In the morning, the door to the operating room of the “busy” operating room suddenly became very noisy.
Putting away the crowd, I saw a family member who was angrily asking Dr. Zhao from the anesthesiology department: You didn’t tell us about the change in anesthesia! What to do with the extra money?
Dr. Zhao did not know how to deal with the aggressive family members.
Yes, it’s rare.
Fortunately, the head nurse in the operating room came forward in time and pulled the family aside to explain with kind words.
They all say “stretch out your hand and don’t hit the smiling person.” With the attitude of the head nurse, the family members’ emotions are also stabilized.
After letting everyone disperse, the head nurse explained that changing anesthesia during the operation must be necessary for the operation.
Family interrupted her and asked: How do you know without mentioning the anesthesia you did?
The head nurse explained: We work together in the operating room all the year round, and changing anesthesia is a frequent occurrence, which we know very well.
At this point, Dr. Zhao explained that the anesthesia planned before the operation was a brachial plexus block. However, when the brachial plexus block is performed, your patient cannot cooperate and always hides from our needles.
An injection against the shoulder did not work well. At that time, it was also possible that he was too nervous, and he couldn’t tell whether it was pain or tension. In short, there has been said there is no effect.
Patients are all on the operating table and can only continue. So, we changed the anesthesia method to intravenous anesthesia.
After putting on the intravenous anesthetic, he finally stopped resisting and the operation went smoothly.
Families still questioned and said: Without that injection, the operation cannot be performed?
Yes, he kept screaming pain! Doctor Zhao replied.
So, our family spends more money on medicine?
Not so. Since the anesthesia method has changed to the nature of intravenous general anesthesia at that time, the anesthesia fee has also changed.
Hearing this, the family members’ faces changed. Raise your voice and say: I haven’t said that your skills are not good! How can I charge more?
Because the crowd was already crowded at the door of the operating room, the director of the anesthesiology department also found the problem and quickly rushed to the door of the operating room.
After learning about the situation, the family was pulled to the upstairs office.
When you get to the office, have everyone sit down to cool off.
At this time, the family members became more and more angry, and even put out the example of “intraoperative price increase” on the Internet.
Department of Anesthesiology explained: Intraoperative change of anesthesia is a common occurrence in the operating room. Because everyone is different in body constitution and weight, the anesthesiologist can only administer the drug according to the average dosage for most people.
Since it is “the average dose for most people”, there will always be some people who are not suitable for this dose. Therefore, the anesthesiologist constantly adjusts the dose.
The same goes for anesthesia, the proposed anesthesia may not ultimately be suitable for the patient.
Like your patient, who is scared or sensitive to pain, which makes the nerve block reluctant.
In addition, the anesthesia has to be judged by its performance, and it is difficult for the anesthesiologist to determine whether the anesthesia is effective. In order to ensure that he does not suffer, it is right to change the way of anesthesia in time.
Through Dr. Zhao’s feedback, the effect of brachial plexus anesthesia is definitely there. However, because he always resisted, the anesthetics in the target nerve area were not enough, which led to the poorer effect.
Fortunately, intravenous anesthesia was added in time, and the operation was finally completed without suffering.
When we do surgery, isn’t it just to treat the disease and not suffer? is not it? The director of the anesthesiology department smiled and enlightened.
What about the cost?
Don’t worry about the cost. Changing an anesthesia won’t cost you much. Besides, the fees are all collected by the hospital. If it’s our personal fees, then everything is fine.
Finally, the family members didn’t say anything when they saw that it only cost a few dozen more.
When things got here, everyone sighed: I did something good, but in the end the family didn’t quite understand it. The key point: family members still don’t know much about anesthesia.
Also, is there really some lack of explanation at work? Assuming that each item is explained clearly when signing the “Informed Consent for Anesthesia”, unnecessary misunderstandings may be avoided.
[Warm reminder] Please pay attention, here are a lot of professional medical science, to reveal the secrets of surgical anesthesia for you~