Thursday, June 02, 2005

LSCS

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...

22 comments:

dr reb0rn said...

me tired also after watching Madagascar yesterday nite, kekekeke...

Chen said...

Reborn,

nice ah? the Madagascar movie? :)

dr reb0rn said...

dem funny
ehe..

Hawks said...

A lot of comment in your blog :)


Looks like a long night for you

Chen said...

hawks,

hahha... somehow, it becomes like a forum liao,

I was not on call yesterday lah..(I was on leave yesterday), that was during my previous on call...And indeed it was a long day & night, non stop... Didn't have time to rest as well..

Hawks said...

Private forum :)

Your blog seems to have fast response

Chen said...

Hawks,

hahha... private forum ah?

babe_kl said...

Gosh Chen, you're a doctor! Great... I've a real doctor and a fake one visiting my blog :)

Chen said...

babe kl

well, i have few regular fake ones visiting here as well, hahaha.... they are my "great" friends but like to post comments with the title "Dr" in front of their names ;)

babe_kl said...

oh so pretentious!

ok i just read yr blog and found out whom we know in common hahaha dat Itchy & Scratchy!!!

Chen said...

babe kl

hahaha, yeah.. 100% correct, u r indeed very clever :D

John Guinness said...

Eh Babe Jie also here.

Ai yoo, Babe Jie found out liao, no fun already.

Chen said...

John Guinness

err... today u change name liao?

John Guinness said...

Yeah, new identity.

Must confuse the Babe.

Chen said...

John G

What a nice name u choose :D
Babe is very clever lah.. Difficult to confuse her :)

John Guinness said...

You got read Babe Jie's food blog?

Nice name ler? Next time will be Sir John Guinness

Chen said...

John G,
yeap.. I read her food blog..
her Japanese purple sweet potatoes tongshui looks so yummy & delicious leh...

John Guinness said...

So when you cook and let us sample?

She is food king.

Chen said...

John G,

u sample her cookings enough liao lah..
my cookings very simple only lah.. nothing great & nothing interesting :D

John Guinness said...

I havnt sample her cookings before wor.

Chen said...

John G,
issit? then u should persuade her to cook something mah for u to sample :D

John Guinness said...

Havnt try before wor. Erm...