Recently, medical beauty has another accident! According to reliable sources, Xiao Li, a beauty-loving person in Xi’an, had an accident during the process of receiving autologous fat for facial filling. Like most of the previous plots, this time it is still anesthesia!
Why do you say “back the pot”? The suffering or helplessness may only be known by the anesthesiologist.
Look at the event first:
Xiao Li entered the operating room at 21:15 on the day of the accident, and the operation started at 21:40. However, something happened just after 22:00.
According to the memories of relatives and friends outside the operating room at the time: some staff came out nervously to find a stethoscope and rescue medicine, and they realized that something was wrong. So, ignoring obstacles and rushed into the operating room.
The scene in the operating room shocked them: it was a mess, and the surgical gowns were scattered all over the place. Xiao Li was lying on the operating bed, her whole body, especially her face, was blue. There is blood in Xiao Li’s tracheal tube, and the doctor is pinching the balloon to assist breathing. At this time, Xiao Li’s pupils were dilated, and she lost her breath and heartbeat. After that, the doctor called 120, and Xiaoli was sent to other hospitals for rescue.
Emergency case records from the admitting hospital show:
The patient was scheduled to undergo liposuction in another hospital 20 minutes before admission. After preoperative propofol 50mg and sufentanil 5ug (anesthetics), the patient gradually stopped breathing, and the doctor gave it immediately. During endotracheal intubation and balloon-assisted breathing, red blood appeared in the oxygen storage bag, and the patient experienced choking and cardiac arrest…
120 medical staff arrived at the scene and confirmed that the patient was no longer breathing and heartbeat, bilateral mydriasis was fixed, and he was transferred to our hospital. Declared biological dead at 03:10.
Specially, the above records are true records of the emergency department of the rescue hospital, so the reliability is very high.
Faced with such an accident, we must not only ask: What is the problem? After all, one fresh life after another frequently falls on the medical and aesthetic operating table, which should be worthy of our vigilance and exploration!
From the point of view of the time node, there should be no accident before 21:40. If there is a problem, the main knife at that time will not “move the knife”. This is a clever bit that any surgeon has. The key is the period from the start of the operation to just after 22:00. What is surgery doing during this time? What does anesthesia do? Why did the patient’s condition take a turn for the worse? Let’s look down~
I would disagree if the anesthesia was completely fine during this time. After all, relatives and friends outside the operating room saw the staff come out to find a stethoscope and rescue medicine.
What is a stethoscope? Everyone should pay attention to each general anesthesia, which is a must-use item for each general anesthesia. You don’t even need a stethoscope, what kind of expert are you pretending to be? Even if you are a peer, who can sympathize with you?
In addition, there is no rescue medicine in the operating room? Is your anesthesia always safe?
How can one not be saddened to see such a situation?
Don’t use medical beauty money to justify yourself! As long as there is a little respect for life, I would rather not make this money!
For the time being, even if there is nothing wrong with anesthesia, after all, in terms of anesthesia itself, the probability of an accident is too low. No matter which version of the statistics, the probability of an anesthesia itself is 1 in 10,000. There are several medical and aesthetic accidents every year, how could it be all anesthesia problems?
In order to let everyone know the truth, we will introduce the general procedure of anesthesia for medical aesthetic surgery. It should be noted that medical aesthetic surgery particularly emphasizes the cooperation of anesthesia and surgery. It can be said that the close cooperation between the two is the key to the success of the operation; at the same time, problems often arise from cooperation.
As a digression: without a little technology, most people really dare not take the job of medical anesthesia. Unless, the comer is stunned. Therefore, medical anesthesia is either a master or a low-hand.
Assuming that the operation with anesthesia is relatively smooth, let’s take a look at the process of liposuction:
Communicate after entering the room, draw lines, sterilize (thighs) while standing, lay sheets, lie down, receive monitoring, and inhale oxygen.
Next is intravenous anesthesia. At this time, the patient is required to reach a state: reluctance to breathe, but still breathing freely without respiratory depression.
After reaching this state, the main surgeon begins to perform tumescent anesthesia. Due to the strong stimulation of tumescent anesthesia, this stage is the time when the depth of anesthesia is most tested. At this stage, the anesthesia is also often the deepest.
Once the tumescent anesthesia is in place, the next step of liposuction is less irritating, so the anesthesiologist will lighten the anesthesia. If you continue to use large doses of anesthetics, experts cannot guarantee that the patient can still breathe on his own. The key is that in this state for a long time, the patient may suffer from respiratory depression or loss of airway control at any time.
The liposuction process is generally quicker, and it is over in ten or twenty minutes.
Afterwards, the facial sanitization begins.
This is when the anesthesiologist really worries. Because, since then, the patient’s breathing has been out of control.
What is “out of control”?
As everyone in the industry knows, the patient’s head is the position of the anesthesiologist. Since it is called a position, it cannot be easily given to others. However, medical anesthesia is so magical: most of the time, the anesthesiologist is forced to give up this position.
