Doctor: I picked up attributes in the hospital
Chapter 6 exploding experience?Difficult paravertebral block puncture!
Chapter 6 exploding experience?Difficult paravertebral block puncture!
nine in the morning.
The third operating room.
Zhao Heng, Xu Manni, and Gao Jun, the anesthetist, were already in the operating room.
"Is everything ready?"
Xu Manni asked Zhao Heng.
The preparations she mentioned meant preparing the surgical instruments. Since Zhao Heng was originally doing surgical equipment, she was happy to let Zhao Heng prepare the surgical instruments.
"Well, the instruments for thoracentesis and thoracotomy are ready."
Zhao Heng responded.
"it is good."
Xu Manni looked at Zhao Heng and nodded in satisfaction.
"It's a big deal this time."
Anesthesiologist Gao Jun said with a sigh.
The patient must first be sent to the operating room for anesthesia, and the operation can only be performed after the anesthesia is completed.
Moreover, the work of anesthesia is actually very risky, and it must be just right. The dose of anesthesia should not be too much or too little.
If the dose is too high, the patient may not be able to wake up after the operation. If the dose is too low, the patient will wake up early, which is even worse.
"Falling from a high altitude plus puncture injury to the chest and abdomen is indeed a very complicated operation."
Xu Manni nodded and said in agreement.
"Why don't you have an assistant for this kind of big job, can you do it by yourself?"
After a pause, Xu Manni said again.
"Assistants? You don't know the shortage of anesthesiologists right now. The entire Dongfang Hospital performs nearly [-] operations every year, but there are less than [-] anesthesiologists. This is exhausting me."
Gao Jun complained helplessly.
This anesthesiologist seems to be just a simple anesthesia doctor, but the requirements for doctors are extremely high. They must be proficient in dozens of disciplines at the same time. Anesthesia is an extremely important job, and there is no room for mistakes. Anesthesia methods, are likely to bring serious adverse consequences.
In the operating room, if the anesthesiologist has been sitting in the corner playing with the mobile phone to rest, then everyone is at ease, but once the anesthesiologist puts down the mobile phone and stands up, it will be a big problem.
"Xiao Zhao, you have such a strong learning ability, why don't you learn anesthesia from me. Although it is a bit tiring, I can guarantee that the income does not need to be less than that of the surgeon."
Gao Jun looked at Zhao Heng and said suddenly.
Although anesthesia is a specialized subject, medicine is common, and it is possible to switch to anesthesia in clinical practice, which is not a problem.
He saw Zhao Heng's performance yesterday. It can be said that that kind of calm psychological quality was born to be anesthetized.
"Uh.."
Zhao Heng didn't know how to answer.
In the operating room, the status of anesthesiologists can be said to be very high.
Whether a surgery can be performed or not, in addition to the chief surgeon, the anesthesiologist also has a great say.
If the anesthesiologist says no, who would dare to do it? !
"Okay, if you study the operation well, it will have a bright future."
Xu Manni smiled when she heard this, and relieved Zhao Heng.
After a while, the door of the operating room opened, and the patient was sent into the operating room.
As soon as they came in, several people were a little surprised.
The patient looked like a 40-year-old middle-aged uncle on the construction site. His face was pale and his breathing was weak, and a steel bar was inserted obliquely into his chest.
Such a strong visual impact made Zhao Heng speechless for a while.
The one who came in with the patient was Xia Xiaoyu, a resident doctor in the emergency department. She was sweating profusely, and said eagerly to Gao Jun: "Teacher, I'm sorry, the director is still studying the operation plan urgently, and I'll be here in a while." .”
"Ah."
Gao Jun nodded, but his face became solemn in an instant. With this injury, the patient was directly pierced through the chest by a steel bar, and the lung damage was very large. This increased the requirements for anesthesia. For such a severe trauma operation, anesthesia The dose must be high, but the patient's lungs are seriously injured and the respiratory function has been transplanted, so the dose of muscle relaxant must be well controlled.
Thinking of this, Gao Jun said to Xu Manni: "Prepare for parathoracic paravertebral block puncture."
"it is good."
Hearing Gao Jun's words, Xu Manni was obviously taken aback for a moment, and then agreed.
This thoracic paravertebral block puncture, the full name is thoracic paravertebral block puncture. Bring it up.
Soon, the equipment was ready, and Gao Jun was about to start the paravertebral puncture, but seeing his solemn expression as if he was facing a formidable enemy, he knew that this operation was not easy at all.
Because the patient's chest was punctured by steel bars, no one can be sure whether the steel bars have damaged the paravertebral nerves, so this raised the difficulty of paravertebral puncture, which was already difficult, to another level.
At this moment, Zhao Heng saw a white ball of light appear in front of Gao Jun.
