2767 Caused by a cold
Two hours later, the patient woke up with general anesthesia, with a total urine volume of about 1950ml, with clear color, and a stable spontaneous breathing. He could open his eyes and clear the respiratory tract and remove the throat mask.
After 10 minutes of observation, no obvious abnormalities were found.
At this time, the patient's blood pressure is 130-108mmhg/76-55mmhg, the heart rate is 74-89 beats/min, and the blood oxygen saturation is 97-100%.
The breathing sound of both lungs is clear and symmetrical, and the breathing can be responded to the response. If the muscle strength is restored and you can move your limbs according to the instructions and then raise your head, and then return to the ward to strengthen supervision.
The patient was fine, but he just sent him off without even performing the operation. It was impossible for the family to be unstable. Director Xu didn't have to face the patient's family. The trouble was all from the surgeon, and it had nothing to do with him.
He had something else to do when he was having a meeting.
The anesthesia department has a large classroom because there are several on-stage consultations here every year.
But no matter how big the classroom is, it cannot accommodate all the anesthesiologists of 912.
Director Xu had a calm face, and the scene in the Xinglin Garden operation live broadcast room was played on the projection. Boss Zheng directed the rescue like a mountain.
The anesthesiologists were very tactful and no one dared to speak when Director Xu was in a bad mood. They tiptoed to find the ground to sit. People who came late were standing in the corner. As more and more people came, the later the people could only stand higher and higher.
People who arrive late are also helpless. The higher they stand, the more likely they are to be scolded. But who makes their home far away? They come late?
When it was time, Director Xu said in a deep voice, "Call it!"
“…”
Many anesthesiologists were glad that they did not have a chance. This time Director Xu came here. When he walked in, he saw the background screen of emergency rescue. People who were shocked guessed this.
Director Xu will definitely not have an attack on the spot if he is not named, but there will be various small shoes to wear in the future.
What's wrong with this? They didn't even dare to ask, and no one dared to whisper when Director Xu was in a bad mood.
After the call was over, Director Xu held the list in his hand, and could vaguely see several circles drawn on it through the light and shadow, marking the people who did not come "viciously".
"You Changyou, tell me what happened today." Director Xu sat on the stage and said coldly.
As soon as these words were said, everyone suddenly felt that a big stone was pressed on their hearts, which were already under pressure.
You Changyou is an old-fashioned professor in the department of anesthesiology. Director Xu will give him full respect and will not deliberately suppress it. Director Xu still has the temperament of a veteran director, but today... he directly calls Professor You's name, so you can imagine what Director Xu wants to do.
"Director Xu..." You Changyou's voice was a little awkward. He repeatedly recalled that although he was responsible for the surgical anesthesia, if there was such a problem, what could he do? This was an accident, an accident!
"Tell me, what do you think about this matter?" Director Xu said coldly, suppressed his anger.
Lao He sat by the window and watched quietly.
He was not worried about his involvement. Lao You was in trouble this time. When he sent the gallbladder cancer patient who had done by Boss Zheng to ICU, he saw Director Xu asking about something with the patient's family. Boss Zheng and Brother Yun were also standing aside.
Although I don’t know what’s going on, Old He understands Director Xu’s character.
He is the kind of director who is still alive and can make people speechless once he wants to move. Director Xu basically doesn't say anything about trivial matters, but they are all the work areas that the head nurse talks about at any time and anywhere.
Old He was curious. Seeing You Changyou stammering about the patient's condition, he secretly took out the mobile phone that was silent and sent a message to Su Yun.
【Yun Ge'er, what is the matter with Lao You's patient?】
In less than 3 seconds, Su Yun's reply arrived.
【The patient caught a cold 12 hours before the operation, but the anesthesiologist did not ask.】
“…”
Lao He immediately understood what was going on. This kind of thing was not very common. Lao You was afraid that the patient he was looking for was seen by the students, so he was caught by Director Xu this time, but it was miserable.
As soon as I asked clearly, the medical record in Director Xu hit You Changyou's head, and with a "bang", white paper scattered all over the ground.
You Changyou was stunned for a moment. Is Director Xu slapped himself in the face in front of everyone?
"Do you know the patient has a cold before surgery?" Director Xu didn't give him any time to think about it, and shouted in a deep voice.
“…”
You Changyou was stunned.
"You still have the face to say that you are watching the patient before the operation, who saw it? Do you have some sense of responsibility? Why do you see the patient before the operation? What should you pay attention to?" Director Xu asked in a slap.
Looking at the lost You Changyou, Lao He put away his phone. He had no time to sigh at the speed of Yun Ge'er's reply to WeChat. There was only a feeling of sadness in his heart that the rabbit died and the fox was lingering in his heart.
When seeing patients, the anesthesiologist usually asks his assistant to go. This is an unwritten rule. Although Director Xu has said many times in the conference and wants to take the anesthesiologist in the group to see the patient, it is basically nothing to do when running up and down, and everyone will slackewer over time.
If it weren't for the frequent anesthesia of Boss Zheng's patients nowadays, Lao He would not have dared to neglect the slightest, and he wouldn't have gone down to see the patient in person every time.
"When the pre-ansthetic evaluation does not detect difficult airways, the occurrence of difficult airways cannot be ruled out, and the unexpected difficult airways are more dangerous after general anesthesia induction!" Director Xu said, "Do you know this?"
"I know..." You Changyou lowered his head and said in a low voice.
"You know what's the matter!" Director Xu spread all his anger on his head, which means he had nothing in his hand, otherwise another medical record would be smashed.
"The medical history is not collected sufficiently, and I did not know the history of upper respiratory tract infection 12 hours before admission. Did you write your pre-ansurgery information letter? Did you say it during emergency rescue!"
You Changyou lowered his head silently and looked like he would not fight back if he beat him or scold him.
If something happens, it is normal to be scolded. If you still talk, you will definitely get scolded more. The most important thing is that you ignore it. If you ignore it, you will make three points. That is a nonsense, and the end you lose your face.
The more you say, the more you lose. And it will add fuel to the fire, annoying Director Xu, and you won’t even think about living your life in the future.
"Just because you did not collect enough medical history, the nitrogen and oxygen supply during anesthesia were insufficient, and the depth of anesthesia was insufficient. After induction, unpredictable difficult airways appeared after routine tracheal intubation. Several attempts to intubate the operation induce bronchospasm, resulting in respiratory management crisis after anesthesia, and unpredictable difficult airways and bronchospasm caused delayed awakening after induction."
Director Xu roared like a cannon, his voice echoing in the classroom, beating the hearts of every doctor.
Chapter completed!