35-year-old Song Ni (pseudonym) is in labor. She was full of expectations, but she needed a cesarean section due to her advanced age, pelvic stenosis, and her high-sensitivity physique was allergic to all local anesthetic drugs.
Can I have a safe delivery? This important task falls on the shoulders of the anesthesiology department and obstetrics team of Jilin Hospital of Zhejiang University Women's Hospital (Changchun Obstetrics and Gynecology Hospital).
Experienced a "big rescue" due to drug allergies
For obstetricians and gynecologists, cesarean section is the most common, but this operation is not ordinary, and the biggest difficulty lies in anesthesia.
Song Ni has a family history of allergies. In 2021, she suffered from thyroid cancer and underwent a total thyroidectomy and isthmus resection + cervical lymph node dissection. After the operation, she has been in a state of low potassium, low calcium, fatigue and wheezing, indicating that the operation has caused great damage to her. And in that operation**, Song Ni also experienced a thrilling "big rescue" due to drug allergies. The family still has lingering palpitations.
After Song Ni was admitted to the hospital, after examination, she was not only allergic to all local anesthetic drugs, but also highly sensitive to drugs. She struggled to tolerate a small dose of the drug for other pregnant women.
Cesarean section under general anesthesia ensures the safety of the mother and baby
Based on Song Ni's situation, Li Li, director of the anesthesiology department, and her team fully evaluated before the operation, decided to implement general anesthesia for cesarean section, and formulated a detailed anesthesia plan: hormone drugs were given before the operation to prevent allergies, an individualized postoperative analgesia plan was formulated, and at the same time, the protection of airway and cardiac function was taken into account to ensure the safety of the mother and baby.
At 11:15 on February 21, Song Ni entered the operating room, anesthesia and other preoperative preparations. At 12:15, Xiao Chunying, director of the first treatment area of the obstetrics department, performed cesarean section, and 2 minutes later, a healthy baby was born safely, weighing 3845g and scoring 10 points.
During the operation, the intubation went smoothly, and Song Ni was doing well; He was fully awake after the operation, and his vital signs were stable.
However, during the postoperative observation, Song Ni had allergic reactions such as airway obstruction and bronchospasm, and her blood oxygen saturation once approached 80%. The team quickly implemented effective** and rescue efforts to turn the tide until the blood oxygen saturation value returned to a safe value.
After two hours of close observation, Song Ni's vital signs were completely stable. For Song Ni, who has experienced a "big rescue", Song Ni's safe birth this time is undoubtedly the greatest relief for her family.
On February 26, Song Ni was discharged from the hospital in good health. Before leaving, the family of three took a group photo with the doctor, thankful for meeting such a loving and skilled team.
Focus on improvement to achieve a closed loop of anesthesia management
The hospital has seen many pregnant women with drug allergies, but this is the first case as serious as Song Ni's. The anesthesiology and obstetrics departments have given Song Ni the greatest protection with superb technology and rich experience.
In recent years, the anesthesiology department of the hospital has benchmarked itself to a high level, from the early stage to high-quality obstetrics and gynecology hospitals in Shanghai and Beijing to achieve the improvement of the overall level, to the expansion of special technical capabilities, and the promotion of the transformation of scientific research and clinical application. At present, the Department of Anesthesiology not only serves ordinary patients, but also focuses on providing services for special, difficult and critical patients, not only in the research of intraoperative anesthesia and postoperative anesthesia resuscitation, but also on improving perioperative management, including preoperative anesthesia assessment, perioperative ** and postoperative management, with the support of evidence-based medicine, to achieve a closed loop of anesthesia quality management. At the same time, the Department of Anesthesiology also expands academic exchanges with cardiac surgery and thoracic surgery to make up for shortcomings, truly transform from anesthesiology to perioperative medicine, do a good job as a guardian of patients' lives and health, and achieve the goal of protecting the health of mothers and infants.
With such an enterprising team, the hospital will gather stronger development momentum, and with the blessing of the construction of "district", it will continue to benefit the health of the people in the region!