In the hospital, the operating room of the anesthesiology department and various surgical operations complement each other. No one can do without each other. Thinner than paper, sometimes like glue, sometimes “the boat of friendship will overturn”.
Faced with illness, we often work together to overcome difficulties and save people from death again and again. In life, for trivial matters, I often have red eyes and red ears, such as arranging surgery: “Why am I the last one today? I’m off the night shift!”, “What about the first surgeon? Haven’t come yet?”, “Doctor xx, you are pretending to be emergency surgery again!”, “Don’t stop my surgery, the patient has been here for several days!”, “Give me another surgery? There is a meeting tomorrow.”… …
A few seemingly ordinary sentences express how much grievances and hardships there are between the operating room of the anesthesiology department and various surgeons! To put it bluntly, each has its own difficulties!
So, in reality, what is the basis for arranging operations in the anesthesiology operating room? Let’s take a look.
Several principles for arranging surgery in the anesthesiology department:
One, elective surgery
1. Type of surgical incision
In the same operating room, the incision type is in order, that is, category I (clean incision) is preferred, category 11 (clean-contaminated incision), category 111 (contaminated incision), category 1V (infected incision) ) sequentially.
2. Age of surgical patients
Pediatric and elderly patients are preferred, and young and middle-aged patients are second. Due to fasting before surgery to prevent regurgitation and aspiration during anesthesia induction, newborns and young children have poor tolerance to hunger, the function of various organs of the elderly is reduced, and their physical conditions are relatively poor. Long-term fasting and water are prone to occur Hemodynamic disorders, internal environment imbalance, and even collapse and shock should be prioritized.
3. Critical illness and complexity
Those with many underlying diseases, serious illnesses, poor general conditions, and great challenges to anesthesia and surgery will be given priority. Generally, it is arranged to start the morning as early as possible. First, according to the daily routine of ordinary people, the morning is full of energy and easy to concentrate. Second, there are many people in the operating room. If you encounter an emergency, you can call for help. It is also easy to recruit people for consultations; thirdly, even if the table is dragged, it will not be delayed until late, and the arrangements for subsequent operations can be coordinated.
4. In addition, other factors can be considered
For example, if a department has a lot of operations in one day, it can be prioritized and multiple operating rooms can be arranged. Another example: surgeries that have been stopped for some reason can be prioritized. Another example: humanistic care, doctor XX is off the morning shift, night shift, etc. today, which can be given priority.
Second, emergency surgery
In principle, emergency surgery is performed in the emergency operating room, and multiple emergency surgeries need to be performed at the same time, which should be reasonably arranged according to the priority of emergency surgeries. If there is difficulty in arranging, in principle, the elective surgery in the department will be postponed.
Three, special bacterial infection surgery
In principle, operations with specific bacterial infection must be arranged in the negative pressure operating room. As if there are more than two units a day, the system of receiving surgery is implemented. If there is no laboratory report for various infectious diseases in the patients undergoing surgery on that day, they should be arranged in the last operating room of the day.
In short, the operating room of the anesthesiology department will comprehensively consider the above factors, and also make macro adjustments based on its own resources (manpower, material resources) and the capabilities of each department (whether there are enough surgeons). .
It may not be as good as you want it to be for patients, but these people really aren’t idle. Can’t leave work until all operations are over.
The last thing we want to say is, long live the understanding!
[Warm reminder] Please pay attention, here are a lot of professional medical science, to reveal the secrets of surgical anesthesia for you~