A cervical spine surgery changed the fate of many people

75-year-old Lao Wang was in a car accident not long ago. Although he survived the accident, he suffered multiple fractures and had to undergo multiple fracture surgeries. Among them, the most dangerous surgery was the cervical spine surgery.

During the preoperative visit, Dr. Li from the Anesthesiology Department, who is responsible for intraoperative safety, learned about the patient's medical history and health condition in detail.

The results showed that the elderly man's fracture had caused a serious disorder in his blood coagulation system. If he continued to stay in bed, the disorder might become even worse and the risk would be even greater. Therefore, he did not recommend postponing the operation.

The operation went as planned, and during the operation everyone properly protected this fragile cervical vertebra and this fragile life.

The surgeon was an outside expert because our hospital was unable to perform an operation of this difficulty.

After the doctor from the same family spread out the surgical towel, the expert came in with his hands raised after being scrubbed.

After putting on clothes, the operation began.

As expected, he was an expert and the treatment was done in a short time, which made Dr. Li very satisfied. In his heart, he secretly gave the expert a thumbs up.

After finishing the main parts, the job of suturing the incision was handed over to the doctor in the family.

After leaving the stage, the external expert went outside to drink tea leisurely. When the operation was over, he flew away.

Our team did not disappoint, the stitches were completed in half an hour and the patient regained consciousness.

After trying to see if their hands and feet could move, the experts hurried to the next "field".

After the operation, the old man was fine after returning to the ward. However, at night, he suddenly had shortness of breath, high blood pressure, and then no breathing or heartbeat.

Despite all efforts to save him, the old man still passed away.

The family members who knew about medicine immediately put the medical records away.

At the time, it was pointed out that the hospital did not strictly implement the first-level nursing care. According to the requirements, nurses should visit patients every hour, observe changes in their condition and measure vital signs.

Although the nurse Xiaoli was busy all night, she couldn't remember whether she had calculated the time so accurately. She only remembered that she checked one ward after another without stopping all night.

Dr. Li from the Department of Anesthesiology said that there was nothing wrong with the visit before the operation. The patient was stable during the operation and woke up after the operation. Seeing that the patient woke up, the family members also assumed that the matter had nothing to do with the Department of Anesthesiology.

Even if the family members asked a professional to find fault, it would be difficult to find any. During the operation, the respiratory and circulatory control was not mentioned. The intubation problem that everyone was most worried about was directly guided by the anesthesiology department with a light stick, which had no effect on the cervical spine angle.

After the incident, the doctor in charge had a mental breakdown: the surgeon was from another hospital, so everyone asked him questions. He stayed in the hospital for a few days.

The hospital did not have any obvious fault in this matter, but it must give some explanation to the family members who are knowledgeable about medicine.

The punishment for the doctor in charge was to deduct three months of performance; the punishment for the nurse in charge that day was to transfer her from her original position...

After that, the doctor in charge became more careful. But Xiaoli chose to resign. In her opinion, her care was not the main cause of the accident.

After identification, it was found that postoperative bleeding compressing the trachea was the main cause. However, observing the respiratory rate, rhythm and depth every hour may not necessarily detect this problem in time.

Postoperative neck hematoma usually develops quickly. However, during the development process, the patient may not immediately show poor ventilation. Increased heart rate and irritability are likely to be attributed to pain or discomfort.

Therefore, when the monitor shows relatively normal conditions, it is really difficult for the nurse to discover the problem.

The most reliable way is for the doctor to check the neck and the incision every hour. If a hematoma occurs, the neck will inevitably swell gradually and blood will ooze out of the incision.

Clinically, the most common situation is that the gauze covering the incision on the neck is found to be stained red. This situation must be taken seriously. Anyone who finds it should call a doctor immediately.

However, it is difficult for a doctor to check dozens of patients every hour. Moreover, neck bleeding may take a shorter time.

Xiaoli was disheartened after being transferred from her job. Thinking of her accounting certificate, she took advantage of her vacation to apply for a job at a company. As it turned out, the company was short of people.

Just like that, Xiaoli left the medical industry completely. Her salary increased several times, and she no longer had to work night shifts, nor did she have to face various responsibilities that might arise at any time.

Everyone may say that she is a deserter, but how many people are persisting?

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