Chapter 2766 Caused by a Cold...
Two hours later, the patient woke up from general anesthesia. The total urine output was about 1950mL, the color was clear, the spontaneous breathing was stable, and the eyes could be opened when called. The airway was cleaned and the laryngeal mask was removed.
After observing for 10 minutes, no obvious abnormality was found.
At this time, the patient's blood pressure was 130-108 mmHg/76-55 mmHg, heart rate was 74-89 beats/min, and blood oxygen saturation was 97-100%.
After auscultation, the breathing sounds of both lungs were clear and symmetrical, and he was able to respond to calls. After the muscle strength recovered satisfactorily, he was able to move his limbs and raise his head according to the instructions, and then he was sent back to the ward for intensive monitoring.
The patient is fine, but he was sent away without even undergoing surgery, and it is impossible to be unstable and ask things at home. Director Xu doesn't have to deal with the patient's family, the trouble is all the surgeon's and has nothing to do with him.
He has other business to attend the meeting.
The demonstration classroom of the Department of Anesthesiology is very large, because there are several on-stage consultations here every year.
But no matter how big the demonstration room is, it cannot hold all the anesthesiologists in 912.
Director Xu had a sullen face, and the screen of the Xinglinyuan surgery live broadcast room was played on the projector. Boss Zheng directed the rescue like a mountain.
The anesthesiologists knew very well that no one dared to speak when Director Xu was in a bad mood, so they tiptoed to find a place to sit. People who came late stood in the corner. As more and more people came, the people who came later could only stand closer to the front.
People who arrive late are also very helpless. The closer they stand, the easier it is to be scolded, but whoever makes their home far away is late.
When the time came, Director Xu said in a deep voice, "Roll roll!"
"..."
Many anesthesiologists were glad that they didn't take any chances, this time Director Xu was serious. When I walked in, I saw that the background screen was a live broadcast of emergency rescue, and those who were excited would have guessed this.
Director Xu, who was not at the roll call, would definitely not have an outburst on the spot, but in the future, there will be a lot of small shoes to wear.
What's going on here? They didn't even dare to ask, and no one dared to whisper to Director Xu when he was in a bad mood.
After the roll call was over, Director Xu held the list in his hand, through the light and shadow, he could vaguely see several circles drawn on it, "viciously" marking down those who did not show up.
"You Changyou, tell me about today's events." Director Xu sat on the stage and said coldly.
As soon as this sentence was said, everyone suddenly felt that a big stone was pressed against their hearts that were already full of pressure.
You Changyou is a veteran leading professor in the Department of Anesthesiology. Usually, Director Xu will give him full respect and will not deliberately suppress him. Director Xu still has the air of an old-fashioned director, but today... calling Professor You by his name, one can imagine what Director Xu is going to do.
"Director Xu..." You Changyou's voice was astringent, and he thought over and over again, although he was responsible for the anesthesia for the operation, but if this kind of problem happened, what could he do? It was an accident, it was an accident!
"Tell me what you think about this matter." Director Xu said coldly, suppressing his anger.
Lao He sat by the window and watched quietly.
He wasn't worried that he would be implicated in any way, and Lao You was unlucky this time. When I sent the gallbladder cancer patient that Boss Zheng worked on to the ICU, I saw Director Xu asking the patient's family about something. Boss Zheng and Brother Yun also stood aside.
Although he didn't know what was going on, Lao He understood Director Xu's character.
He belongs to the kind of director who doesn't move, and if he wants to move, he is speechless. Director Xu basically doesn't talk about trivial matters, they are all the work scope of the head nurse anytime and anywhere.
Old He was curious, seeing You Changyou stammering about the patient's condition, he secretly took out his mobile phone which was turned to silent, and sent a message to Su Yun.
[Brother Yun, what happened to Lao You's patient? 】
In less than 3 seconds, Su Yun's reply arrived.
[The patient had a cold 12 hours before the operation, but the anesthetist did not ask. 】
"..."
Lao He immediately understood what happened. This kind of thing is not very common. Lao You was afraid that he was looking for a student to see a patient. This time, Director Xu caught him right away.
As soon as he asked to understand the matter, the medical records in Director Xu's hand fell on You Changyou's head, and with a "pop", the white paper was scattered all over the floor.
You Changyou was stunned for a moment. Did Director Xu slap himself in the face in front of everyone?
"The patient had a cold before the operation, did you know?" Director Xu yelled in a deep voice without giving him any time to ponder.
"..."
You Changyou was startled.
"You still have the face to say that you see the patient before the operation, who saw the patient! Do you have any sense of responsibility! Why do you see the patient before the operation! What should you pay attention to!" Director Xu asked in a snap.
Looking at You Changyou who was devastated, Lao He put away his phone. He didn't have time to lament the speed of Brother Yun's reply to WeChat. He only had a feeling of sorrow for the death of a rabbit and a fox lingering in his heart.
It is an unwritten rule that the anesthetist usually asks his assistant to see patients. Although Director Xu said many times in the meeting that he would take the anesthesiologists in the group to see the patients, but running up and down, there was basically nothing to do, and everyone slacked off after a long time.
If it weren't for the frequent anesthesia of Boss Zheng's patients now, Lao He would not dare to be negligent, and he might not go down to see the patients in person every time.
"When the pre-anesthesia assessment does not find a difficult airway, the occurrence of a difficult airway cannot be ruled out, and the unexpected difficult airway is more dangerous after induction of general anesthesia!" Director Xu said, "Do you know about this? ?!"
"I know..." You Changyou lowered his head and whispered.
"You know what a fart!" Director Xu took all his anger on his head, which meant that there was nothing in his hand, or another medical record was thrown down.
"Insufficient medical history collection, did not know the history of upper respiratory tract infection 12 hours before admission, did you write it in your pre-anesthesia knowledge letter! Did you say it when you were in the emergency department!"
You Changyou bowed his head silently, as if he could not fight back when he was beaten or scolded.
If something goes wrong, it's normal to be scolded, but if you talk back at this time, you will definitely receive more scolding. The most important thing is that I didn't make any sense. If you don't argue for three points, that is nonsense, and you will lose your face in the end.
The more you talk, the more you lose. And it will add fuel to the fire, and if you annoy Director Xu, you will not even think about living a good life in the future.
"Because you did not collect enough medical history, insufficient nitrogen and oxygen supply during anesthesia, insufficient depth of anesthesia, unexpected difficult airway after conventional tracheal intubation after induction, and several attempts at tracheal intubation induced bronchospasm, resulting in Post-anesthesia airway management crisis, unanticipated difficult airway and bronchospasm causing delayed recovery after induction."
Director Xu roared like a cannonball, and his voice echoed in the demonstration classroom, beating the hearts of every doctor.
"Seeing patients before surgery is a joke?!"