In the hospital, the anesthesia operating room and various surgeries complement each other, who can not be separated from whom, seems to be a hardcore brother, just a happy enemy, it can be said that the love is stronger than gold, but also thinner than paper, sometimes like glue, sometimes "the boat of friendship is turned over".
In the face of illness, everyone often cooperates to overcome difficulties and save people from danger again and again from the hands of the god of death. In life, for a little trivial matter, it is often anxious to raise eyebrows and red eyes, red in the face, such as arranging surgery on this small matter: "How come I am the last one today?" I'm off the night shift! "Why hasn't the first surgeon arrived yet?" "Dr. xx, you're pretending to be an emergency surgery again!" "Don't stop my surgery, the patient has been coming for days!" "Give me a surgery?" There's a meeting tomorrow. ”.........
Seemingly ordinary few words, how many grievances and hardships and helplessness there are in the anesthesia operating room and various surgical departments! To put it bluntly, each has its own difficulties!
So, in reality, what is the basis for the operation of the anesthesia operating room? Let's take a look.
The anesthesia operating department has several principles for arranging surgery:
1. Elective surgery
1. Type of surgical incision
In the same operating room, the surgical incision type is sequential, that is, class I (clean incision) is preferred, class ll (cleaning- contaminated incision), lll (contaminated incision), and lV (infection incision) are preferred.
2. Age of surgical patients
Pediatric and elderly patients are preferred, and middle-aged and young patients are second. Due to the preoperative fasting and fasting to prevent reflux aspiration when anesthesia is induced, newborns and young children have poor tolerance to hunger, the elderly have reduced the function of various organs, the physical condition is relatively poor, long-term fasting of water, prone to hemodynamic disorders, imbalance in the internal environment, and even collapse and shock, so it should be prioritized.
3. Critical illness and complexity
Priority will be given to those who have many underlying diseases, are seriously ill, and have poor general conditions, and have great challenges to anesthesia and surgery. Generally, it is arranged to start as early as possible in the morning, one is to follow the routine of ordinary people, the morning is energetic, and the attention is easy to concentrate; second, there are many operating room personnel, and if you encounter an emergency rescue, you can call people to help, and you can also recruit people when you encounter other departments on the stage; third, even if you drag the platform, you will not drag it until very late, and you can coordinate the arrangements for the operation of the back desk.
4, in addition, you can consider other factors
For example, if a department has a lot of surgery in a day, priority can be given to arranging multiple operating rooms. Another example: surgery for stopping the stage for some reason can be prioritized. Another example: humanistic care, so-and-so doctor is working morning shift, night shift, etc. today, which can be given priority.
2. Emergency surgery
In principle, emergency surgery is carried out in the emergency operating room, and multiple emergency surgeries need to be performed at the same time, and reasonable arrangements should be made according to the priority of emergency surgery. If there are difficulties in the arrangement, in principle, the elective surgery of the department will be suspended.
3. Surgery for infection of special strains
Surgery with a clear and specific strain of infection must, in principle, be arranged in a negative pressure surgery room. As if there are more than two units a day, the system of receiving surgery is implemented. If the patient who operates on the day does not have a laboratory report of various infectious diseases, it should be arranged at the last unit in the operating room of the day.
In short, the anesthesiology operating room will be comprehensively considered according to the above factors, and it will also be adjusted according to its own resources (manpower, material resources) and the ability of each department (whether there are enough surgeons).
For patients, it may not be as good as you want, but these people are really not idle. You can't leave work until all the surgeries are over.
The last thing we want to say is, long live understanding!
【Warm tips】Point to pay attention, here is a lot of professional medical science, for you to reveal the secret of surgical anesthesia those things ~ ~