MERDEKA !!!

48 years ago  

The plan last night : we were suppose to loiter on the top floor of HKL at 12 midnight ; gazing the spectacular fireworks on display from KLCC / Dataran Merdeka . Being on trauma call ; it was possible to do so.. and so i thought.. Shakti was tagging with me so he was around too to celebrated merdeka with me..

Instead , i was in the OT with 5 orthopods surgeons doing a risky 70 year old lady for her recurrent infected hip implant !! haks.. the "nenek" was a chatterbox and kept talking to me !! haks.. oh yes , she was under anaesthesia : sub arachnoid block because of her multiple medical problems.( paralyzed her from the waist and below) I was risking it by not doing it under combined spinal epidural..which could ease any possible prolonged op. But seeing the Orthopods Consultant doing the op ; i figured that the op would not take long.

We started quite late , 1 and a half hours after she was in OT because her lines were impossible ! She had been in the ward for 4 months and her peripheral lines were next to nothing ! The only line present was a tiny 22G ( blue pod) needle on her left ankle !! Giller aper.. Even her external jugular veins were thrombosed !! We then inserted lines to the femoral and internal jugular veins ; anticipating profuse bleeding .. and we were right when they opened up she poured 400 ml stat and made her blood pressure to drop !! haks.. sakit jantung ooohh..

Her Blood pressure was lowish during the op... having a baseline of about 170 mmHg systolic , intra-op it was 90 - 100. I reckon it was to the amount of heavy bupivacaine i gave.. haks.. My specialist told me to only give a low amount like max of 2 ml considering her age.. but i gave 3 ml of 0.5% Bupivacaine anyway.. hehehe ..anticipating a long op. But i slowly syringed the drug .. so slow.. slow giller. heks.. well , my limited experience brought me to this conclusion to avoid the possible complications.. well , kena experiment la as it goes..

Well , that was my Merdeka 12 midnight adventure !!! I slept at about 6.30am ; having to sort out the REAL emergencies.

I'll be in Maternity come September.. should be interesting..

p/s letih ...