It is said that the anesthesiologist is life-saving, yes. How do you save your life? When do you need to save your life? Is it really just that you need an anesthesiologist to save your life when you are old? Let’s take a look at an anesthesia case today. A middle-aged male, usually in good health, often exercises and plays badminton, and has no clear history of gout except for high uric acid. I am a medical staff. I went to the doctor several hours later due to sudden metastatic right lower abdominal pain. The surgeon decided to perform emergency laparoscopic appendix surgery. It is estimated that the operation is not difficult and the time is short. I have not negotiated with the indwelling catheter and the induction of anesthesia is still smooth. Later, premature ventricular beats appeared gradually, and the intermittent duality rhythm was not obvious in the symptomatic treatment of drugs. The arterial blood gas analysis showed no obvious abnormalities. The blood pressure needed to maintain stable blood pressure with vasoactive drugs. The operation ended smoothly. The patient appeared transient in the recovery process Low blood pressure and slow heart rate, emergency symptomatic treatment, arrhythmia still has no obvious improvement, although intraoperative anesthesia is basically no special type and amount of conventional drugs, the recovery is slow, and the obvious delay is more than 30 minutes. Finally, he was awake and extubated and returned to the ward. There are several points to be reviewed in this patient. One appendix is embedded and seen during surgery, so the symptoms are not severe but the development of inflammation is not mild, and the medical treatment is delayed. Second, the patient’s usual health caused misjudgment in the evaluation, and the patient was close to the pre-infection and poisoning period before anesthesia. Three management affection, not intubating urine is not conducive to fluid management of severe patients. A small appendix, a poor acquaintance of the same industry experienced anesthesia accident or even a malignant arrhythmia, and sweated afterwards. Anesthesia is no small matter, and safe anesthesia management cannot be mixed with emotional factors. Anesthesia safety is always on the road. A statistic shows that the most prone to anesthesia accidents are often young minor operations rather than high-risk, difficult, difficult and critical. Risks are sometimes a mystery, regardless of the size of the operation, regardless of age, gender, or young.
Professional first-aid can’t give up. (1) 1 Spiritual commendation can’t replace first-aid. When it comes to first-aid, many people are easy to deviate. First-aid is life-saving. It is the core. Only professional first-aid can save lives. Rescue is on the spot, right or wrong, professional and unprofessional are related to the outcome. No matter how good the spirit is, it is necessary to render blood-sucking and urine-absorption. It has nothing to do with the profession. It will damage this profession. People will naturally ask that others dare to suck blood and urine. In fact, if there are special methods for blood suction and urinary catheters, there is no other way, but in most cases, this is not the case. How much blood can you draw for a patient with a closed coma and why? What is it, it is nothing to prevent reflux and aspiration. It is nothing to prevent airway obstruction. It is impossible to inhale the drunk coma and vomiting outside the hospital. It is most necessary to think in medical treatment. Solving problems instead of simple and rude is not professional. Medicine is constantly Progress, instead of going back to the original, even outside the hospital, there are many ways. Even in the hospital sometimes it is helpless.