After connecting the patient to the monitor, adjusting the oxygen, and hanging a bottle of rehydration solution on the indwelling needle for rescue, the nurse walked away. Only the anesthesiologist is left to operate alone.
The anesthetist needs to administer anesthesia to the patient. For such an operation, the doctor has stated that it is an anal operation, and the anesthesia method generally does not need to use general anesthesia. General anesthesia can be used for surgery without general anesthesia as much as possible. General anesthesia is risky and expensive. Only these two disadvantages are disliked by anesthesiologists and surgeons. This is something that ordinary people do not need to worry about.
The doctor above me told me to do spinal anesthesia for the patient. Spinal anesthesia is a type of spinal anesthesia.
The teacher gave instructions, and the interns followed the instructions of the teacher. As an intern, she should be more cautious in doing things. Liu Jingyun first checked whether the rescue equipment was in place, such as the tools for tracheal intubation, such as whether the defibrillator was at hand.
Open the anesthesia puncture bag to check whether all the contents are ready, and use a syringe to inhale anesthesia and saline respectively.
When doing these things, Liu Jingyun's head forgot that the little junior sister was beside her, and her mind was full of steps.
When the lumbar anesthesia occurs, the patient has to lie on his side. Xie Wanying helps the senior sister adjust the patient's position. Since she is here, she must help the senior sister.
The patient's head should be bent down, and the knees should be held with both hands, so that the lumbar intervertebral space can 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 asking her to bow her head, she complained that she felt uncomfortable, and asked her to hug her knees with both hands, but she even said that she couldn't hug her knees: "My back hurts to death!"
Hearing this, no matter whether you have studied medicine or not, you know that something is wrong.
"Elder Sister." Xie Wanying called Senior Sister.
In fact, Liu Jingyun's heart sank to the bottom of the sea when she heard the patient cry out for pain.
That Dr. Zhang hates interns calling him back.
Liu Jingyun's eight-year program has more internship periods than the five-year program, so basically she can operate alone now, and the teacher will only come to inspect and supervise.
Simple spinal anesthesia like this is not even combined spinal epidural anesthesia, nor is the more complicated epidural anesthesia catheterization, as long as the two layers of dura mater and arachnoid are accurately pierced to reach the subarachnoid space and inject anesthetics. It is a relatively simple spinal anesthesia.
The onset of subarachnoid anesthesia is very fast, and the anesthesiologist can easily judge the effect of anesthesia. In the eyes of the teacher, there is no difficult operation.
Nowadays, there are more and more anesthesia methods, which need to cooperate with more advanced surgical methods. Spinal anesthesia is widely used, which is a threshold for anesthesiologists, but for working anesthesiologists, especially those in top-tier tertiary hospitals, it is called a job that can be done with one bite of food.
Internship in the anesthesiology department of a top-tier tertiary hospital, even spinal anesthesia and simple spinal anesthesia cannot be done, which is unreasonable.
Adjusting her mentality, Liu Jingyun turned around, walked to the patient, and asked, "Where does it hurt you, tell me?"
"I can't bend down," said the aunt.
Unable to bend down, lumbar disc herniation
The pace of life of modern people is fast, and many people have various minor diseases, and lumbar disc herniation is a common disease. If this is the case that spinal anesthesia cannot be performed, then all anesthesiologists have already eliminated spinal anesthesia. Therefore, lumbar disc herniation is not the key factor for spinal anesthesia.
Spinal numbness usually occurs in the second and third waists, and lumbar disc herniation is common in the fourth and fifth waists, so it should not be a big problem.