After connecting the patient with a monitor, adjusting oxygen, and placing a bottle of fluid on the needle for rescue, the nurse walked away. Only the anesthesiologist was left.
Anesthesiologists need to give anesthesia to the patient. For example, the surgeon states that it is an anal surgery patient, and the anesthesia method generally does not require general anesthesia. If you do not use general anesthesia, you should try not to use general anesthesia as much as possible. The risk of general anesthesia is high and the price is expensive. Only these two disadvantages are not liked by anesthesiologists and surgeons, which do not require people to worry about.
The doctor above me gave a call to the patient before, and did lumbar anesthesia. Lung anesthesia is a type of intra-spinal anesthesia.
The teacher gave instructions, and the interns followed the teacher's instructions. As an intern, he was more cautious in doing things. Liu Jingyun first checked whether the rescue equipment was in place, such as the tools for tracheal intubation, and whether the defibrillator was on hand.
Open the anesthesia puncture bag, and have all the things inside prepared. Use a syringe to absorb the anesthetic and saline respectively.
When doing these things, Liu Jingyun forgot about the junior sister being by her side, and her mind was full of steps and steps.
When the waist is numb, the patient has to lie on his side. Xie Wanying helps the senior sister adjust the patient's position. Since he has arrived, he must help the senior sister.
The patient should bend his head, hold his knees with both hands, so that the lumbar space is opened and his back is flush with the edge of the operating table, which will help the anesthesiologist to operate.
However, the patient's aunt did not take anesthetics. Just asking her to lower her head, she shouted that she felt uncomfortable and asked her to hold her knees with both hands. She even said that she couldn't hold her knees: "My back hurts so much!"
When I heard this, no matter whether anyone has studied medicine or not, I know something must be wrong.
"Senior Sister." Xie Wanying called her senior sister.
In fact, when Liu Jingyun heard the patient crying for pain, his heart suddenly sank to the bottom of the sea.
Dr. Zhang hates the most about the intern who turns back and calls him.
Liu Jingyun's eight-year system has more internship periods than five-year undergraduates, so basically she can operate alone now, and the teacher can only come to patrol and supervise.
Such simple lumbar anesthesia is not even combined with lumbar hard anesthesia, nor is it more complicated epidural anesthesia. As long as the two membranes are accurately penetrated and the arachnoid membrane and the arachnoid membrane to reach the subarachnoid cavity and inject anesthetic. It is a relatively simple intra-spinal anesthesia.
Subarachnoid anesthesia takes effect very quickly, and anesthesiologists can easily judge the anesthesia effect. In the eyes of teachers, there is no difficult operation.
There are more and more anesthesia methods nowadays, and more advanced surgical methods are needed. Intra-spinal anesthesia is widely used and is a threshold for anesthesiologists. However, for working anesthesiologists, especially those in top tertiary hospitals, it is called a job that can be done with just a bite of rice.
Internship in an anesthesia department in the top tertiary abortion hospital, it is unreasonable to not even be able to undergo intra-spinal anesthesia in lumbar anesthesia.
Adjusting his mentality, Liu Jingyun turned around, walked to the patient, and asked: "Where do you hurt? Tell me?"
"I can't bend my waist." said the aunt.
Can't bend down, lumbar disc herniation?
Modern people live fast, and many people have various minor diseases. Lumbar disc herniation is a common disease. If this is the case, lumbar disc herniation is not allowed to be done, then lumbar disc herniation has long been eliminated by all anesthesiologists. Therefore, lumbar disc herniation is not a key factor in whether lumbar disc can be done.
Chapter completed!