Got experience?
Zhao Heng aimed his thoughts at the white light ball with ease, and the white light ball turned into a stream of light and penetrated into his head.
A familiar prompt sounded in Zhao Heng's mind.
"Ding, I found [Thoracic paravertebral block puncture (proficient)].."
Is this an explosive skill?
After merging [Thoracic paravertebral block puncture (proficient)], Zhao Heng found that he had completely mastered this difficult puncture, reaching the same level of proficiency as Gao Jun.
As if after a lot of training, Zhao Heng has integrated all kinds of operation precautions and practical operation experience at this moment.
"Teacher, let me cooperate with you."
Integrating technical experience, Zhao Heng felt eager to try. Seeing Gao Jun's solemn expression, Zhao Heng couldn't help but said.
"You? You only practiced thoracic puncture?"
Hearing Zhao Heng's words, Gao Jun looked up at Zhao Heng, and said with some doubts.
General clinical undergraduates do only practice basic thoracic puncture. This paravertebral block puncture is an advanced technique of thoracic puncture, which is usually only practiced by anesthesiologists.
"I have also practiced paravertebral puncture, and it's okay to just cooperate."
Zhao Heng said confidently.
With technology in hand, you are so confident!
"Okay, you come."
Gao Jun pondered for a moment, then nodded.
It is indeed better to have one more person to help.
He is a senior anesthesiologist, so he should be accompanied by an assistant, but there are too few talents in this field.
Zhao Heng came to Gao Jun's side and began to cooperate with him in paravertebral puncture.
Strange to say, with Zhao Heng's cooperation, the paravertebral puncture, which was originally quite difficult, became silky smooth.
Gao Jun had never experienced this smooth feeling after so many puncture techniques.
It can be said that with Zhao Heng as his assistant, his operation fluency has been directly improved to a new level. This feeling of handiness makes people very comfortable.
"Xiao Zhao, you didn't just practice once or twice, you also said that you are not interested in anesthesia?"
Gao Jun held the spinal canal needle and slowly pushed the anesthetic into the spinal canal while speaking.
"I was interested in it when I was in school, and I practiced it once or twice."
Zhao Heng said very modestly.
"This is not a level that can be achieved after one or two exercises. If you get more familiar with it, I think you can do this operation."
Gao Jun said slowly.
He couldn't be more familiar with this technology. As far as Zhao Heng's proficiency with him just now is concerned, if he is more familiar with it, it will not be a problem to operate it alone.
I found a treasure!
Gao Jun couldn't help saying in his heart.
This Zhao Heng is not only accomplished in cooperating with surgery, but also has such a skill in anesthesia and puncture.
Could it be that he is the strongest support in the legend?
"I don't want to steal the teacher's job."
Seeing the successful puncture, Zhao Heng made a rare joke.
"I would love for one more person to master this technology."
Gao Jun said indifferently.
After a pause, he suggested again: "Xiao Zhao, why don't you come and be my assistant. Don't worry, I won't let you do it for nothing. I will share half of the operating table fee with you."
In recent years, there have been too many surgeries in Dongfang Hospital. Gao Jun feels that if this continues, he will die suddenly in the operating room.
If there is really such a good assistant as Zhao Heng, who can share his work, he feels that even if the operating table fee is reduced by half, that's fine.
After all, if you have a life to earn money, you also have a life to spend.
"Teacher, I will consider it."
Zhao Heng originally wanted to refuse, but after thinking about it, Dongfang Hospital is the top hospital in the country, and the anesthesia station fee is also top-notch. As far as Gao Jun is concerned, the anesthesia station fee for his surgery is 400 yuan.
On average, every day, Gao Jun has to perform at least five or six surgeries on rare occasions, and even up to ten surgeries on the running platform at most. This is calculated to be three to four thousand yuan, and half of it is at least more than 4000. Well, after a month, over 1000 is not a problem at all.
And Zhao Heng's current salary is less than five thousand.
(End of this chapter)
nine in the morning.
The third operating room.
Zhao Heng, Xu Manni, and Gao Jun, the anesthetist, were already in the operating room.
"Is everything ready?"
Xu Manni asked Zhao Heng.
The preparations she mentioned meant preparing the surgical instruments. Since Zhao Heng was originally doing surgical equipment, she was happy to let Zhao Heng prepare the surgical instruments.
"Well, the instruments for thoracentesis and thoracotomy are ready."
Zhao Heng responded.
"it is good."
Xu Manni looked at Zhao Heng and nodded in satisfaction.
"It's a big deal this time."
Anesthesiologist Gao Jun said with a sigh.
The patient must first be sent to the operating room for anesthesia, and the operation can only be performed after the anesthesia is completed.
