Chapter 205: 【205】Back pain before anesthesia
Chapter 205 [205] Back pain before anesthesia
After connecting the monitor to the patient, adjusting the oxygen, and hanging a bottle of rehydration on the indwelling needle for rescue, the nurse walked away. Only the anesthesiologist is left to operate.
The anesthesiologist needs to put anesthesia on the patient. For this kind of surgery, the doctor has written that the patient is an **** surgery, and the anesthesia method generally does not need to use general anesthesia. Surgery can be done without general anesthesia as much as possible. General anesthesia has high risks and is expensive. Only these two shortcomings are not liked by anesthesiologists and surgeons, so there is no need for ordinary people to worry about it.
The guiding doctor above me told me before and gave the patient a spinal anesthesia. Spinal anesthesia is a type of spinal anesthesia.
The teacher gave instructions, and the interns followed the instructions of the teacher. As an intern, it is more cautious to do things. Liu Jingyun first checks whether the rescue equipment is in place, such as the tools for tracheal intubation, such as the defibrillator at hand.
Open the anesthesia puncture bag, check if all the contents are ready, and use a syringe to **** the anesthetic and saline.
When doing these things, Liu Jingyun's head forgot that the little sister was next to her, and her mind was full of how to go step by step.
When the lumbar numbness occurs, the patient has to lie on his side. Xie Wanying helps the senior sister to adjust the patient's position. Since she is here, she must help the senior sister.
The patient's head should be bent down, the knees should be clasped with both hands, the lumbar intervertebral space should be opened, and the back should be flush with the edge of the operating table, which is helpful for the anesthesiologist to operate.
However, the patient's aunt didn't take anesthesia. Just telling her to bow her head made her feel uncomfortable and asked her to put her hands on her knees. She even said that she couldn't hold her knees: "My back hurts to death!"
Hearing this, no matter whether you have studied medicine or not, you will know that something is wrong.
"Senior Sister." Xie Wanying called her Senior Sister.
Actually, Liu Jingyun heard the patient cry of pain, and her heart sank to the bottom of the sea all of a sudden.
That Doctor Zhang hated the interns calling him back.
Liu Jingyun's eight-year program has more internship periods than five-year undergraduate students, so basically now she can operate alone, and the teacher will only come to inspect and supervise.
Like this simple spinal anesthesia, not even combined spinal-epidural anesthesia, nor more complicated epidural anesthesia, as long as the two layers of dura and arachnoid are accurately penetrated to the subarachnoid space to inject anesthesia. It is a relatively simple spinal anesthesia.
Subarachnoid anesthesia works very quickly, and the anesthesiologist can easily judge the effect of anesthesia. In the eyes of the teacher, there is no difficult operation.
Now there are more and more anesthesia methods, and more advanced surgical methods must be matched. Intraspinal anesthesia is widely used, which is a threshold for anesthesiologists, but for working anesthesiologists, especially for anesthesiologists in the top three hospitals, it is called a job that can be done by eating a meal.
Internship in the Department of Anesthesiology in a top-tier tertiary hospital. Even spinal anesthesia and spinal anesthesia cannot be performed. It is unreasonable.
Adjusted his mentality, Liu Jingyun turned around, walked to the patient, and asked, "Where do you hurt, tell me?"
"I can't bend over," said the aunt.
Can't bend down, lumbar disc herniation?
The modern life is fast-paced, and many people suffer from various minor diseases. Lumbar disc herniation is a common disease. If this is the case, spinal anesthesia cannot be performed, then spinal anesthesia has long been eliminated by all anesthesiologists. Therefore, lumbar intervertebral disc herniation is not a key factor in whether or not to do spinal anesthesia.
The lumbar numbness is generally in the second or third waist, and it is common for the lumbar disc to protrude in the fourth or fifth waist, so it should not be a big problem.
(end of this chapter)
