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For many beginners, the spinal canal puncture is very cautious every time.
Whether the puncture is in place depends on luck; see the superior doctors puncture and consciously understand each step, but once they get started, they still know how to do the puncture.
Missing things and making things happen, most of the results are the lack of summary of the details of the waist hard puncture.
The following is based on my own experience, I summarize the details of each puncture step that I consider to be very important, and share with you.
If there is any discrepancy or omission, please leave a message for discussion.
The principle of disinfection is to have a disinfection range of at least 15 cm centered on the puncture point.
During the disinfection process, the disinfection range should not be left blank and the disinfection range decreases each time.
The disinfection brush should not be too wet, otherwise the disinfectant on the upper side will flow through the puncture point; for the disinfection method, I once did a questionnaire survey of more than 200 people, and found that the most choices were the above three.
The methods are not good or bad.
The key is whether you strictly follow the disinfection principle.
Inserting a spinal needle requires puncturing the dura mater and arachnoid membrane.
Direct piercing often cannot be pierced.
Especially in young patients, the dura mater is soft; remember that you have just started to operate independently, and the combined anesthesia for three consecutive patients is the dura mater.
The external entry was smooth and the spinal anesthesia could not get out of the cerebrospinal fluid, but the superior doctor had a needle in place; at first, he didn't understand at all, but after careful consideration, he found that in fact, the first three spinal anesthesia had withstood the dura mater, but there was no puncture.
The fourth spin pierce is a success.
In addition, the spinal anesthesia needle is injected into the side hole, so it is obvious that there is a sense of failure but the cerebrospinal fluid does not come out.
It may be that the side hole is just outside the cerebrospinal fluid.
You should try different directions.
In addition, bolus injection of spinal anesthetic is the most critical operation.
It is very important to stabilize the back of the patient with spinal anesthesia.
At the same time, it should be withdrawn at least three times during the bolus injection process to make it clear that the local anesthetic has entered the subarachnoid.
Recommendation: Spinal anesthesia can not be beaten, it may be that these details have not been paid attention to.
Several problems should be paid attention to during spinal cesarean
Whether the puncture is in place depends on luck; see the superior doctors puncture and consciously understand each step, but once they get started, they still know how to do the puncture.
Missing things and making things happen, most of the results are the lack of summary of the details of the waist hard puncture.
The following is based on my own experience, I summarize the details of each puncture step that I consider to be very important, and share with you.
If there is any discrepancy or omission, please leave a message for discussion.
The principle of disinfection is to have a disinfection range of at least 15 cm centered on the puncture point.
During the disinfection process, the disinfection range should not be left blank and the disinfection range decreases each time.
The disinfection brush should not be too wet, otherwise the disinfectant on the upper side will flow through the puncture point; for the disinfection method, I once did a questionnaire survey of more than 200 people, and found that the most choices were the above three.
The methods are not good or bad.
The key is whether you strictly follow the disinfection principle.
Inserting a spinal needle requires puncturing the dura mater and arachnoid membrane.
Direct piercing often cannot be pierced.
Especially in young patients, the dura mater is soft; remember that you have just started to operate independently, and the combined anesthesia for three consecutive patients is the dura mater.
The external entry was smooth and the spinal anesthesia could not get out of the cerebrospinal fluid, but the superior doctor had a needle in place; at first, he didn't understand at all, but after careful consideration, he found that in fact, the first three spinal anesthesia had withstood the dura mater, but there was no puncture.
The fourth spin pierce is a success.
In addition, the spinal anesthesia needle is injected into the side hole, so it is obvious that there is a sense of failure but the cerebrospinal fluid does not come out.
It may be that the side hole is just outside the cerebrospinal fluid.
You should try different directions.
In addition, bolus injection of spinal anesthetic is the most critical operation.
It is very important to stabilize the back of the patient with spinal anesthesia.
At the same time, it should be withdrawn at least three times during the bolus injection process to make it clear that the local anesthetic has entered the subarachnoid.
Recommendation: Spinal anesthesia can not be beaten, it may be that these details have not been paid attention to.
Several problems should be paid attention to during spinal cesarean
