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This is my experience during my neurosurgery posting. My first clinical posting in CRRI. In one word the posting was awesome posting. Fully thrill filed.
In the posting Muthuraman sir one day asked to make a case ready for theatre around 8 pm. It was a case of RTA. The patient had sub arachnoidal hemorrhage and was shifted directly from causality to sicu. The patient was a man of 52 years old. The history was he has fallen while getting inside the bus. The most precious times were wasted in the kumbakonam GH and on the way to transfer to our college.
"Remember the golden time from saving the brain from death is 8 hours"
OK I went to sicu as told. Found the patient. His Glascow coma scale is only 4. The pg sir decided to put tracheostomy before transferring to theatre. All were made ready including the investigation and the dress(veshti) for theatre. I managed to take the patient to theatre by 10 20 pm. Dr Muthuraman sir was ready. He is one of the man I admired very dedicative and very much hard working. Worth to be kept as a role model.
By next 20 minutes GA was given by the anaesthetist. Sir made an incision flap was raised. Gloves was cut for holding the flap. The flap is known as inverse question mark flap. Burr hole was made. Craniotomy instruments were used to open. Then sir made a small knick in the arachnoid. Like a jam blood clot were coming. I can never ever forget that. Then insicion was made and roots completely removed. Brain became fully odematous. The brain got swollen into a big mass. Skin was closed with suture. Remember no skull bone now in that area. The patient was transferred to sicu
I can remember his wife and his daughter face. In desperate for the loved ones to be saved. I then went 2 times to sicu on subsequent days. On the third day the news came that the person died.
In the posting Muthuraman sir one day asked to make a case ready for theatre around 8 pm. It was a case of RTA. The patient had sub arachnoidal hemorrhage and was shifted directly from causality to sicu. The patient was a man of 52 years old. The history was he has fallen while getting inside the bus. The most precious times were wasted in the kumbakonam GH and on the way to transfer to our college.
"Remember the golden time from saving the brain from death is 8 hours"
OK I went to sicu as told. Found the patient. His Glascow coma scale is only 4. The pg sir decided to put tracheostomy before transferring to theatre. All were made ready including the investigation and the dress(veshti) for theatre. I managed to take the patient to theatre by 10 20 pm. Dr Muthuraman sir was ready. He is one of the man I admired very dedicative and very much hard working. Worth to be kept as a role model.
By next 20 minutes GA was given by the anaesthetist. Sir made an incision flap was raised. Gloves was cut for holding the flap. The flap is known as inverse question mark flap. Burr hole was made. Craniotomy instruments were used to open. Then sir made a small knick in the arachnoid. Like a jam blood clot were coming. I can never ever forget that. Then insicion was made and roots completely removed. Brain became fully odematous. The brain got swollen into a big mass. Skin was closed with suture. Remember no skull bone now in that area. The patient was transferred to sicu
I can remember his wife and his daughter face. In desperate for the loved ones to be saved. I then went 2 times to sicu on subsequent days. On the third day the news came that the person died.
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