During a painless colonoscopy, the patient suddenly vomited a lot, and the doctor saved his life with a plastic tube

In clinical work, every day is full of unknowns. This unknown is not about one's own medical skills, but comes from the different conditions of different patients, individual differences, and those disobedient patients.

As an anesthesiologist who has been working on the front line for many years, almost no matter how complicated the patient is, we are not stumped. The only thing we fear is that the patient will be "disobedient."

What is meant by "disobedience" is that when you tell him what to do, he either forgets or acts on his own.

A few days ago, a painless colonoscopy in the outpatient clinic scared my colleague Dr. Wang.

That day, Dr. Wang anesthetized a patient undergoing colonoscopy. The patient was in his 50s and had undergone rectal resection and stoma.

Theoretically, the intestines, which are already short, should be easy to make and a very simple job.

However, what happened during the examination made her break out in a cold sweat.

Shortly after the anesthetic took effect, the colonoscopy doctor successfully inserted the colonoscope.

Without the bends of the rectum and sigmoid colon, the colonoscope can go almost directly to the transverse colon. After passing the hepatic flexure of the colon, it reaches the ascending colon. The ascending colon is the focus of this examination.

Unexpectedly, just when everyone was immersed in the excitement of "victory is in sight", the anesthesiologist Dr. Wang shouted "Stop the operation first!"

Everyone who was staring at the colonoscopy screen turned around to look at her and the patient's head.

Through years of clinical experience, they also know that anesthesiologists are generally very stable. If they can make such a sound, it means that there is a high probability that something serious is going to happen. And the problem is mostly due to the patient's breathing.

When we took a closer look, we were shocked. It turned out that the patient's mouth and nose were full of sticky stuff. Obviously, it was not phlegm, but stomach contents or even intestinal contents.

At this point, it was no longer the time to analyze the composition of the vomit. Just as everyone was trying to reach out and see what they could do, Dr. Wang pulled out a tracheal tube from the first aid kit.

Seeing this scene, everyone was somewhat puzzled. After all, such a large-scale rescue scene did not happen often. At least, it was rare in their experience.

Without saying anything, she pried open the patient's mouth and inserted the tube.

At this point, everyone was even more shocked. According to everyone's understanding: this is a tracheal tube, a tool used to establish an artificial airway. If you intubate the trachea, you must use a laryngoscope or something, right? Without anything, how can you ensure that the tube can be inserted into the trachea?

When everyone was puzzled, she used her fingers to dig into the patient's mouth. When she took her hand out, a lot of food residue came out.

At this time, the patient's anesthesia was already very light because the anesthetic had been stopped. As Dr. Wang operated, the patient "hiccuped" and took a long breath.

Hearing this, she stretched out her arms as if she was nailed there, but her eyes were fixed on the data on the monitor.

Seeing that the patient’s breathing problems were no longer a problem, the colonoscopy doctor quickly completed the colonoscopy.

Later, we learned that the patient had not eaten for a day and a night because of the bowel cleansing and was very hungry. She secretly drank a bowl of porridge half an hour before the examination. According to her understanding, it was a colonoscopy anyway, and food could not run into the intestines so quickly. She also knew that the doctor did not allow her to eat, so she lied to the doctor. When the doctor asked her if she had eaten anything, she insisted that she had not eaten.

After everything calmed down, everyone asked Dr. Wang: Did you insert the tube into the trachea?

Dr. Wang said: I'm not sure. It would be better if we could get into the trachea. In the case of massive reflux, since it is not clear whether there will be further reflux, inserting the esophagus can also prevent further reflux and aspiration. There are only two passages in the pharynx, and blocking one can solve the problem of reflux and aspiration.

At this point, everyone finally understood.

Here, we would like to remind everyone to follow the instructions of medical staff. These regulations and standards are the result of hard work and lessons learned.

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