It’s 0200 hours , and my brain is starting to shut down as the beeps of the monitor play a lullaby , and patients go into snooze mode ,
Alas here I am, doc the patient is desaturating , the Romanian frontal abscess guy, who I thought was incomprehensible was more than jus a language barrier , he was getting hypoxic and turning blue as the adrenaline in my system shot up . The level headed anaesthetist in me said , it’s pretty straightforward : intubAte , ventilate , get the sats up , arrange a scan and take him to theatre if need be. The humongous checklists before an intubation had to be foreseen, and bam the tube was in , like I knew I could if I was even half dead . I bag and bag and bag !!! The chest won’t rise ! I hold a breath , hoping his lungs would breathe . I call for help letting my mind rattle through a pneumothorax, a consolidation or an aspiration! And as my boss arrives a chest X-ray to say his lung blew up ! We give electrolytes, loads of PEEP, a 100%oxygen ! But the peep did neither perk me up or his alveoli! We bronch bronch bronch ! And get the slimy stuff out of his chest . Then comes the shake , shake , shake and get more muck out of the chest . It’s 0500 hrs , and jus alveoli begin to swell in joys of getting some oxygen ! He looks pink with life , as I blush through the adrenaline rush and the caffeine shots ! It’s just another day in the intensive care . You pat your back , gorge on bacon and toast and get ready for another night !
Shake shake shake !!!! Is what I learnt 😁