(Health Times Li Ning) On August 8, Zhengguan News reported that a plastic surgeon in Xi’an died of an “anesthesia accident” during an autologous fat cheek augmentation (filling operation) at the plastic surgery hospital where he worked.
After being sent to Xi’an People’s Hospital, the emergency medical record shows: “The patient was scheduled to undergo liposuction in a foreign hospital 20 minutes before admission, and was given 50mg of propofol and 5ug of sufentanil (anesthesia) before the operation. After taking the medicine), breathing gradually stopped, red blood appeared in the oxygen storage bag during the process, the patient experienced choking, cardiac arrest… All efforts to rescue were ineffective, and biological death was declared at 03:10 on July 17, 2022.”
< p> Liu Xinyi, an anesthesiologist at the Cancer Hospital Affiliated to the University of Chinese Academy of Sciences, told Health Times on August 8 that many medical and aesthetic institutions also use the so-called “dream anesthesia” for liposuction surgery. The incidence of respiratory depression is relatively high and the risk is high. .
“According to the patient’s anesthesia induction medication plan, it is non-intubated intravenous general anesthesia, that is, the anesthesia method ‘dream anesthesia’ that medical and aesthetic institutions often explain to customers. Many medical and aesthetic surgery anesthesia is often used’ “Dream anesthesia” (professional called non-intubated intravenous general anesthesia), many medical and aesthetic institutions will also use “dream anesthesia” for liposuction surgery, and the incidence of respiratory depression is relatively high. Perioperative monitoring of vital signs and control of breathing Respiratory and circulatory problems are the most common causes of anesthesia complications and accidents, said Liu Xinyi. Respiratory problems are more common in non-intubated general anesthesia or spinal anesthesia due to respiratory depression and difficulty. Airway obstruction and reflux aspiration due to tracheal intubation; in terms of circulation, myocardial infarction and fatal arrhythmia are more common, and heart failure, pulmonary edema, stroke, and renal failure caused by sharp fluctuations in blood pressure are not uncommon.
“There are only minor surgeries, no minor anesthesia. Anesthesia is not a single injection. It requires the anesthesiologist to have superb skills and sense of responsibility, comprehensive preoperative assessment of the patient and the occurrence of various anesthesia complications. At present, the medical beauty industry is prevalent, and many medical beauty institutions are not public medical institutions, and the equipment, types of rescue drugs, and the technical level and skills training of anesthesiologists are also relatively weaker than public hospitals.
During surgery, the vital signs data of patients displayed on various monitors are the focus of anesthesiologists. Photo courtesy of the respondent
Health Times retrieved a total of 1,374 documents related to anesthesia accidents on the China Judgment Document Network. How high is the mortality rate from anesthesia accidents? Dr. Liu Xinyi said that according to the most commonly used ASA classification by anesthesiologists (the American Society of Anesthesiologists’ classification according to the patient’s physical condition and the risk of surgery before anesthesia), it can be divided into 6 grades according to the patient’s basic physical condition, of which grade I refers to physical fitness. Healthy, well-developed and well-nourished, all organs function normally, and the perioperative mortality rate is about 0.06%-0.08%.
According to Shangguan News, the patient was the “attending physician” of the plastic surgery department of the plastic surgery hospital before his death, and he was chatting and laughing with his colleagues a few nights ago.