Xi’an News Network News A successful operation is inseparable from the presence of an anesthesiologist, and anesthesia is not as simple as an injection and a sleep. If surgery is a catastrophe in life, then the anesthesiologist is the “ferryman” in the operation. Recently, the Department of Anesthesiology of Northwestern University Affiliated Hospital • Xi’an Third Hospital successfully performed anesthesia for a 109-year-old super-senior patient for craniocerebral surgery, providing guarantee for the patient’s neurosurgery to perform craniocerebral hematoma removal.
The patient suffered from hypertension for 20 years, the function of various organs declined, and the overall nutritional status was average. The patient was unconscious when he arrived at the hospital, accompanied by exudative changes in both lungs with mild interstitial fibrosis, a small amount of effusion in the right pleural cavity, severe arterial and coronary sclerosis, poor cardiopulmonary function, and left fronto-parietal temporal. Occipital subdural hemorrhage with subdural effusion; subarachnoid hemorrhage, etc.
According to the actual situation of this super-aged patient, after receiving the notification of the operation, Kuai Jianke, the director of the Department of Anesthesiology, immediately linked with the three departments of neurosurgery and the operation team, respectively, from the operation plan, anesthesia plan, anesthesia From the selection of methods to the management of intraoperative anesthesia, postoperative patient rehabilitation, and possible perioperative complications, an accurate and comprehensive preoperative anesthesia assessment and risk prediction can be made for this super-aged patient. In order to avoid or reduce postoperative complications and provide patients with a comfortable diagnosis and treatment experience, we have coordinated and made detailed and careful arrangements.
Medically, patients over the age of 90 are defined as super-aged patients. Due to the poor vascular receptivity and poor function of important organs in this age group, anesthesiologists are under great pressure during the implementation of surgical anesthesia. , in addition to ensuring the patient’s painless and comfortable operation, but also to maintain the stability of the patient’s vital signs and the function of important organs. After the anesthesia operation plan is determined, the medical and nursing team informs the patients and their families in detail about the risks related to anesthesia and operation, and after obtaining full understanding and cooperation, the departments coordinate and actively improve the preoperative examination and operation preparation. Subsequently, with the close cooperation of the excellent nursing team in the operating room, the operation took 40 minutes to complete successfully.
“This operation is the oldest patient who has completed surgery in the anesthesiology department since the establishment of the hospital. Since the department in March 2017 Since the first case of anesthesia was completed on the 17th, the number of operations performed by the department has continued to increase every month. In order to ensure the safety of each operation, the department has introduced a lot of high-end equipment and advanced technologies. Pre-anesthesia assessment and intraoperative anesthesia management are precise, postoperative pain-free and comfortable, and efforts are made to provide comfortable medical services for patients.” Kuai Jianke said.
Xi’an Newspaper All-Media Reporter Wang Jiangli Photo courtesy of the interviewed unit