Doctor Zhao, help!

Chapter 310 It’s so annoying

Seeing Dong Bo's solemn look, Zhao Sheng nodded, and first performed a simple physical examination on the little boy lying on the hospital bed. It was said to be a physical examination, but in fact it was using the function of his right hand to examine the little boy from his mouth to his trachea. Then to the esophagus, a comprehensive scan and imaging was performed.

After this inspection, Zhao Sheng looked incredulous.

He couldn't help but look at Dong Bo. Logically speaking, a deputy chief doctor like Dong Bo would not make such a stupid mistake.

Seeing Zhao Sheng looking at him strangely, Dong Bo couldn't help but asked with some confusion: "Director Zhao, what's wrong?"

"The child had reflux cough. The refluxed stomach contents directly entered the airway. Fortunately, it did not enter the lungs. Otherwise, he might not have been able to be rescued just now."

Zhao Sheng thought about it for a moment and directly told him what his right hand had scanned.

Of course, when he says this now, others must think that his rich experience has played a role.

As soon as Zhao Sheng said these words, there was an uproar in the operating room.

It stands to reason that this tibiofibular incision and internal fixation was performed under general anesthesia.

Before surgery under general anesthesia, you must abstain from food and water.

Why is it necessary to avoid food and water during general anesthesia surgery?
  Because under general anesthesia, the connection between the stomach and esophagus, the cardia, cannot be closed, stomach contents will reflux into the esophagus when lying down. In addition, the protective throat reflex and cough reflex are both under general anesthesia. Unable to work, the refluxed stomach contents will directly enter the lungs, causing fatal suffocation.

The connection between the tract and the stomach is called the cardia, which is closed by neural regulation when awake. The evidence is that normal people will not stand upside down when awake. However, under general anesthesia, the body is subject to the combined effects of sedation and muscle relaxants, and the muscle relaxants cause the cardia to close. The stomach will close, and gastric contents can reflux into the throat in different postures. At the same time, sedatives make the cough reflex disappear. Therefore, after eating and performing surgery under general anesthesia, gastric contents can reflux into the trachea, which can cause aspiration pneumonia in mild cases and death on the spot in severe cases.

In other words, if the child now has reflux cough, it means that the preparations for fasting and water fasting before surgery were not done well.

This is an impossible mistake for a surgical department in a major tertiary hospital.

That's why everyone is so surprised.

"Director Zhao, are you sure?"

Dong Bo looked very ugly and asked Zhao Sheng again.

Fasting and fasting before surgery is a very basic task in the surgical department. If there is a problem in this area, for example, it is like a nurse inserting a needle into someone's infusion and inserting air into it. This is a low-level offense that cannot be committed. mistake.

"Yes, this is a typical mechanical suffocation caused by the reflux of stomach contents into the trachea. Fortunately, it did not reflux into the lungs."

Zhao Sheng said with great certainty.

"Now we must first perform fiberoptic bronchoscopy on the child to clear the foreign bodies in the airway, and then the next operation can be carried out depending on the situation."

After a pause, Zhao Sheng said again very seriously.

"Then I'll trouble you, Director Zhao."

Although Dong Bo didn't want to believe that there was a problem with fasting and drinking before the operation, the matter was at this point and he could only deal with it first.

"it is good."

Zhao Sheng nodded.

Half an hour later, Zhao Sheng removed the gastric reflux material stuck to the trachea under a fiberoptic bronchoscope.

When everyone took a closer look, they saw that they were bread crumbs and apple fragments. They looked very fresh and did not look like they had been digested by gastric juice for a long time.

So now the situation is very clear. The reason why this child suffered from mechanical asphyxia inexplicably is because the most basic preparation of fasting and drinking before surgery was not done well.

The cause of the inexplicable suffocation has been found, but Dong Bo's face became even more ugly.

But now that the matter was over, he had no choice but to complete the operation first, and then find out which part had the problem. Next, the operation was carried out as usual. Because he was afraid that the child would suffocate again, Zhao Sheng did not leave the operating room and followed the whole process.

Two hours later, the operation was over.

Zhao Sheng and Dong Bo left the operating room together. On the way out, Zhao Sheng saw that Dong Bo's face was still very ugly. This was not surprising. For a deputy chief doctor like Dong Bo, he had to eat and drink before the operation. If something goes wrong in basic work, it can be said to be a huge slap in the face.

But just now, during the operation, the doctor on duty had figured out the whole story.

Because this child is going to undergo surgery under general anesthesia, the doctor in charge of the bed requires that he not eat or drink for 12 hours before the operation and not drink for 6 hours.

However, because the child's parents were on a business trip, the surgery was accompanied by the grandparents. Before entering the operating room, the grandmother felt sorry for the child's hunger, so she fed the child milk, bread and apples.

As a result, gastric content reflux asphyxia occurred during the operation, which should not have occurred.

After leaving the operating room door, Zhao Sheng saw the old couple waiting at the door. As soon as he saw Dong Bo come out, the old lady stood up and came to Dong Bo with a nervous look on her face.

"Did you know that because you fed the child before the operation, the child's stomach contents refluxed into the trachea during the operation, causing him to suffocate? The child almost died."

Dong Bo looked at the old lady and said unceremoniously.

There was only a slight chance that his reputation would be ruined by this operation.

So it's understandable that he would be in a bad mood.

"what?!"

"Doctor, I just looked at him and gave him something to eat when he was obviously very hungry. Why did he get so serious?!"

The old lady said with a look of disbelief.

She just watched her grandson go without eating for more than ten hours, and she couldn't bear the hunger, so she secretly gave her grandson something to eat before the operation.

Seeing the old lady's appearance, Dong Bo became even more angry.

This time it was a luck, the stomach contents did not directly enter the lungs, and he was rescued in time.

But if he were not careful, the gastric contents would reflux and block the trachea into the lungs, and the child would die on the spot, unable to be rescued. Dong Bo could not even imagine what the situation would be like.

"Doctor, it's our fault, I'm sorry!"

"I promise, it won't happen next time!"

The old man standing aside saw that the situation was not good, so he immediately stood up and reassured Dong Bo.

"It's obvious that we were just eating something, but why did someone die? Your doctor loves to talk and scare us!"

The old lady said with an angry look on her face at this time.

"next time?"

Dong Bo suppressed the anger in his heart, gave the old couple a cold look, turned around and left.

At this moment, the friend who found him and asked him to perform an operation on the grandson of the old couple has been blacklisted by Dong Bo.

As for this old lady, Dong Bo said in his heart, I will remember your face!

　This case is indeed true, because the old lady gave her grandson something to eat before the general anesthesia, and the grandson fell directly on the operating table, in a TOP3 hospital in China, and everyone can learn from it.

　　
  　
  (End of this chapter)