On call in Maternity Hospital that day.. Got lotsa emergency LSCS (Lower Segment Caesarean Section) that day,(i think 9 altogether.. started with few complicated cases in the morning... ), besides doing few epidurals for labour pain & attending referral for maternity patient with CRHD.
That night, around 2 am in the morning, there's one patient with 2 previous scar come in for labour.. As usual, i gave the patient spinal anaesthesia for the emergency LSCS, while the surgeon as well as the assistants & scrub nurses scrubbing up, preparing for the case. After i gave the spinal, the surgeon was informed by the HO that there's a cord prolapse case in the Labour Room..
Well, she had to unscrub & attended the cord prolapse case... and of course that case needed to be done first since it's really emergency.. So, we pushed the earlier patient out to the room outside the Operating theatre and observed her BP closely out there..
The cord prolapse case was done under GA. The patient was intubated with rapid sequence induction & cricoid pressure. THe LSCS went smoothly and baby came out well. I reversed the patient as usual after LSCS & sent her out the HDU for post op monitoring.. Later, i pushed back the other case back for LSCS, but her spinal effect already wear off since it's more than one and half hours .. Need to intubate her as well..
Really a tiring day.. I think it's almost 6 am already by the time the LSCS ended...