On Sunday, an appendicitis was in the operating room. Suddenly, another notice of appendicitis. The small li that is anaesthesia, in the heart this complain: what day ah, so much appendicitis?

Complaining is complaining, but the work must be done.

Xiao Li thought Sunday was a very good class, but this one let her down.

If I have surgery on Sunday, I can’t take the rest of the week off. Add in the week before, and she’ll have been under anesthesia for half a month.

In order to buy herself a little more time over the weekend, she quickly adjusted the anesthesia plan and set out to wake up quickly: the inhalant, which had already been prescribed at 2, was turned down. Worried that the depth of anesthesia was insufficient, she was given an IV anesthetic through an IV pump.

Speaking of this I.V. drug, it’s something special. In the anesthesia industry, it is affectionately known as “milk”. Because its metabolic half-life is very short, a small amount of use without accumulation, popular. But for major surgery, many doctors opt for a different inhalation anesthetic. The inhaled anesthetic li uses is more controllable than “milk” during major surgery. Because this appendicitis is a small operation, xiao Li also did not hesitate to replace it.

Time to the surgeon to close the abdominal stage, Xiao Li quickly inhaled anesthetics all stopped. Normally, it’s only 10 minutes away.

However, the surgeon was slow to close the abdomen when it was said to be closed. As if I had never seen such a beautiful abdominal cavity, turned over and over to see.

Because of this delay, ten minutes passed.

Right now small Li, faint feeling anaesthesia may be shallow. Looking at the cut, which was only a few centimeters wide, she manually pushed some pain pills that were still being pumped. Then, fearing that anesthesia was not enough, the pump was speeded up.

The surgeon was about to close the stomach, and Xiao Li’s anxious heart calmed down a little.

No sooner had the doctor stitched up the patient’s abdomen than he gave a movement. Xiao Li comfort surgeon way: have no matter, the patient breathes quickly to come back, the patient does not ache, suture. So I pushed some more painkillers.

In the past, breathing back and getting a few stitches during exercise were common enough that surgeons did not care. However, afterlight feel Xiao Li’s poisonous eyes, they also dare not much delay. After all, if they don’t close the abdomen soon after surgery, it affects their anesthesia control.

Ten minutes later, the surgeon finally finished the last stitch.

Seeing the surgical sutures finished, Xiao Li quickly turned off the analgesics.

They said the painkillers were good, and they didn’t disappoint her. In theory, it takes no more than 6 minutes to metabolize, and it takes only 3 minutes for the patient to open their eyes.

The patient also blinked in response to Xiao Li’s command.

Seeing this situation, Xiao Li thought that there was no problem and pulled out the tracheal tube.

But when she pulled out the tube, she found it impossible to squeeze air in. For a moment, she thought she had a blocked airway.

When she returned with the suction tube, it was impossible to pull the patient apart. The patient at this time, let alone how to call is not open eyes. Look at the patient again, two upper arms tightly clamped on both sides of the trunk, pectoralis major muscle edge stretched obviously, teeth clenched, even the head can not move. Shake the victim’s head slightly and the whole body follows. This tells us that the patient’s whole body is in a state of muscular rigidity.

The moment she saw it, she knew what was going on. What she didn’t expect, however, was that most of the muscle rigidity caused by opioids occurred in the early stages of anaesthesia, rather than during the waking phase.

Too late to regret it, she quickly pushed in a few sedatives and a few muscle relaxants.

Great. Because of the muscle relaxations, we won’t be able to get out in half an hour.

After the patient was sent out of the operating room, she was depressed all day. Deep in my heart, I realized that anesthesia could not be too urgent.

Opioid-induced muscle rigidity occurs when the patient begins to lose consciousness or immediately after the loss of consciousness. Mild muscle rigidity may also occur when the patient is awake, such as hoarseness. In severe cases, sudden closure of the glottis resulted in ventilation disorders of the respiratory sac, mask and laryngeal mask, ETCO2 waveform in the absence of ventilation, muscle rigidity of the thoracic and abdominal wall when palpation of the chest and abdomen, and rapid decline of SpO2.