2767 It was caused by a cold ...
Two hours later, the patient woke up from general anesthesia. The total amount of urine was about 1950 ml, the color was clear, and the spontaneous breathing was stable. He could open his eyes when he called out, clean the respiratory tract, and remove the laryngeal mask.
He stayed for 10 minutes and didn’t see any obvious abnormalities.
The patient’s blood pressure was 130 – 108 mmHg/76 – 55 mmHg, heart rate was 74 – 89 beats per minute, and blood oxygen saturation was 97 – 100%.
After the auscultation, the breathing sounds of both lungs were clear and symmetrical, and they could respond to each call. The muscle strength recovery was satisfactory, and they could move their limbs and raise their heads according to instructions. They were then sent back to the ward to strengthen the monitoring.
The patient was fine, but he was sent down without even undergoing the operation. It was impossible for his family to ask for things unstably. Department Director Xu did not have to face the patient’s family members. All the trouble would be on the surgeon, and it had nothing to do with him.
He had other matters to attend to.
The demonstration room of the Department of Anesthesiology was very large because there were a few onstage consultations every year.
However, no matter how big the demonstration room was, it could not fit all the anesthetists in Room 912.
Director Xu’s face was sullen. The projection was playing the scene in the live broadcast room of Xing Lin garden’s operation. Boss Zheng was like a mountain as he directed the rescue.
The anesthetists were very tactful. None of them dared to speak when Associate Chief physician Xu was in a bad mood. They tiptoed around and looked for a place to sit. Those who came late stood in the corner. As more and more people came, those who came late could only stand closer to the front.
Those who arrived late were also helpless. The closer they stood, the easier it was for them to be scolded. However, their homes were far away, so they came late.
When it was time, director Xu said in a deep voice,”roll call!”
“……”
Many of the anesthetists were glad that they did not take any chances. This time, Department Director Xu was serious. When they walked in and saw that the background was a live broadcast of an emergency rescue, some of the smarter people guessed this.
Director Xu would definitely not act up on the spot if he did not name the person, but he would have all kinds of trouble in the future.
What was going on? They didn’t even dare to ask, and no one dared to whisper to each other when director Xu was in a bad mood.
After the roll call, director Xu held the name list in his hand. Through the light, he could vaguely see a few circles on the list,”viciously” marking the people who did not come.
“Long friend you, tell me what happened today.” Director Xu sat on the stage and said coldly.
As soon as this sentence was said, everyone suddenly felt that a huge stone was pressing down on their hearts.
You Changyou was a veteran leading professor in the Department of Anesthesiology. Usually, Department Director Xu would also give him full respect and would not deliberately suppress him. Director Xu still had the bearing of an old Department Director, but today … He directly addressed professor you by name. It was easy to imagine what director Xu was going to do.
“Department Director Xu …” You Changyou’s voice was hoarse. He thought about it repeatedly. Although he was responsible for the anesthesia for the surgery, there was nothing he could do when such a problem occurred. This was an accident, an accident!
“Tell me, what do you think of this matter?” Director Xu suppressed his anger and said coldly.
Old he sat by the window and watched quietly.
He was not worried that he would be implicated. Old you was out of luck this time. When he had sent boss Zheng’s gallbladder cancer patient to the TICU, he had seen director Xu asking the patient’s family members something. Boss Zheng and Brother Yun had also stood by the side.
Although old he did not know what was going on, he understood director Xu’s character.
He was the kind of director who would stay still if he didn’t move, but once he wanted to move, he would make people speechless. Director Xu basically didn’t talk about trivial matters, as it was the head nurse’s job scope.
Old he was curious. When he saw you Changyou stammering about the patient’s condition, he secretly took out his phone that was on silent mode and sent a message to Su Yun.
[Brother Yun, what’s going on with old you’s patient?]
In less than three seconds, Su Yun’s reply came.
[The patient caught a cold 12 hours before the operation, but the anesthetist didn’t manage to find out.]
“……”
Old he immediately understood what had happened. This kind of thing was not very common. Old you was afraid that he had found a student to treat the patient. This time, he was caught red-handed by director Xu. He was in big trouble.
As soon as he asked about the matter, the medical record in director Xu’s hand was thrown at you Changyou’s head, and the white paper fell to the ground with a “PA.”
You Changyou was stunned for a moment. Was director Xu slapping his face in front of everyone?
“Did you know that the patient had a cold before the operation?” Director Xu didn’t give him any time to think and shouted in a deep voice.
“……”
You Changyou was stunned.
“You still have the face to talk about visiting the patient before the surgery? who did it? Do you have any sense of responsibility? Why did they go to see the patient before the operation? What do you need to pay attention to?” Director Xu asked in one breath.
Looking at the dazed you Changyou, old he put away his phone. He didn’t have time to marvel at the speed of Brother Yun’s reply. He only felt sad for him.
It was an unwritten rule that the anesthetist would let his assistant visit the patient. Even though chief physician Xu had mentioned many times in the meetings that he would lead the group’s anesthetist to see the patient, there was basically nothing much to do since they were running up and down the hospital. As time passed, everyone started to slack off.
If it were not for the fact that he often anesthetized boss Zheng’s patients and old he dared not be the slightest bit negligent, he would not have personally gone down to see the patients every time.
“Even if no difficult airway is found in the pre-anesthesia assessment, we can’t rule out the possibility of difficult airway, and an unexpected difficult airway is more dangerous after general anesthesia is induced!” Director Xu said,”do you know about this?!”
“I know …” You Changyou lowered his head and said in a low voice.
“You know nothing!” Director Xu vented all his anger on him. Fortunately, he did not have much in his hands, or he would have thrown another medical record at him.
“The medical history collection was insufficient, and we did not understand the medical history of upper respiratory tract infection twelve hours before you were admitted to the hospital. Did you mention it in your anesthesia preoperative knowledge book? Did you say that during the emergency treatment?”
You Changyou silently lowered his head, putting on an expression of not retaliating even if he was hit or scolded.
It was normal to be scolded badly when something happened. If he retorted now, he would definitely be scolded even more. The most important thing was that he had ignored her. If one didn’t defend themselves, that would be considered as pestering endlessly, and in the end, they would still lose face.
The more he said, the more he lost. Moreover, it would only add fuel to the fire, and if he angered director Xu, he would not be able to live a good life in the future.
“It’s because you didn’t collect enough medical history, insufficient nitrogen oxygen during anesthesia, insufficient anesthesia, unexpected difficulties in the airway after normal tracheal intubation after induction, several attempts at tracheal intubation induced bronchiasis, leading to respiratory tract management crisis after anesthesia, and unexpected difficulties in the airway and bronchiasis caused a delay in awakening after induction. “
Department Director Xu roared like a machine gun. His voice echoed in the demonstration room, and every Doctor’s Heart was thumping.
“Is it a child’s play to see a patient before surgery?!”