Chapter 2767

Two hours later, the patient woke up under general anesthesia, with a total urine volume of about 1950ml, clear color, stable spontaneous breathing, eyes can be opened when calling, respiratory tract can be cleaned, and laryngeal mask can be removed.

Stay for 10 minutes and no obvious abnormality is found.

At this time, the patient's blood pressure is 130 ~ 108mmhg / 76 ~ 55mmhg, the heart rate is 74 ~ 89 beats / min, and the blood oxygen saturation is 97 ~ 100%.

Auscultation, the respiratory sounds of both lungs are clear and symmetrical, the exhalation can be responded, the muscle strength is recovered satisfactorily, the limbs can be moved and the head can be raised according to the instructions, and then sent back to the ward to strengthen monitoring.

The patient is fine, but he was sent down without even having an operation. It's impossible to ask things at home. Director Xu doesn't have to face the patient's family. The trouble is the surgeon's and has nothing to do with him.

He has other things to attend the meeting.

The teaching room in the anesthesiology department is very large, because there are several on-stage consultations here every year.

But no matter how big the classroom is, it can't hold 912 all the anesthesiologists.

Director Xu has a calm face. The picture in the live operation room of xinglinyuan is broadcast on the projection. Boss Zheng directs the rescue like a mountain.

The anesthesiologists were very interesting. No one dared to speak when director Xu was in a bad mood. They crept to find a place to sit. People who come late stand in the corner. With more and more people, people who come late can only stand closer and closer to the front.

People who arrive late are also very helpless. The more they stand in front, the easier they are to be scolded, but who makes their home far away and come late.

When it was time, director Xu said in a deep voice, "roll call!"

“……”

Many anesthesiologists are glad that they have no luck. Director Xu is here for real this time. When I walked in, I saw the background picture of live emergency rescue, which was guessed by people with inspiration.

Director Xu will definitely not attack those who are absent by name, but there will be all kinds of small shoes in the future.

What's the matter? They didn't even dare to ask. No one dared to whisper when director Xu was in a bad mood.

At the end of the roll call, director Xu held the list in his hand. Through the light and shadow, he could vaguely see that several circles were drawn on it, and "ruthlessly" marked down the people who didn't come.

"You Changyou, tell me about today." Director Xu sat on the stage and said coldly.

As soon as this sentence was said, the people immediately felt that they had put a big stone on their heart.

You Changyou is a veteran professor of anesthesiology. Usually, director Xu will give him full respect and will not deliberately suppress him. Director Xu still has the bearing of this old director, but today... We can imagine what director Xu is going to do by directly addressing professor you by his name.

"Director Xu..." you Changyou's voice was astringent. He repeatedly recalled that although he was responsible for surgical anesthesia, he had this problem. What can he do? It was an accident, an accident!

"Tell me what you think of it." Director Xu said coldly, holding his anger.

Lao he sat by the window and watched quietly.

He doesn't worry about what will affect him. Lao you is unlucky this time. When I sent the gallbladder cancer patient made by boss Zheng to the ICU, I saw director Xu asking what to do with the patient's family. Boss Zheng and Brother Yun were also standing aside.

Although I don't know what's going on, Lao he knows director Xu's personality.

He belongs to the kind of director who doesn't move and makes people speechless once he wants to move. Director Xu basically doesn't say trivial things. They are all the work areas that the head nurse talks about anytime and anywhere.

Lao he was curious. Seeing you Changyou stammering about the patient's condition, he secretly took out his cell phone that was turned into silent and sent a message to Su Yun.

[Brother Yun, what's the matter with Lao you's patient?]

In less than three seconds, Su Yun's reply arrived.

[the patient caught a cold 12 hours before operation, but the anesthesiologist didn't ask about it.]

“……”

Lao he immediately understood what had happened. This kind of thing was not very common. Lao he was particularly afraid that he was looking for a patient to see. This time, director Xu caught him, but it was miserable.

As soon as he understood the matter, the medical record in director Xu's hand hit you Changyou's head, "pa", and the white paper was scattered on the ground.

You Changyou was stunned. Is director Xu beating himself in the face in front of everyone?

"Did you know that the patient had a cold before operation?" Director Xu didn't give him any time to think about it at all, and roared in a deep voice.

“……”

You Changyou was stunned.

"You still have the face to say here that you should see the patient before operation. Who did the patient see it? Do you have a sense of responsibility! Why did you see the patient before operation? What matters should be paid attention to!" Director Xu asked with a slap.

Looking at the lost you Changyou, Lao he put away his mobile phone. He didn't have time to lament the speed of Brother Yun's reply to wechat. Only a feeling of rabbit death and fox sorrow lingered in his heart.

It is an unwritten rule for anesthesiologists to let their assistants go to see patients. Although director Xu said many times at the meeting that he would take the anesthesiologist of the group to see the patients, there was basically nothing wrong with running up and down, and everyone was slack after a long time.

If he hadn't often anesthetized boss Zheng's patients now, Lao he wouldn't have the slightest negligence. I'm afraid he wouldn't go down to see the patients every time.

"When no difficult airway is found in the pre anesthesia evaluation, the occurrence of difficult airway cannot be ruled out, and the unexpected difficult airway is more dangerous after the induction of general anesthesia!" Director Xu said, "do you know this?!"

"Know..." you Changyou lowered his head and whispered.

"You know shit!" Director Xu threw all his anger on his head, which means there was nothing in his hand, or another medical record would be smashed down.

"The medical history collection is insufficient, and the medical history of upper respiratory tract infection 12 hours before admission has not been solved. Did you write it in your pre anesthesia love letter? Did you say it during emergency rescue!"

You Changyou bowed his head silently and put on a look of not fighting back and scolding back.

When something happens, it's normal for the dog to be scolded. If you talk back at this time, you must be scolded more. The most important thing is that I ignored it. There is no reason to argue for three points. It belongs to fooling around. What you lose in the end is your face.

The more you say, the more you lose. And it will add fuel to the fire. If you annoy director Xu, you can't live a good life in the future.

"Just because you did not collect enough medical history, did not give enough nitrogen and oxygen during anesthesia, and did not have enough anesthesia depth, unexpected difficult airway appeared after routine endotracheal intubation after induction. Several attempts of endotracheal intubation induced bronchospasm, resulting in respiratory tract management crisis after anesthesia. Unexpected difficult airway and bronchospasm delayed recovery after induction."

Director Xu roared like a firecracker. His voice echoed in the classroom and beat every doctor's heart.

"Is it really fun to see patients before surgery?"