After 2 hours, the patient woke up from general anesthesia. The total urine output was about 1950 mL. The color was clear. Spontaneous breathing was stable. He could open his eyes when called to clear his respiratory tract and remove the laryngeal mask.
Observed for 10 minutes, no obvious abnormality was found.
At this time, the patient's blood pressure is 130-108mmHg/76-55mmHg, heart rate is 74-89 beats/min, and blood oxygen saturation is 97-100%.
After auscultation, the breath sounds in both lungs were clear and symmetrical, and he could respond to calls. His muscle strength had recovered satisfactorily, and he could move his limbs and raise his head according to instructions. After that, he was sent back to the ward for intensive monitoring.
The patient was fine, but he was sent away without even having an operation. There was no way he could ask questions at home. Director Xu doesn't have to face the patient's family. The trouble is all the surgeon's and has nothing to do with him.
He had other things to attend to.
The demonstration classroom of the anesthesiology department is very large, because several on-stage consultations take place here every year.
However, no matter how big the demonstration classroom is, it cannot accommodate all the anesthetists of 912.
Director Xu had a sullen face, and the scene from the live surgery room in Xinglinyuan was played on the projector. Boss Zheng was directing the rescue like a mountain.
The anesthesiologists were very smart and no one dared to speak when Director Xu was in a bad mood. They tiptoed to find a place to sit. People who came late stood in the corner. As the number of people increased, those who came later had to stand closer to the front.
People who arrive late are also very helpless. The closer they stand, the more likely they are to be scolded. But who wants to arrive too late when their home is far away
When the time came, Director Xu said in a deep voice, "Roll roll call!"
“…”
Many anesthesiologists were glad that they did not take any chances. Director Xu was serious this time. When I walked in, I saw that the background screen was a live broadcast of emergency rescue. Those who were excited could have guessed this.
The person who was absent from the roll call, Director Xu, would definitely not have a fit on the spot, but he would have all kinds of shoes to wear in the future.
What's going on here? They didn't even dare to ask, and no one dared to whisper to Director Xu when he was in a bad mood.
After the roll call was over, Director Xu held the list in his hand. Through the light and shadow, he could vaguely see several circles drawn on it, and "viciously" marked down the people who didn't come.
"You Changyou, tell me about today's events." Director Xu sat on the stage and said coldly.
As soon as these words were said, everyone suddenly felt that a big stone was weighing on their already stressed hearts.
You Changyou is a veteran leading professor in the anesthesiology department. Director Xu will always give him full respect and will not deliberately suppress him. Director Xu still has the grace of a veteran director, but today...if he calls Professor You directly by his first name, you can imagine what Director Xu will do.
"Director Xu..." You Changyou's voice was stiff. He recalled repeatedly that although he was responsible for the anesthesia during the operation, what could he do if such a problem occurred? It was an accident, it was an accident!
"Tell me what you think about this matter." Director Xu suppressed his anger and said coldly.
Lao He sat by the window and watched quietly.
He was not worried that he would be implicated. Lao You was unlucky this time. When I sent Boss Zheng's gallbladder cancer patient to the ICU, I saw Director Xu asking the patient's family about something, and Boss Zheng and Brother Yun were also standing aside.
Although he didn't know what was going on, Lao He understood Director Xu's character.
He is the kind of director who doesn't move and leaves people speechless once he wants to move. Director Xu basically doesn't talk about trivial matters. Those are the work areas that the head nurse talks about anytime and anywhere.
Lao He was curious and saw You Changyou stammering about the patient's condition. He secretly took out his mobile phone that was set to silent and sent a message to Su Yun.
Brother Yun, what happened to Lao You’s patient
In less than 3 seconds, Su Yun's reply arrived.
The patient had a cold 12 hours before the operation, but the anesthesiologist did not ask about it.
“…”
Lao He immediately understood what happened. This kind of thing was not very common. Lao You was afraid that he was a patient treated by a student. Director Xu caught him this time, but it was tragic.
As soon as he understood what was going on, the medical record in Director Xu's hand hit You Changyou on the head, and with a "pop" sound, the white paper fell to the ground.
You Changyou was stunned for a moment. Did Director Xu slap him in the face in front of everyone
"The patient caught a cold before the operation, did you know?" Director Xu shouted in a deep voice without giving him any time to think about it.
“…”
You Changyou was startled.
"You still have the nerve to talk about seeing patients before surgery, who sees the patients! Do you have any sense of responsibility? Why do you see patients before surgery? What should you pay attention to!" Director Xu asked in a snap.
Looking at the lost You Changyou, Lao He put away his phone. He had no time to sigh at the speed of Brother Yun's reply to WeChat. He only had a feeling of sadness lingering in his heart.
It is an unwritten rule that anesthesiologists usually ask their assistants to see patients. Although Director Xu said many times during the small meeting that he would lead the team of anesthesiologists to see patients, there was basically nothing to do when running up and down, and everyone became slack as time went by.
If he hadn't often given anesthesia to Boss Zheng's patients, Lao He wouldn't have dared to be negligent in the slightest, and he probably wouldn't have gone to see the patients in person every time.
"When no difficult airway is found in the pre-anesthesia assessment, the occurrence of difficult airway cannot be ruled out, and unexpected difficult airway is more dangerous after induction of general anesthesia!" Director Xu said, "Do you know this? ?!”
"I know..." You Changyou lowered his head and whispered.
"You know what the heck!" Director Xu vented all his anger on his head. This meant that there was nothing in his hand, otherwise another medical record would be smashed down.
"The medical history collection was insufficient. We did not learn about the history of upper respiratory tract infection 12 hours before admission. Did you write it in your pre-anesthesia information sheet? Did you tell it during the emergency rescue!"
You Changyou lowered his head in silence, pretending not to fight back or scold him.
When something goes wrong, it's normal to be scolded. If you talk back at this time, you will definitely get more scolding. The most important thing is that I don't care. There is no reason to argue, it is nonsense, and in the end it is one's own face that is humiliated.
The more you talk, the more you lose. And it will add fuel to the fire. If Director Xu is offended, he will not be able to live a good life in the future.
"It's just because you did not collect enough medical history, did not remove nitrogen and oxygen during anesthesia, and the depth of anesthesia was insufficient. Unexpected difficult airway appeared after routine tracheal intubation after induction. Several attempts at tracheal intubation induced bronchospasm, resulting in Respiratory management crisis occurs after anesthesia, and unexpected difficult airway and bronchospasm lead to delayed recovery after induction.”
Director Xu roared like a barrage of firecrackers. His voice echoed in the demonstration classroom and struck the hearts of every doctor.
"Seeing patients before surgery is such a joke?!"