A cesarean section anesthesia recently reminded us of the importance of preoperative communication. Even if it is communicated, one of the details that may be overlooked is what the patient’s anesthesia should be like.
Why communicate this aspect? This is because the patient is required to hold the brakes while some anesthesia is being administered. Once physical movement occurs due to tension or abnormal sensations, it is likely to lead to complications of anesthesia. In severe cases, there may even be serious nerve, blood vessel or vital tissue damage.
Neurospinal anesthesia is an anesthesia that makes even experienced anesthesiologists nervous. This is because the spinal anesthesia is too close to our vital tissue, the spinal cord. I believe everyone can have a general understanding of what the spinal cord means to us. In an anesthesia operation where there is no chance of error, if the patient suddenly moves, even the quickest response may be too late.
This cesarean section was originally nothing. Compared with general emergency surgery, the anesthesiology department is basically used to it. That is, no matter how fast your movements are, the obstetrics department will always think you are slow.
That day, Dr. Zhao was in charge of anesthesia. After receiving the news of the emergency cesarean section, Dr. Zhao hurried to the obstetrics department to understand the situation. After it was determined that it was very urgent, he quickly returned to the operating room. Just ready, the mother has been pushed in. Followed, there are obstetricians, midwives and paediatric care units and other teams. Don’t think too much, quickly put yourself in the position, disinfect the towel and prepare for the puncture.
However, when the anesthetic was just pushed in halfway, the mother shouted “ah”; movements; the upper body should also be turned back. Looking at the situation, it seems to be a kind of self-protection.
After everyone scolded and stopped, the mother stopped turning over.
Dr. Zhao, who was in a cold sweat, almost trembled while pushing the medicine. If the mother turns over or falls off the bed, the consequences will be disastrous. The needle being punctured on the back is a steel needle as thick as a matchstick. If you wear it in…
Dr. Zhao, who didn’t dare to think too much, resisted his anger and excitement and comforted the mother: Don’t move, it’s anesthesia now key stage. Hold on for a while and the anesthesia is complete.
At this time, I heard the mother say in a trembling and nervous voice: “Doctor, I don’t want to move either. I feel a sudden heat in my buttocks. Is it broken?”
When I heard the words “Broken”, it immediately stimulated Dr. Zhao’s nerves. You know, people who engage in technology are afraid that others will question their skills.
But he knew that the patient should have meant no offense.
Forcing the fluctuations in his heart, he comforted him: I’m sorry, I forgot to explain to you that during the onset of this anesthesia, you may feel your buttocks and legs get hot. However, it doesn’t matter, this is a sign of the onset of anesthesia, it’s normal, don’t worry.
After that, the surgery started quickly. A few minutes later, with the sound of “quack”, the environment in the operating room immediately became relaxed. This means that the most dangerous stage is over.
At this time, a cool feeling hit the back, which was just soaked. Looking at the pregnant woman who fell asleep due to fatigue, Dr. Zhao was thinking: This kind of anesthesia operated on the back is really nervous. Therefore, patients cannot be expected to stay clear-headed and very rational, and our work should be done in more detail.
【Knowledge point】The cause of buttock fever during spinal anesthesia is the transient performance of anesthesia drugs on the “iliac hypogastric nerve” block. After the fever, it will be completely blocked and unconscious. The iliohypogastric nerve is mainly derived from the 1st lumbar nerve, and some also participate in the 12th thoracic nerve. The muscular branch, which innervates the abdominal wall muscles; the cutaneous branch, which innervates the skin of the lateral buttocks and inguinal area.
[Warm reminder] Please pay attention, here are a lot of professional medical science, to reveal the secrets of surgical anesthesia for you~