Some people say that when doing thyroid or head surgery, the anesthesiologist should also give up the head position!
It’s not the same! During the operation, the anesthesiologist will perform general anesthesia with endotracheal intubation. In medical aesthetics, operators will excessively pursue economic interests, and require anesthesiologists to take the risk of taking intravenous general anesthesia without intubation when the airway is not guaranteed.
Continuing with the steps of surgical anesthesia:
After the face is disinfected, the main surgeon starts the facial swelling and anesthesia. In this step, the anesthesia is tested again. Moreover, this test is more severe: in the previous steps, if the anesthesia is deep, since the anesthesiologist is still in the head position, he can pressurize oxygen at any time to ensure the safety of ventilation. If you don’t have a particularly low hand, you can generally control this step. However, after the face is disinfected, the anesthesiologist can no longer get started.
Only theoretical if possible. At least, in actual combat, anesthesiologists rarely make medical beauty operators or chief surgeons unhappy at this step. As for why, everyone figured it out.
Since this step is so difficult, the anesthesiologist is also the most nervous at this step. When you are most stressed, you will be most focused. Assuming that the patient does experience blood oxygen rushing out, it will no longer take care of other people’s emotions. After all, life is greater than everything. So, will this step go wrong? Everyone will have their own judgment.
Once the swelling of the face is anesthetized, the anesthesiologist will breathe a sigh of relief. Because, even if the patient wakes up at this time, it doesn’t matter, there is swelling and anesthesia anyway. As long as the patient does not move around and listens to the command, the operation can be completed smoothly.
Then the question is: which step went wrong?
As of now, I believe that the forensic appraisal has not yet yielded the results, and the lawsuit has not ended. Everything is just reasoning.
Since there was a problem just after 22:00, the surgery should not have reached the stage of facial swelling anesthesia or is undergoing facial swelling anesthesia. Therefore, we still have to look at it separately: no facial swelling is performed and facial swelling anesthesia is being performed or has been completed.
In the case of no facial swelling anesthesia, the same sentence: the anesthesiologist is still in the head position, and it is difficult to figure out the problem. Even without intubation, an anesthesiologist with some experience can control the airway.
Someone asked: Why only lift the airway? Is anesthesia accident only breathing problems?
That’s not it. Note that breathing is the most problematic and the most serious accident. Other conditions, such as anesthesia allergy. Even if it happens, most of them are only symptomatic, and the consequences are not serious.
But let’s note that there were other people on the operating table administering anesthesia! This is the swollen leg anesthesia administered by the surgeon.
A solution for tumescent anesthesia, mainly containing local anesthetic and epinephrine. Neither of these two drugs will directly cause the patient to suffer. Unless there are special circumstances. For example, severe allergies, narcotics poisoning, heart disease or high blood pressure. But considering that Xiao Li, who was in the accident, is only 37 years old, the probability of either is not high, but it cannot be completely ruled out.
At this point, the reasoning is fruitless. So, have to look again at the details of the message.
We noticed that emergency department cases clearly documented that medical cosmetology routinely performed intubation and general anesthesia. However, I can’t agree with this: most of the medical and aesthetic equipment is outdated and lacks rescue equipment. Even with equipment, the concept of cost reduction always runs through.
Here, we can’t help but wonder: it is said that safety is effect. However, why is the medical aesthetics so profitable, but the safety awareness is so poor?
From the point of using a balloon to assist breathing after intubation, we believe that it is difficult for any regular anesthesiology department to agree with such an operation. Therefore, immediate intubation requires a question mark.
Here, we reiterate: we do not want such reasoning to have an impact on the incident, but from the perspective of respecting life, we hope that all parties will pay attention to safety, so that such a tragedy will not happen again.
One thing is certain: in the medical beauty operating room, the tube is indeed intubated. Because the family saw blood in the trachea.
However, it is unknown whether this intubation was a routine intubation for anesthesia or a rescue intubation.
Look at the records of the emergency department: the doctor immediately gave tracheal intubation and assisted breathing. During the process, red blood appeared in the oxygen storage bag, and the patient coughed and stopped heartbeat…
If true, the information here is valuable. Because, the pure anesthesia accident known so far has no such clear characteristics. That is, anesthesia causes bleeding in the airways or lungs. However, we know that acute pulmonary embolism caused by fat droplets can cause hemoptysis, high blood pressure caused by epinephrine, and acute pulmonary edema can have pink foamy sputum gushing out of the tracheal tube.
Also, is it possible that the airway mucosa happens to have a ruptured blood vessel or that Lily is taking anticoagulants herself. In short, everything is reasoning. The small amount of information is not enough to make a clear judgment.
Finally, we want to not let anesthesia be the culprit when things go wrong. Find out the real reason, in order to prevent the tragedy from happening again.
[Warm reminder] Please pay attention, here are a lot of professional medical science, to reveal the secrets of surgical anesthesia for you~