"During my internship, I was assigned to a gastroscopy room to give people painless gastroscopy anesthesia. In fact, it is very simple, the diluted propofol is injected into the patient's blood vessels, one for ordinary people and two for fat people. ”

This most basic anesthesia is well known to everyone.

"I was young and energetic, and I was on duty with the anesthesiologist in the operating room at night, and I would go up and help me with any operation. During the day, when I returned to the gastrointestinal endoscopy room for painless anesthesia, Mr. Zhou, who was the instructor at that time, also trusted me very much, and just sat on the side and watched. If there is something wrong, Mr. Zhou reminds me. ”

"Looking back now, I was so young and bold. No matter how many times we do medical treatment, we must be cautious, and I also learned a lot during my internship. ”

Everyone listened carefully to Mr. Wu's gossip and was curious. When it comes to genius, no one can say that he is better than Mr. Wu, but at his age, when it comes to experience, he really can't compare to other directors.

"One day something happened in the operating room next door. ”

"It was an elderly man, 62 years old, who had smoked for 30 years. So before the operation, the anesthesiologist explained to him that smoking will make the throat more sensitive than normal and prone to complications and so on. The patient said that he was afraid of pain and that he had to do painless. The teacher next door informed him of the risks and asked him to sign. ”

"You are all experts, smoking is not an absolute contraindication to painless gastroscopy, and the amount of cigarettes smoked by patients is also very small, and the body is very tough, which is not a contraindication. ”

"Mr. Ou next door pushed him a propofol, and then the patient had upper airway obstruction. Laryngospasm ...... It doesn't seem like much now, but when I took a look, I was stupefied. ”

It is well known that laryngospasm can present with mild inspiratory stridor and complete upper airway obstruction in severe cases. Laryngospasm is also one of the complications of anesthesia and can have serious consequences if not treated properly.

When they heard Mr. Wu confess that he was scared silly, everyone smiled.

An intern who encounters a patient with laryngospasm must be at a loss. Especially when a small anesthesiologist who has just come into contact with clinical practice and has successfully done several, dozen, or dozens of cases of anesthesia, and does not know how big the clinical risk is, he will inevitably be scared silly.

When Mr. Wu said this, he gave an example of his own personal experience, and he did not shy away from the fact that he was dumbfounded at that time, and his affinity suddenly jumped up +1 and +1.

Teacher Ou immediately stopped the injection, and shouted to my teacher to help while buttoning the mask and lifting the upper jaw. ”

"At the time of the rescue, the patient's family heard the sound in the endoscopy room outside, and saw that the rescue was being carried out through the crack in the door, and they were immediately anxious. ”

"At that time, the gates were not like now, they were all big iron gates, and they were not tightly closed. After all, the sterility requirements of the endoscopy room are not high, and Xiehe has not been rebuilt at that time, which is very old. ”

"The family was anxious and kept kicking the door to rush in. ”

"I had nothing at hand, and I couldn't help with the rescue, so I found an iron pipe to pin the door. ”

"Every time a patient's family kicked on the door, the door clanged, and my heart jumped to my throat. Wu Mian said, sighing, "Ladies and gentlemen, don't laugh, I was so young at that time, I don't know what to do once the patient's family rushes in." ”

Wu Mian is telling the truth, in that situation, no one knows what to do, even if they are all clinical veterans, they have seen similar things countless times.

It is also inevitable that the patient's family will be emotional. No matter who it was, the family was lying in the operating room, and suddenly one by one the senior doctors hurriedly went in to participate in the rescue, and they were all panicked.

If the patient's immediate family members may still have some remaining sanity, after all, in their opinion, the patient's life is more important, even if the complaint or lawsuit is a matter of success or failure.

And at this time, the most feared person is the kind of person who is not the patient's immediate family.

In order to highlight their importance, they behave more like relatives than their immediate family, and they are definitely not soft when they kick the door.

It's like ...... Kick the widow's door.

There is no man in the family who carries a knife out to "reason", so it is not a bully?

It's hard for Mr. Wu, an intern has to face this kind of thing, everyone thinks in their hearts.

Later, the patient was successfully rescued, and the gastroscopy was not done, and the condition was observed in the lounge. Wu Mian continued, "I didn't leave, I carefully observed the patient's condition at the bedside, wondering what was going on. ”

"Teacher Wu, why don't you leave. Gao Baixiang asked.

"I recall that patients with laryngospasm may have 17 relatively rare complications in the future, each of which corroborates the patient's condition, and I have to be careful when I encounter similar patients in the future. ”

“......”

The crowd concluded.

Let's talk about experience, Mr. Wu is really thick-skinned. Now the directors of the anesthesiology department in front of me are picking up and asking what possible complications laryngospasm may have, and I am afraid that I can't make up 17 possible causes of laryngospasm even if I flip through the books.

And this was known to Mr. Wu when he was in school.

No one asked what the complications were, and just now Mr. Wu could talk for half an hour about this rare case. Once you talk about laryngospasm, you can't talk about tomorrow morning?

Ren Haitao wanted to ask, but he didn't open his mouth yet.

Wu Mian then said, "When the patient's family saw me wearing a white suit, they said when they were chatting with other people - they also asked my father to sign the consent form before, saying that it would be dangerous if he had a smoking history, so why was it okay for my uncle to smoke and do a painless gastroscopy last time, and that consent form obviously wanted to shirk responsibility!"

"I was uncomfortable listening to it. Wu Mian said, sighing, "I understand the psychology of the patient's family, and I can't accept that my father has something wrong inside." But this is not something that can be expected in advance, it is all a matter of probability. ”

"What happened later, Mr. Wu, don't you think studying medicine is boring? Gao Baixiang asked.

"No, when I was with the patient that day, I couldn't have only 17 possible triggers. The next day, I didn't rest when I went back, and began to flip through books to look for various rare cases of anesthesia. Include...... Lao Ren, a patient with silent lung that I saw at the Bajingzi Traditional Chinese Medicine Hospital before. ”

Ren Haitao nodded again and again, and the bottle of aerosol like a flying fairy appeared in his mind.

"So, when I say experienced, I don't mean how many special patients I actually encountered, but how many times similar situations have been rehearsed. Wu Mian smiled and said, "I guess Lao Ren has also thought about it, accumulated a lot, and subconsciously thought that there was a problem in that case, but he couldn't tell what went wrong." ”

Ren Haitao heard Wu Mian say this, and he thought so.

Mr. Wu is not only high-level, but also acts as steadily as an old dog, this is a real doctor!