1. All anesthesia patients should be visited before surgery, whether it is emergency or elective, so be aware of it. Take all possible anesthesia accidents into consideration. And inform the family members and sign the informed consent. While protecting our patients, we also need to protect ourselves.
2. All anesthesia, regardless of local anesthesia, nerve block, intraspinal or general anesthesia, must check the anesthesia machine and oxygen source before starting, and replace the soda lime in time.
3. All patients must ensure that the fluid path is unobstructed, and reserve an extra tee for convenient administration at any time.
4. Prepare a suction device for general anesthesia patients, especially emergency and emergency patients with full stomach.
5. Elevate the head of the bed as far as possible for patients with general anesthesia.
6. The rescue medicine (basic medicine) must be drawn and prepared, and the ramus muscle relaxant should be prepared routinely.
7. The use of induction drugs and maintenance drugs should be closely linked to minimize the occurrence of intraoperative awareness.
8. After the general anesthesia patient is intubated, listen to the breath sounds of both lungs with a stethoscope, and check for sputum sounds and wheezing sounds. (Many young anesthesiologists don’t even use a stethoscope now) and determine the fixed position.
9. If the patient is under local anesthesia, nerve block, or spinal anesthesia. If it is found that the effect is not good, do not use drugs indiscriminately, report to the superior doctor in time or directly change the general anesthesia.
10. When encountering a critically ill and obese patient who needs to be rescued, there must be two or more anesthesiologists present (big fat people are always at risk).
11. Sputum suction is a very rigorous operation: when there is phlegm sound in the respiratory tract, it must be sucked under deep anesthesia. It is recommended to use less or no anticholinergic drugs to prevent cholinergic drugs. After overdose, the phlegm is dry and sticks to the tracheal wall, and the phlegm cannot be sucked. The mouth must be well attracted.
12. The muscle relaxant must be pumped for long-term complicated operations.
13. Don’t stop the medicine in a hurry. You must wait for the doctor to finish all the operations and after the phlegm is sucked well, and then stop the medicine. A safe patient resuscitation is an excellent indicator.
14. Patients with general anesthesia must wait until the patient is fully awake before extubation, especially for obese patients.
15. The application of antagonists, neostigmine and atropine must be antagonized after the patient has breathed back.
16. Be sure to bring a breathing balloon on the way to escort the general anesthesia patient back to the ward.
Author: Zhejiang Xin’an International Hospital, Tang Huadong (Jiaxin Tang)
[Warm reminder] Please pay attention, here are a lot of professional medical science, to reveal the secrets of surgical anesthesia for you~