Friday, the operating room ushered in a surgical “big party”: orthopedics, urology, thoracic, breast, neurosurgery… These people seem to be competing for something, all arrangements are made surgery. To this end, the head nurse in the operating room specially transferred several nurses who were supposed to rest at home to the hospital. In our anesthesiology department, we plan to “size” together.
In the department, the youngest person is Xiao Liu, who has just worked for more than a year. The task she received was to be in charge of anesthesia for two anorectal operations.
Some people may question: Can such a young doctor do it?
Don’t worry, it’s fine. Don’t look at this anesthesiologist who has only worked for more than a year, but in fact, he has been in the industry for more than three years: during the school, the next two years are mainly anesthesia, and in the last year, he needs to study in clinical practice. By the time of graduation, a variety of commonly used anesthesia techniques have been mastered. If you ask the difference between the old doctor and the young doctor, it is clinical experience.
Because the two anorectal surgeries were nothing special, the director of the anesthesiology department arranged for the youngest Xiao Liu.
Liu was also very excited after receiving these two anorectal surgeries. After all, this is almost her first time “going it alone”. Especially when she thought that the director might be too busy to supervise her, she could almost laugh out of her mask.
The patient came in, a girl of seventeen or eighteen years old. This time, Xiao Liu was not so nervous anymore. That feeling is really “my site I call the shots”.
With the help of the nurse, the little girl shivered and climbed onto the operating table.
Instillation, connection to monitor, tripartite inspection…, the necessary steps before surgery are completed in one go.
Xiao Liu prepared the medicine “swipe”, and opened the anesthesia package.
Familiar with the road, Xiao Liu pressed an indentation with his fingernail on the back of the little girl where she was going to be anesthetized. The little girl hurriedly put away her waist with an “ah” sound, and Xiao Liu quickly comforted the belt and threatened: “Don’t move! There are nerves inside. If you don’t cooperate, it’s the rest of your life!
Liu, who has done at least hundreds of punctures, is naturally unambiguous. After a few minutes, the puncture was successful.
Because the anesthesia took effect quickly, everyone worked together to turn the little girl back.
Maybe it’s too nervous, maybe it’s the first time in my life that I’ve been exposed to so many people. At this time, the little girl’s body became extremely tense.
Xiao Liu saw the slightly lowered blood pressure on the monitor and the apparent gradual loss of strength in her lower limbs, and her inner tension gradually disappeared.
After putting the little girl in the surgical position again, the anorectal doctor began to disinfect and spread towels.
The monitor at this time, because her arms have been shaking, the waveforms of blood pressure, blood oxygen, ECG, etc. are messed up.
Liu, who has just calmed down, can’t help but worry: although the anesthesia works well, it may be dangerous if the vital signs change too much. In particular, after coming out of school, I haven’t seen those serious complications in the textbooks with my own eyes. The instructor also warned: it is best not to see it for a lifetime!
Just when Xiao Liu was extremely worried, the director of the Department of Anesthesiology came in. Seeing the situation on the monitor, seeing that the patient’s arms were shaking all the time, and the crouched position of the anorectal department, he immediately asked Xiao Liu to open a sedative.
Liu, who was still hesitating whether he could do it like this, could only follow the director’s instructions and push with a sedative.
Soon, the little girl stopped shaking.
Seeing the patient fell asleep, Xiao Liu asked the director: Director, what should I do if the tongue falls back?
Listening to her question, the director knew that she was too inflexible to learn the knowledge from the book. He smiled and said: At this angle, where does her tongue fall?
Liu suddenly realized that in the lateral position, there is really no need to worry too much about the problem of the tongue falling back. Even if there is a certain airway obstruction, it can be easily solved by adjusting the angle of the head.
Arrived here, Xiao Liu was really impressed: Jiang is still old and spicy!
Towards the end of the operation, the little girl also woke up. Confused, she seemed to have forgotten that she was in the operating room. After trying hard to see everything in the operating room, I slowly put my head down.