Two hours later, the patient woke up from general anesthesia with a total urine volume of about 1950mL. The urine was clear, and his breathing was stable. He could open his eyes when called. The respiratory tract was cleared, and the laryngeal mask was removed.
After observing for ten minutes, there was no obvious abnormality.
At this time, the patient's blood pressure was 130 ~ 108 mmHg/76 ~ 55 mmHg, heart rate 74 ~ 89 beats per minute, and blood oxygen saturation 97 ~ 100%.
Auscultation: Clear and symmetrical breathing sound of both lungs, able to respond to exhalations, satisfactory recovery of muscle strength, able to move limbs and raise head according to instructions, then sent back to the ward for intensive monitoring.
The patient was fine, but he was sent away before the surgery was performed. It was impossible for the family to not be stable and ask questions. Department Chief Xu did not need to face the patient's family. The trouble was the surgeon's, and it had nothing to do with him.
He had other business to attend to.
The demonstration room of the Department of Anesthesiology was very big because there would be several on-stage consultations here every year.
However, no matter how big the demonstration room was, it could not accommodate all the anesthesiologists in the 912.
Chief Xu's face was sullen. The live broadcast of Xinglin Garden's surgery was played on the projector. Boss Zheng was like a mountain directing the resuscitation.
The anesthetists were very tactful. None of them dared to speak when Department Director Xu was in a bad mood. They tiptoed to find 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 to the front, the easier it was for them to be scolded. However, their homes were far away, and 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, they saw that the background screen was a live broadcast of an emergency rescue. Some of the smarter ones guessed this.
Director Xu would definitely not flare up on the spot if he called out someone who wasn't there, but he would have all kinds of tricks up his sleeve in the future.
What was going on? They didn't even dare to ask. No one dared to whisper to Director Xu when he was in a bad mood.
After the roll call was over, Department Director Xu held the name list in his hand. Through the light, a few circles could be vaguely seen drawn on the name list, "fiercely" marking those who did not come.
"You Zhangyou, tell me what happened today," Director Xu sat on the stage and said coldly.
As soon as he said this, everyone immediately felt as if a huge rock was pressing down on their already stressed hearts.
You Zhangyou was a veteran professor in the Department of Anesthesiology. Usually, Department Director Xu would give him full respect and would not deliberately suppress him. At least, Associate Professor Xu had the bearing of a veteran department head, but today … he had directly addressed Professor You by his name. It was not hard to imagine what Associate Professor Xu was up to.
"Chief Xu …" You Zhangyou's voice was hoarse. He kept thinking about it. Although he was in charge of 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 said coldly, suppressing his anger.
Lao He sat by the window and watched quietly.
He wasn't worried that he would be implicated, but Old You was unlucky this time. When Boss Zheng sent the gallbladder cancer patient to the ICU, he saw Chief Xu asking the patient's family something. Boss Zheng and Brother Yun were also standing at the side.
Although he didn't know what was going on, Lao He understood Director Xu's character.
He was the kind of director who would leave people speechless once he decided to make a move. Chief Xu basically didn't say anything about trivial matters. Those were the work scope of the head nurse's nagging at any time and anywhere.
Lao He was curious. Seeing You Zhangyou stuttering about the patient's condition, he secretly took out his phone that was on silent 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 arrived.
[The patient caught a cold 12 hours before the operation. The anesthesiologist didn't ask.]
"…"
Lao He immediately understood what had happened. This kind of thing was not very common. Old You was probably looking for a student to see the patient. This time, he was caught red-handed by Chief Xu. It was a tragedy.
Just as he asked about the matter, the medical record in Chief Xu's hand hit You Zhangyou's head. With a bang, the white paper scattered on the ground.
You Zhangyou was stunned for a moment. Was Chief Xu slapping his face in front of everyone?
"Do you know that the patient caught a cold before the operation?" Chief Xu did not give him any time to think and shouted in a deep voice.
"…"
You Zhangyou was stunned.
"You still have the face to say that you saw the patient before the operation? Who saw the patient? Do you have any sense of responsibility? Why did you see the patient before the operation? What do you need to pay attention to? "Chief Xu asked in one breath.
Looking at the dazed You Zhangyou, Lao He put away his phone. He did not have time to sigh at Brother Yun's speed in replying to WeChat. There was only a feeling of sorrow in his heart.
It was an unwritten rule that the anesthesiologist would usually let his assistant go to see the patient. Although Chief Xu had said many times that he wanted to bring the anesthesiologist to see the patient, there was basically nothing to do after running back and forth. After a long time, everyone slacked off.
If it were not for the fact that he often anesthetized Boss Zheng's patients, Lao He would not have dared to be negligent at all. He would not have personally gone down to see the patient every time.
"Even if the pre-anesthesia evaluation didn't reveal any difficult airway, the possibility of a difficult airway cannot be ruled out. Moreover, unexpected difficult airway is more dangerous after induction of general anesthesia!" Department Chief Xu said. "Do you know about this?!"
"I know …" You Zhangyou lowered his head and said softly.
"What do you know!" Chief Xu vented all his anger on him. It was a good thing that he did not have anything in his hands. Otherwise, he would have thrown another medical record at him.
"The medical history collection was insufficient. I did not know the medical history of the upper respiratory tract infection 12 hours before the admission. Did you write it in the preoperative anesthesia letter?! Did you say it during the emergency treatment?! "
You Zhangyou silently lowered his head and put on a look that said he would not fight back.
If something happened, it was normal for him to be scolded. If he still talked at this time, he would definitely be scolded even more. The most important thing was that he did not care. If he did not defend himself, it would be considered as unreasonable pestering. In the end, he would still lose face.
The more he said, the more he would lose face. Moreover, it would add fuel to the fire. If he angered Chief Xu, he would not be able to live a good life in the future.
"It's because you did not collect enough medical history, did not give enough nitrogen and oxygen during the anesthesia, and the depth of anesthesia was not enough. After the induction, there was an unexpected difficulty in the airway after the routine tracheal intubation. After several attempts at tracheal intubation, it induced bronchospasm, causing a respiratory tract management crisis after the anesthesia. The unexpected difficulty in the airway and bronchospasm caused the delay in waking up after the induction."
Chief Xu roared like a cannon. His voice echoed in the demonstration room, knocking on the heart of every doctor.
"You're treating the patient before the operation as a f * cking joke?!"
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