, the operation was over and the woman opened her eyes.
She also asked curiously: Is the operation over? How I fell asleep.
In fact, it was Dr. Guo who was worried that this discomfort would affect her vital signs and affect her to cooperate with the operation, and used sedatives to make her sleep for a short time.
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