Ranchi: Inter-departmental doctor team at the Rajendra Institute of Medical Sciences (RIMS) managed to carry out high-risk operations in the 65-year-old woman who came to the government managed by a government with a broken thigh (bone in someone’s thigh).
Operating to it is a challenge because patients have a number of heart diseases, besides having other co-morbidity.
Speaking to Ti on Thursday, the head of the orthopedic department in Rims, Dr.
LB Manjhi, said, “It is a difficult case and I am happy that the doctor gives the best.
Patients are currently stable and in observations.” Resident Hazaribag Rasula Khatun came to The hospital with a broken thigh on August 23 and was accepted at the orthopedic department.
After the initial diagnosis, he was referred to the cardiology department and a comprehensive examination revealed that he had spread cardiomyopathy, coronary arterial disease and lumps on the peak left.
The cardiology department said the patient was not feasible for direct operations and said that he needed to stabilize before the operation was carried out.
Dr.
Manjhi said, “We have been thinking of referring patients to a higher center but his family cannot afford it, follow what I decided to do surgery in our unit and explain the risk of surgery to family members.” A team of inter-departments began treating it to increase its vital.
A week later, some of the vital signs, such as blood pressure, stable but doctors from the Anesthesi Department during the pre-anesthetic check they found that the left ventricular function (LV) below the standard level.
He was declared not feasible for operation.
“In this type of case, we provide spinal anesthesia but there is a possibility of acute blood pressure.
We did not allow patients to operate but after two of our efforts cleaned it for the operation on September 18,” said Assistant Professor of Anesthesi Department Dr.
Tustar Kumar.
He added, “Not only is the administration of risky anesthesia but resuscitation for this kind of patient is difficult because removing patients from the ventilator becomes a challenge.
However, after stabilizing the patient, we provide his anesthesia through a multilevel epidural catheter that allows us to calm the patient in steps.
“Assistant professor in the cardiology department, Dr.
Prashant Kumar, said:” Every patient with poor LV functions can lose sense and is very difficult to make patients such as postoperatively, which is why the operation must be postponed.
In addition, patients are obese and have a lot Ko-morbidity, so that risk factors are always high.
But I am happy that the doctors attract it.
“