Anesthesiologist's self-report

Anesthesiologist said: 12 hours after the operation, you only need to eat for 5 minutes.

In many people's eyes, the surgeon in charge of the operating table is the one with superb medical skills and a scalpel to save lives. However, who knows, behind them, there are a group of unknown and vital medical staff who silently contribute in their ordinary jobs to ensure the safety of patients and the success of surgery, that is, anesthesiologists who escort the surgery. In fact, the success of any operation is inseparable from anesthesia. Yesterday, the reporter followed Ning Jishun, director of the Anesthesiology Department of Qingdao Central Hospital, for a busy day, and found that behind every operation, the anesthesiologist's extraordinary efforts and painstaking efforts were condensed. They can be said to have disappeared without a trace? Unknown hero? .

There is a reason to go to work early.

At 6 o'clock yesterday morning, many people were still sleeping. Ning Jishun got up early, took a bus after breakfast and arrived at the hospital at 7: 05. Unlike other doctors, the anesthesiology office is connected to the operating room. When anesthesiologists enter the office, they have to change their shoes and surgical gowns, and they also have to wear masks and hoods. This program takes 15 minutes, which is why Ning Jishun goes to work early every day.

At 7: 30, Ning Jishun appeared in the office on time. He picked up the patient's preoperative evaluation and carefully checked every detail. After reading it, Ning Jishun communicated with the patient and reconfirmed the latest situation of the patient. ? The anesthesiologist is the beginning of an operation, and we should be more advanced than other doctors in the operating room. ? Ning Jishun said. After that, he came to the operating room for preoperative preparation. After the patients in the operating room were anesthetized, the work of the surgeon began. ? It is also important to communicate with patients before operation, because many patients are eager for surgery and will hide their illness. ? Before the anesthesia operation is about to begin, Ning Jishun will give the patient another general examination. Ning Jishun said that the day before the patient's operation, they will also talk to the patient and their families respectively, and carefully check according to the patient's medical record, past medical history and latest situation. Only by confirming that the patient's physical condition meets the surgical conditions will they sign to allow the patient to operate. ? This requires anesthesiologists to have higher professional knowledge. If the patient has an accident during the operation because of poor examination, the consequences will be unimaginable. ? When Ning Jishun talked about the working state of the day? Walking on thin ice? To describe it, and he will keep this state until 6 pm.

Escort on the operating table

? Anesthesia is only the beginning of the operation, and we still have a lot of things to do next. ? Ning Jishun stood in front of the operating table, paying close attention to the dynamic data on the anesthesia monitoring instrument, adjusting the anesthesia dose in time according to the patient's physical condition, and accurately recording each data in the anesthesia monitoring record book. ? These data are all about patients. ? Ning Jishun pointed to the data on the anesthesia monitor and told the reporter that he should always pay attention to the patient's five indicators, namely pulse, blood pressure, electrocardiogram, oxygen saturation, breathing carbon dioxide and so on. And constantly observe these data and record every subtle change. The anesthesiologist cannot leave half a step during the operation.

Ning Jishun was introduced to Qingdao Central Hospital as a key talent last June165438+1October. On average, he has to perform at least 300 difficult operations every year. Since/kloc-became a doctor at the age of 0/8, he has lost count of how many operations he has performed. He believes that as an anesthesiologist, you should not only have super-high professional knowledge, but also have high emergency handling ability to deal with accidents during surgery.

In mid-July this year, a 72-year-old man accidentally fell while fishing, resulting in cerebral hemorrhage. The old man's heart stopped beating during the operation. Ning Jishun, who monitored anesthesia during the operation, immediately implemented cardiopulmonary resuscitation. The old man's cardiac arrest happened twice before and after. He calmly responded to the emergency rescue and successfully pulled the old man back from the death line.

During the operation, only add meals for 5 minutes.

He entered the operating room at 9 am and was busy until noon 12: 00. During this period, Ning Jishun didn't touch a drop of water. In order to ensure a better working condition, Ning Jishun also called an anesthesiologist temporary class. He hurried to the lounge next to the operating room and had a simple lunch. After disinfection, he entered the operating room armed to the teeth.

? Surgeons can also take turns sitting in the clinic instead of staying in the operating room every day. There are many major operations that can be completed in one department without a surgeon. They can change people after their own operation, but not anesthesiologists. ? Ning Jishun told reporters that the labor intensity of anesthesiologists is the highest. Late at night in February last year, a compound trauma patient who had to be amputated because of a serious car accident was urgently sent to the operating room of the central hospital, and a major operation involving many disciplines began. Under the shadowless lamp, a group of medical staff gathered. They are busy nervously. In the spacious operating room, they only heard the sound of transmitting instruments. First, the orthopedic surgeon amputated the injured person and installed an external pelvic fixator. After the completion, the urologist went to the operating table to repair the broken bladder and connect the broken ureter; Finally, the surgeon in charge of general surgery stood on the operating table again to clean, rinse, drain and clean the seriously damaged tissues in the abdominal cavity of the wounded? One 12 hour operation, only the anesthesiologist survived all the way. ? This kind of operation is life-threatening, and we have no time to rest. We can only find someone to replace us for a while, eat out for five minutes, and then come back immediately. ? Ning Jishun said that this rhythm is commonplace for them.

Most? Afraid? Three types of patients

Ning Jishun told reporters that the anesthesiology department has to deal with all kinds of patients every day: from very old people to babies born just a few days ago, he has seen them all. He believes that there are three types of people who are the most difficult to anesthetize, one is the elderly, the other is pregnant women, and the third is children. It is easy for the elderly to conceal their illness, which brings many difficulties to the operation; Pregnant women have the greatest pressure to undergo surgery, because most pregnant women are born in the 1980s, and many of them are only children. You often scream loudly when you give an injection, which affects the anesthesiologist's judgment. Because children are young, many medicines can't be used.

At the beginning of this year, a child with congenital cataract who was only 1 year old and weighed 14 kg underwent surgery. Ning Jishun gave the child general anesthesia in trachea, and cooperated with ophthalmologists to perform cataract capsulotomy and aspiration in the left eye. ? The child is too young and overweight, and the risk of general anesthesia is high. At first, I planned to use ketamine anesthesia, but considering the coverage of the whole face surgery, the operation time was uncontrollable, especially the respiratory problems caused by this anesthesia could hardly be handled smoothly, and it was even more difficult to keep the respiratory tract unobstructed, which was risky. ?

After consulting with the ophthalmologist, Ning Jishun resolutely decided to implement intubation anesthesia. The anesthesia process of the operation was very smooth, and the child recovered quickly after the operation, without any adverse anesthetic reactions, and was discharged one week later.

For patients, the attending physician is the most familiar to them during the whole treatment process, and patients have to deal with the attending physician almost every day. As soon as the patient enters the operating room, the anesthesiologist makes all preparations for the patient. After everything is ready, the attending doctor performs the operation. During the operation, the anesthesiologist should closely monitor the patient's condition and make various guarantees; After the operation, the attending doctor can go to rest after giving the doctor's advice, and the anesthesiologist will keep an eye on the patient until the situation is stable. During the whole operation, the anesthesiologist wore sterile surgical clothes, gloves and masks, only showing a pair of eyes. The patient recovered and was discharged from the hospital, and even the anesthesiologist could not see his true face.

After the operation, many patients and their families are grateful to the attending physician, and the anesthesiologist may be forgotten. They are unsung heroes under the shadowless lamp. ;