Saturday, May 21, 2011

Day 10:LSCS and appendectomy



Another amazing day for me today.woohoo^^
i watch two operations consecutively:Lower Segment Caesarean Section (LSCS) and appendectomy.

To be frank,i don't even know what is LSCS before entering the operating theatre.haha.
For the LSCS, spinal anaesthesia is chosen.
Spinal anaesthesia has many advantages for LSCS. The patient is awake and therefore her airway is safe. The baby is not sedated and is usually born in good condition providing hypotension is avoided.

The anaesthetics used:
  1. 0.5% hyperbaric (heavy) bupivacaine (Marcaine)+morphine. It lasts longer than most other spinal anaesthetics: usually 2-3 hours.
  2. Lignocaine (Lidocaine/Xylocaine).2% lignocaine has a much shorter duration of action.
For further informations,please refer http://www.nda.ox.ac.uk/wfsa/html/u09/u09_008.htm

Special thanks to the anaesthetist, Dr Tang who explains to me about the spinal anaesthesia.
Big claps to gynecoloist, Dr John and all the staff nurses for doing their great job.
Thanks GOD for bringing another two new lives to this world.
Last but not least, Congratulations to the parents to have two little cute boy twins,haha^^

For the appendectomy,it is carried out by medic senior from UKM,Dr Zam(sorry if i spell the name wrongly:-P)
The world is really small,haha
The patient is asleep under general anaesthesia.

Dr Tang gives morphine and propofol by IV to relax the patient.
Once the patient is relaxed, an endotracheal tube is threaded through the mouth and into the windpipe before being connected to the ventilator.

The patient is on:
  1. Morphine 6mg
  2. Diprivan (propofol) 100mg-short-acting general anaesthetic agent with a rapid onset of action of approximately 30 sec.
  3. Esmeron (rocuronium) 40mg- fast-onset, intermediate-acting nondepolarizing neuromuscular-blocking agent to provide skeletal muscle relaxation during surgery.
  4. Atropine-to allay patient's anxiety pre operatively.
  5. Neostigmine-Reversal of neuromuscular blockade
another SS photo of me,huhu:-p
sorry i didn't shave today,ngek ngek


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