Good morning, everyone. 

Today is September 9th.

We did four emergency cases  and three cases of laber analgesia at yesterday’s shift,

Clavicular open reduction and internal fixation,caesarean section,appendicectomy and  intracranial aneurysm clipping.

The intracranial aneurysm patient was 59-years-old, male,who had suffered hypertension for 5 years.

The patient was evaluated for ASA III level ,M II and cardiac function I level.

The key point of anesthesia management in this case is the regulation of blood pressure,prevention of aneurysm rupture and cerebral protection.

The operation was successful and the patient was transferred to ICU at 10 pm.

That’s all. 

Thanks for your attention.

下一日朗讀

1. The Apfel score can be used to predict patients with a high risk for perioperative nausea and vomiting (PONV).

It includes four factors: female gender, nonsmoking, postoperative use of opioids, and previous PONV or motion sickness in the patients’ history.

Surgeries like laparoscopy, middle ear surgery, and strabismus surgery are associated with a higher risk of PONV.

上一日回顧

Good morning, everyone. 

Today is September 2^nd.

We did two emergency cases at yesterday’s shift,craniectomy and liver transplantation.

The liver transplantation patient was 51-years-old, male,has been diagnosed with hepatitis B for 20 years.

The patient was evaluated for ASA IV level and cardiac function I level.

After a standardized induction sequence, anesthesia was maintained by titrating sevoflurane and remifentanil infusion to maintain MAP and HR within 20% of baseline values.

The key point of anesthesia management in this case is coagulation profile, volume status and general hemodynamic state.

Intraoperative bleeding was 3200 ml, we injected 18 units of RBCs and 3000 ml of FFP, when the patient left the operating room ,his hemoglobin was 10 grams per liter.

The operation was successful and lasted for 14 and half hours and the patient was transferred to ICU at 2:30 am.

That’s all. 

Thanks for your attention.