The sudden increase in blood pressure of patients in the operating room was found to be related to the doctor’s medication habits

On Monday, the itinerant nurse from Operating Room 2 hurried out, nearly hitting the passing director of anesthesiology head-on.

The operating room is a highly stressful, fast-paced environment, but never panic. Running in a hurry like this is obviously not normal. So, the director of the anesthesiology department chased after him and asked what was wrong.

The nurse dared not stop and said: Mr. Li in the No. 2 surgery room wants a blood pressure lowering and a Airo. Ai Luo, is a kind of medicine that lowers heart rate, and has a certain antihypertensive effect.

Hearing that No. 2 asked for these two drugs, the director of the anesthesiology department felt that it was a bad thing. This means that the patient must have high blood pressure, fast heart rate, or both. When this happens, it needs to be dealt with immediately, otherwise it may be dangerous.

Why consider patients at risk? This is because the general fast heart rate and high blood pressure can be resolved with sedation and analgesia. That is to say, unless it is a last resort, anesthesiologists generally use less antihypertensive drugs.

Three steps and two steps, the director of anesthesiology came to the operating room.

At first glance, the monitor turned red, and there was a piercing “didi” alarm sound. A closer look, blood pressure 170, heart rate 150.

Looking at the patient again, with a big head and a thick neck, Dr. Li was pressing his mask hard to give him oxygen. Looking at the rise and fall of the patient’s chest, it is obvious that the ventilation is not very good.

Unconsciously, the director of the anesthesiology department grabbed the mask and gave oxygen himself. At this time, he found that the patient had a confrontational movement. Looking at the remaining medicines on the anesthesia table, he knew that anesthesia was being induced just now.

Induction of anesthesia is the part of general anesthesia intubation. In this session, the anesthesiologist injects various drugs in sequence, so that the patient gradually enters a state of unconsciousness and no breathing. Once breathing has completely stopped and the muscles have completely relaxed, the anesthesiologist will immediately create an artificial airway for the patient. The process of establishing an artificial airway is the process of inserting a ventilation tube such as a tracheal tube or a laryngeal mask into the patient’s airway.

However, why didn’t Dr. Lee continue to administer the intubation?

Looking under the hands of the “giant” face and exposing broad shoulders, he understood: the patient was heavy and in good shape, and the medicine was not enough to numb the “giant” “. There were still remaining intravenous anesthetics on the anesthesia table, and the director of the anesthesiology department asked Dr. Li to push all the medicines in.

Meanwhile, the itinerant nurse who had gone to get her medicine returned. Hastily asked: Do you smoke medicine?

No more.

Hearing the director of the anesthesiology department said “no more”, the nurse took the medicine and waited for the next doctor’s order.

With the administration of sedatives, the patient’s high blood pressure and rapid heart rate really eased.

At this time, the head of the anesthesiology department said arbitrarily: each patient’s situation is different, and medication must be individualized.

Dr. Li, who didn’t speak, knew that the director was talking about him. Because, when he was under general anesthesia, he basically used two muscle relaxants, 20 mg of analgesia, and an intravenous general anesthesia.

In most cases, this medication is fine. However, this time the person I met was an athlete. Whether it is weight or drug resistance, it is not comparable to ordinary people. Of the drugs given by the intubation, only the muscle relaxant had some effect, and the other sedatives and analgesics combined, only made him dizzy and confused. As a result, his body’s instincts made him fight. As a result, blood pressure and heart rate start to soar.

Involuntarily, I said something in my heart: I beat birds all day, only to be pecked by birds. It seems that in the future can not be static medication.

Fortunately, there is no accident, should we ask ourselves: Does the same drug use also happen around us?

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