During the operation, she felt that her legs were raised high, which was very uncomfortable.

On Monday, a tubal cyst was removed.

Because the patient had two previous surgeries and was expected to be in a mess with the abdominal and pelvic adhesions, exploratory laparotomy was chosen.

The concept of adhesion is that two tissues that are not connected to adjacent organs grow together for some reason. If the adhesion is serious, the various organs are tightly wrapped together, and it is not easy to distinguish and separate.

For this reason, everyone is prepared for a long period of surgery.

In terms of anesthesia, I was worried that the spinal anesthesia would not have enough time, so I had a combined spinal-epidural anesthesia. In this way, even if the operation takes five or six hours, there will be no problem.

In order to maximize the effect of anesthesia, Dr. Li, who was in charge of anesthesia, injected the maximum amount of spinal anesthesia into her spinal canal.

After the patient is lying down, start the steps of disinfection, draping, surgery, etc.

However, just after the belly skin was opened, the patient became irritable.

Seeing this situation, Dr. Li immediately asked her alertly: What’s the matter? Does it hurt?

Because of regional anesthesia, in addition to patient safety, anesthesiologists are most worried about the effect of anesthesia. After all, many factors, such as anatomical variation, misjudgment, and the appropriateness of anesthesia, can affect the ultimate effect of such anesthesia.

However, the patient did not answer him directly. The twisted expression and twisted body showed that she was in pain at the moment.

The doctor on the stage also felt that something was wrong and immediately stopped the operation.

Operations on stage stopped, but she was still in pain. This kind of performance made Dr. Li feel that it might not be pain.

Finally, after repeated questioning, she said that it was not her stomach pain, but her legs were uncomfortable. When asked why she was uncomfortable, she said her legs were high and raised, and asked everyone to help her put them down.

However, how could her legs be up? Everyone assured her that her legs were lying flat on the operating table.

Seeing that everyone insisted that her legs were lying flat, she no longer insisted, and twisted her expression there to herself.

Modern anesthesia not only emphasizes painlessness and safety, but comfort is also an important part. Of course, Dr. Li couldn’t just sit back and watch: after confirming that the analgesic effect was fine, she quickly fell asleep after a sedative injection.

Hearing her snoring, the doctor on the stage asked in confusion: This is very rare, what is going on?

Dr. Lee explained that this is the symptom of the patient’s loss of proprioception.

Proprioception? The doctor on the stage asked in confusion.

Dr. Li explained: Proprioception refers to the sensations produced by moving organs such as muscles, tendons, and joints when they are in different states (movement or rest) (for example, people can perceive when their eyes are closed. position of body parts). Because of its deep location, it is also called deep feeling.

In addition, in the proprioceptive conduction pathway, the skin’s fine touch (such as distinguishing the distance between two points and the texture thickness of objects, etc.) is also transmitted.

No wonder she can’t tell where her legs are! The doctor on the stage said in a low voice.

Then, the doctor on stage asked: Under what circumstances can proprioception disappear?

Dr. Li explained: During neuraxial anesthesia, the sequence of nerve blocks from superficial to deep is vasomotor fibers, loss of temperature, loss of pain, loss of touch, and motor paralysis , pressure sensation disappears, proprioception disappears.

Usually, Dr. Li is a very sincere person.

At this moment, he said embarrassedly: The anesthesia is deep this time. Didn’t you say that the adhesion is not easy to do, so the anesthesia is very strong. In addition, the process of turning over was a little slow, which caused the anesthesia to concentrate on one lower limb, and only then did the proprioception of one leg disappear.

He then added: In fact, all it takes is “the pain goes away”. However, this level is really difficult to grasp. Although some drugs can achieve “sensory motor separation”, it is only theoretical. In reality, it is not necessarily controlled.

Listening to Dr. Li’s explanation, the doctor on the stage knew that he was serious and could not answer any more, so the operation continued.

Looking back and thinking about it, it is really worth thinking about accurately grasping the depth of anesthesia. After all, anesthesia methods or anesthetic drugs may be double-edged swords, too much may not be enough.

[Warm reminder] Please pay attention, here are a lot of professional medical science, to reveal the secrets of surgical anesthesia for you~