Vol 3 Chapter 2767: Caused by a cold ...


After 2 hours, the patient recovered from general anesthesia, with a total urine output of about 1950 mL. The color was clear, the spontaneous breathing was stable, and the eyes could be opened to clear the respiratory tract and remove the laryngeal mask.
After watching for 10 minutes, there were no obvious abnormalities.
At this time, the blood pressure of the patient was 130 to 108 mmHg / 76 to 55 mmHg, the heart rate was 74 to 89 beats / min, and the blood oxygen saturation was 97 to 100%.
On auscultation, the breathing sounds of both lungs were clear and symmetrical, and the response was satisfactory. The muscle strength recovered satisfactorily. The limbs could be moved in accordance with the instructions and returned to the ward after lifting the head to strengthen the monitoring.
The patient was okay, but he was sent off even without the operation. It is impossible for the family to ask questions. Director Xu does not have to face the patient's family members. The trouble is caused by the surgeon and has nothing to do with him.
There are other things about his meeting.
The classroom of the anesthesia department is large because there are several consultations on the stage here every year.
But no matter how large the 912 anesthesiologist can't fit in the classroom.
Director Xu had a calm face, and the projection showed the footage from Xinglinyuan's surgery live broadcast room. Boss Zheng directed the rescue like a mountain.
The anesthesia doctors were very interesting. No one dared to talk when Director Xu was in a bad mood. They crept to find a place to sit. People who come late are standing in the corner. As more and more people come, people who come late can only stand forward.
People who arrive late are helpless. The more they stand forward, the easier it is to get scolded, but who keeps their home far away and arrives late.
When the time came, Director Xu said, "Call!"
"..."
Many anesthesiologists are grateful that they did not have any luck. Director Xu is here this time. When I walked in, I saw that the background picture is a live emergency rescue, and people who have excited spirits guessed this.
Director Xu, who was absent from the roll, certainly won't have an attack on the spot, but there will be a variety of small shoes to wear in the future.
What's wrong? They dare not even ask, no one dares to talk to each other when Director Xu is in a bad mood.
At the end of the roll call, Director Xu held the list in his hand, and through the light and shadow, he could vaguely see that there were several circles drawn on it.
"You Changyou, talk about today." Director Xu said coldly.
As soon as this sentence was said, everyone immediately felt that the original stressful heart was pressed on a big rock again.
You Changyou is an old band professor in the Department of Anesthesiology. Usually, Director Xu will also give him full respect and will not intentionally suppress it. This old director's demeanor is still there, but today ... directly call Professor You's name, what director Xu has to do can be imagined.
"Director Xu ..." You Changyou's voice was astringent. He repeatedly thought that although the surgical anesthesia was responsible for himself, there was something wrong with this. What could he do?
"Tell me what you think of this matter." Director Xu said coldly.
Lao He sat by the window and watched quietly.
He didn't worry about what would happen to him, Lao You was unlucky this time. When I sent Mr. Zheng's gallbladder cancer patient to ICU, I saw Director Xu asking the patient's family about what, Mr. Zheng and Yuner were also on the side.
Although he didn't know what was going on, Lao He understood Director Xu's person.
He belongs to the kind of immovable director who is speechless when he wants to move. The trivial matter of Director Xu basically did not say, that is the work area where the head nurse grinds anytime and anywhere.
Lao He was curious and saw You Changyou stuttering about the patient's condition. He secretly took out the mute phone and sent a message to Su Yun.
[Brother Yun, what happened to Lao You's patients? 】
In less than 3 seconds, Su Yun's reply arrived.
[The patient had a cold 12 hours before the operation, and the anesthesiologist did not ask. 】
"..."
Lao He immediately understood what was happening. This kind of thing was not very common. Lao He was especially afraid of the patients who were looking for the students. This time he was caught by Director Xu, but was miserable.
As soon as he asked what was happening, Director Xu's medical record smashed into You Changyou's head. With a "snap", the white paper scattered on the floor.
You Changyou froze, did Director Xu hit his face in the presence of everyone?
"The patient had a cold before surgery, do you know?" Director Xu shouted Shen, not giving him any time to think.
"..."
You Changyou froze.
"You still have the face here to see the patient before the operation, who is the patient! Is there any sense of responsibility! Why go to the patient before the operation! What to pay attention to!" Director Xu asked in a slap.
Looking at You Changyou, who lost his soul, Lao He put away his mobile phone. He didn't have time to sigh about the speed of Brother Yun's reply to WeChat. There was only a feeling of sadness and sorrow in the heart.
Seeing patients is usually an anesthesiologist letting his assistant go, this is an unwritten rule. Although the director of the General Assembly Xu said a lot of times, he had to take the group of anesthesiologists to see the patients, but running up and down and back and forth was basically nothing, and everyone slacked off after a long time.
Had it not been for the anesthesia of Boss Zheng's patients, Lao He would not dare to have the slightest negligence, for fear that he would not go to see the patients himself every time.
"When difficult airways are not found during the pre-anaesthesia evaluation, the occurrence of difficult airways cannot be ruled out, and unexpected airways are more dangerous after induction of general anesthesia!" Director Xu said, "You know this. ?! "
"Know ..." You Changyou bowed his head and whispered.
"You know what a fart!" Director Xu sprinkled all his anger on his head, which means that there is nothing left in his hand, or else it will be a medical record.
"Insufficient medical history collection, no history of upper respiratory tract infections 12 hours before admission, did you write in your informed letter before anesthesia! Did you say that during the emergency rescue!"
You Changyou bowed his head silently ~ EbookFREE.me ~, posing as if he could not fight back or scold.
When something goes wrong, the scolded dog blood sprinkler is also normal. At this time, you still have to talk, and you will definitely have to be scolded more. The most important thing is that you ignore me. Without a three-point argument, it belonged to Hu Huo, and finally lost his own face.
The more you say, the more you lose. And it will add fuel to the fire, which annoys Director Xu in the future.
"Just because you didn't collect enough medical history, insufficient nitrogen and oxygen during anesthesia, insufficient depth of anesthesia, unpredictable difficulty airways after routine tracheal intubation after induction, several attempts of tracheal intubation operation induced bronchospasm, resulting in There was a crisis in respiratory management after anesthesia. Unexpectedly difficult airways and bronchospasm caused delayed wake-up after induction. "
Director Xu shouted in the same way as Zhu Zhuan, the voice echoed in the classroom, beating each doctor's heart.
"Look at the patients before the operation, what are you doing?"
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