When he arrived at the urology department, the attending doctor began to introduce the patient's condition: he had more than ten years of hypertension and , had moderate anemia, and waschemia in the heart.
Look at the patient himself again. Due to inconvenience in legs and feet, he is basically in a semi-bedded state.
After learning about this, Dr. Liu also muttered: If it was an ordinary minor operation, it could still tolerate it. When performing major surgery such as prostate resection, try to adjust the patient's various indicators.
While thinking, the attending doctor of the urology department asked: Can it be numb?
asked again if it could be irritated. Dr. Liu really wanted to quarrel: Where can I have patients who can't be irritated? Anesthesia is not simple yet? The key is whether the patient will have any problems after anesthesia!
Seeing Dr. Liu's embarrassing expression, the attending doctor of the urology department stopped chasing him and asked.
Dr. Liu adjusted his emotions and said: The situation of this patient is still a bit complicated. If you have a minor operation, try to be as safe as possible for major operation. At least, we must find out some situations, such as the cause of anemia.
won't lose a lot of blood, the attending doctor of the urology department rushed to say.
Doctor Liu said in his heart: Wouldn’t you lose much? Sometimes, the big bucket below the stage was filled with a bucket of blood. In that case, it is difficult to measure how much blood has been produced. If that's the case, how do you say it?
Although I have any opinions on the urologist’s statement, I still have to make it clear. So, Dr. Liu analyzed the problems one by one.
In terms of anemia, Dr. Liu said: Just as you said, you may not be able to produce too much blood. But you should know that this person is moderately anemia and can no longer allow bleeding.
Of course, even if some blood is released, the two hours during the operation will not cause anesthesia. But what should I do if I leave the operating room? Anemia plus blood loss. At this age, can this bedridden body recover smoothly after surgery?
In addition, the patient has hypertensive heart disease. As the anaemia worsens, it will certainly increase heart events in theory.
During surgery, although the stress response such as pain is very severe, the inhibitory effect of anesthesia is generally not very good.
Furthermore, we have been monitoring various indicators of patients during the operation. Even if there is a situation, it will be dealt with in a timely manner. But what should the patient do when he returns to the ward?
If the situation occurs during the operation, the patient is likely to be transferred to intensive care unit . How can I explain to my family at that time? Therefore, this is not a simple question as whether anesthesia can be done.
Hearing Dr. Liu say this, the attending doctor of the urology department said: It’s not that serious, right? I did so many difficult things before, but nothing happened! Nothing happened to
does not mean that nothing will happen. If it can be adjusted before the operation, it must be handled by others. Even if something goes wrong, it is at least called "do your best."
If you insist on doing it, our anesthesiology department will not stop you. As long as you explain the possible problems during the perioperative period to your family clearly, the family has no objection, and the anesthesia department will work hard to protect you.
When I arrived here, the attending doctor of the urology department could clearly hear that Dr. Liu was a little excited. So, I brought the words back: OK, listen to you, let’s communicate with the family, try to check it carefully before the operation, and clarify the anemia and other conditions. If necessary, we will give some blood in advance.
The other party withdrew, and Dr. Liu of course no longer insisted. The other party may have some opinions, but it is worth it to make the patient safer.
Finally, Dr. Liu wants to say that there are no patients who cannot be anesthetized in theory. According to the anesthesia grade, the sixth level is the anesthesia of the organ transplant patients. Such patients can be anesthetized, so where can they not be anesthetized? The so-called inability to anesthetize is just the anesthesiologist considers the risk and the patient's recovery.
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