After connecting the patient to the monitor, adjusting the oxygen, and hanging a bottle of rehydration fluid on the indwelling needle for rescue, the nurse walked away. Only the anesthesiologist is left to operate.
The anesthesiologist needs to give the patient anesthesia. For patients undergoing this kind of surgery, the doctor has specified that it is an anal surgery, and the anesthesia method generally does not require the use of general anesthesia. Surgery can be performed without general anesthesia, but it should be avoided as much as possible. General anesthesia is high-risk and expensive. Only these two shortcomings are not liked by anesthesiologists and surgeons. This is something that ordinary people do not need to worry about.
My supervisor had previously told me to give the patient spinal anesthesia. Spinal anesthesia is a type of spinal anesthesia.
The teacher gave instructions, and the interns followed the teacher's instructions. As an intern, she is more cautious. Liu Jingyun first checked whether the rescue equipment was in place, such as endotracheal intubation tools, and whether the defibrillator was at hand.
Open the anesthesia puncture bag and make sure everything is ready. Use a syringe to inhale the anesthetic and saline respectively.
When doing these things, Liu Jingyun's mind forgot that the junior sister was beside him, and her mind was filled with steps to follow.
During spinal anesthesia, the patient has to lie on his side. Xie Wanying helped the senior sister adjust the patient's position. Now that she is here, she must help the senior sister.
The patient's head should be bent down, with his hands holding his knees, so that the lumbar space is open and his back is flush with the edge of the operating table. This will help the anesthesiologist operate.
However, the patient's aunt didn't use anesthesia. She just asked her to lower her head. She complained that she felt uncomfortable and asked her to hold her knees with both hands. She even said that she couldn't hold her knees: "My back hurts like crazy!"
After hearing this, anyone who has studied medicine or not will know that something is definitely wrong.
"Senior sister." Xie Wanying called her senior sister.
In fact, Liu Jingyun heard the patient cry out in pain, and her heart suddenly sank to the bottom of the sea.
That Dr. Zhang hated it when interns called back to him.
Liu Jingyun's eight-year program has more internship periods than five-year undergraduate students, so now she can basically operate alone, and the teacher will only come to inspect and supervise.
Simple spinal anesthesia like this is not even combined spinal and epidural anesthesia, nor is the more complicated epidural anesthesia catheter placement. It only needs to accurately penetrate the two layers of dura mater and arachnoid mater to reach the subarachnoid space and inject anesthetic. It is a relatively simple spinal anesthesia.
Subarachnoid anesthesia takes effect very quickly, and it is easy for the anesthesiologist to judge the effect of the anesthesia. In the eyes of the teacher, it is not a difficult operation.
Nowadays, there are more and more anesthesia methods, which need to be matched with more advanced surgical methods. Spinal anesthesia is widely used and is a threshold for anesthesiology students. However, for working anesthesiologists, especially those in top tertiary hospitals, it is a job that can be done with just one bite of rice.
As an intern in the anesthesiology department of a top tertiary hospital, it is unjustifiable that I cannot even perform spinal anesthesia and spinal anesthesia alone.
After adjusting her mentality, Liu Jingyun turned around, walked to the patient, and asked, "Where does it hurt? Tell me?"
"I can't bend down," said the aunt.
Can't bend down, lumbar disc herniation?
Modern people live a fast-paced life, and many people suffer from various minor diseases. Lumbar disc herniation is a common disease. If spinal anesthesia cannot be performed in such a situation, then spinal anesthesia has long been eliminated by all anesthesiologists. Therefore, lumbar disc herniation is not a key factor in whether spinal anesthesia can be performed.
Spinal anesthesia usually occurs in the second and third waist areas, and lumbar disc herniation is common in the fourth and fifth waist areas. This should not be a major problem.
