In the operating room, she was lying on the operating table when she suddenly became very excited. The doctor shouted "Not good"

As it was getting close to the end of the workday, most operating rooms had finished their work for the day, except for one knee injury debridement and suture operation which had just begun.

The director thought this was a simple anesthesia, so he let the young Xiao Li continue with the operation. In addition, he also considered that Xiao Li was the only one who had not married yet, so he let him devote himself first. Which old comrade in the department did not come from this period?

Seeing that Xiao Li successfully completed the combined spinal-epidural anesthesia, the director left with peace of mind.

Combined spinal-epidural anesthesia is a type of spinal anesthesia. By puncturing the waist, local anesthetics are injected near the spinal nerves to produce anesthesia in the lower body. Because the effect is concentrated in the lower body, it is also figuratively called "half anesthesia". Of course, this "half anesthesia" may also be relative to "general anesthesia", but it is no longer possible to verify.

When he first took over this anesthesia, Xiao Li was also relaxed. Although he had only been working for a few years, this type of anesthesia was the most basic, and he was still very confident. When he saw the surgeon's blade cut the skin and the patient didn't feel anything, he felt relieved to write the anesthesia record.

It was originally thought to be a very simple operation, but because it was suspected that glass fragments had entered the wound, the surgeon took great pains to finally collect all the foreign bodies. At this time, when I looked at the watch again, it was almost seven o'clock.

Seeing that the surgery had just been sutured and it was a cosmetic suture, Xiao Li decided to add some local anesthetic to the epidural.

When he was withdrawing the medicine, the patient suddenly felt a chill on his back due to the liquid medicine passing through the withdrawal tube. He said "ouch" and moved his upper body. Xiao Li quickly said: "Don't move, hold on for a while, the operation will be over soon."

I thought she would calm down soon, but within a few minutes, she started asking questions and even talked to Xiao Li about her previous plastic surgery experiences.

Faced with this situation, Xiao Li could only cope with it reluctantly at first. Later, he could only agree with a "hmm". He thought that the patient might be too nervous and needed to talk to relieve it.

However, Xiao Li soon discovered something was wrong: she, who had just boasted about her past "heroic deeds", suddenly seemed incomparable. On the monitor, her heart rate and blood pressure seemed to be rising.

Then, he pulled back the epidural catheter that had just given a few milliliters of medicine. To his shock, the catheter, which was supposed to be colorless and transparent, was instantly stained red with blood.

Seeing this situation, he could no longer remain calm, especially since he was a young doctor.

The surgeon paused with the word "not good" and asked: What happened?

Xiao Li said very quickly: It might be local anesthetic poisoning.

As he spoke, he drew the medicine. In a few seconds, a sedative was injected into the patient's blood vessels. At the same time, the oxygen flow of the mask was increased.

Then, Xiao Li checked the various supplies and medicines for general anesthesia again. After confirming that everything was in place, he stared at the screen without saying a word.

After a few minutes, after observing that there was nothing wrong with the patient's breathing and circulation, the surgeon was allowed to continue the operation.

After the peak effect of the sedatives passed, Xiao Li injected the patient with some analgesics. In this case, it is very likely that the epidural analgesia effect cannot be guaranteed, so intravenous medication can only be used to make up for it.

【Knowledge Point】For any surgery using local anesthetics, you should be careful to prevent local anesthetic poisoning. After local anesthetic poisoning occurs, the patient's performance varies. However, the prodromal performance is mainly mental excitement. If the local anesthetic enters the blood in large doses, it can directly cause loss of consciousness. No matter how small the surgery or how small the anesthesia, it is not a trivial matter, remember! Remember!

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