I was called for an emergency cessarian section to save the baby and mother from a catastrope.
The patient had no problem medically,except the present pregnency which itself is a high risk
when it comes to anesthtise the patient.
I went ahead with spinal anesthesia, after the cursory examination,which is the popular technique of choice for the Gynae and Anae.
After the spinal anaesthesia, the patient was put in supine position, I went ahead with the oxygen mask and monitoring,about to signal the surgeon to go ahead for the surgical assault.At that point of time I noticed the patient had turned blue with froth in the mouth,pulse was missing, so also the respiration had ceased,my GOD patient was ending up with what is described as Aorto Caval Compression Syndrome.The pregnant uterus after the spinal anaesthsia sits over the inferior vena cava and abdominal aorta,because of the tone of the abdominal musculature is lost after a spinal,thus there is no flow of blood incoming to heart,allowing it to stop for want of blood to be filled in its chambers.
I had to yell at the OT attender for help to put the heavy patient in to the left lateral position,which he did as per my advise and Iwent ahead with resuciation of the patient by giving
pure oxygen to breathe by artificial ventilation,and inj Atropine to increase the Heart rate,and Inj Mephentine to jack up the blood pressure to normal,By sheer GODs grace on the patient,and little extent on me, the patient showed signs of life again.surgery was allowed to go ahead.
its needless to say I had a chance of seeing a healthy live baby which I thought otherwise.
I had one more experience of saving a mother and child in her.
Subscribe to:
Post Comments (Atom)
3 comments:
your posts are really scaring me.
So much risk, phewf ,
I still remember when my manager said lets do it all over again after we couldn't do it in the first place.
Delete and fresh install
hope life was that easy
hello mama,
I read interesting accouts of your experiences, be it personal or professional.wow! what a profession! No wonder doctors get so much respect!
Baby.
oh my god ! wht a experience !
i am sure now i undersand the gravity of your job and work !
make or break kinda work !
Post a Comment