Moreover, the work of anesthesia is actually very risky, and it must be just right. The dose of anesthesia should not be too much or too little.
If the dose is too high, the patient may not be able to wake up after the operation. If the dose is too low, the patient will wake up early, which is even worse.
"Falling from a high altitude plus puncture injury to the chest and abdomen is indeed a very complicated operation."
Xu Manni nodded and said in agreement.
"Why don't you have an assistant for this kind of big job, can you do it by yourself?"
After a pause, Xu Manni said again.
"Assistants? You don't know the shortage of anesthesiologists right now. The entire Dongfang Hospital performs nearly [-] operations every year, but there are less than [-] anesthesiologists. This is exhausting me."
Gao Jun complained helplessly.
This anesthesiologist seems to be just a simple anesthesia doctor, but the requirements for doctors are extremely high. They must be proficient in dozens of disciplines at the same time. Anesthesia is an extremely important job, and there is no room for mistakes. Anesthesia methods, are likely to bring serious adverse consequences.
In the operating room, if the anesthesiologist has been sitting in the corner playing with the mobile phone to rest, then everyone is at ease, but once the anesthesiologist puts down the mobile phone and stands up, it will be a big problem.
"Xiao Zhao, you have such a strong learning ability, why don't you learn anesthesia from me. Although it is a bit tiring, I can guarantee that the income does not need to be less than that of the surgeon."
Gao Jun looked at Zhao Heng and said suddenly.
Although anesthesia is a specialized subject, medicine is common, and it is possible to switch to anesthesia in clinical practice, which is not a problem.
He saw Zhao Heng's performance yesterday. It can be said that that kind of calm psychological quality was born to be anesthetized.
"Uh.."
Zhao Heng didn't know how to answer.
In the operating room, the status of anesthesiologists can be said to be very high.
Whether a surgery can be performed or not, in addition to the chief surgeon, the anesthesiologist also has a great say.
If the anesthesiologist says no, who would dare to do it? !
"Okay, if you study the operation well, it will have a bright future."
Xu Manni smiled when she heard this, and relieved Zhao Heng.
After a while, the door of the operating room opened, and the patient was sent into the operating room.
As soon as they came in, several people were a little surprised.
The patient looked like a 40-year-old middle-aged uncle on the construction site. His face was pale and his breathing was weak, and a steel bar was inserted obliquely into his chest.
Such a strong visual impact made Zhao Heng speechless for a while.
The one who came in with the patient was Xia Xiaoyu, a resident doctor in the emergency department. She was sweating profusely, and said eagerly to Gao Jun: "Teacher, I'm sorry, the director is still studying the operation plan urgently, and I'll be here in a while." .”
"Ah."
Gao Jun nodded, but his face became solemn in an instant. With this injury, the patient was directly pierced through the chest by a steel bar, and the lung damage was very large. This increased the requirements for anesthesia. For such a severe trauma operation, anesthesia The dose must be high, but the patient's lungs are seriously injured and the respiratory function has been transplanted, so the dose of muscle relaxant must be well controlled.
Thinking of this, Gao Jun said to Xu Manni: "Prepare for parathoracic paravertebral block puncture."
"it is good."
Hearing Gao Jun's words, Xu Manni was obviously taken aback for a moment, and then agreed.
This thoracic paravertebral block puncture, the full name is thoracic paravertebral block puncture. Bring it up.
Soon, the equipment was ready, and Gao Jun was about to start the paravertebral puncture, but seeing his solemn expression as if he was facing a formidable enemy, he knew that this operation was not easy at all.
Because the patient's chest was punctured by steel bars, no one can be sure whether the steel bars have damaged the paravertebral nerves, so this raised the difficulty of paravertebral puncture, which was already difficult, to another level.
At this moment, Zhao Heng saw a white ball of light appear in front of Gao Jun.
Got experience?
Zhao Heng aimed his thoughts at the white light ball with ease, and the white light ball turned into a stream of light and penetrated into his head.
A familiar prompt sounded in Zhao Heng's mind.
"Ding, I found [Thoracic paravertebral block puncture (proficient)].."
Is this an explosive skill?
After merging [Thoracic paravertebral block puncture (proficient)], Zhao Heng found that he had completely mastered this difficult puncture, reaching the same level of proficiency as Gao Jun.
As if after a lot of training, Zhao Heng has integrated all kinds of operation precautions and practical operation experience at this moment.
"Teacher, let me cooperate with you."
Integrating technical experience, Zhao Heng felt eager to try. Seeing Gao Jun's solemn expression, Zhao Heng couldn't help but said.
"You? You only practiced thoracic puncture?"
Hearing Zhao Heng's words, Gao Jun looked up at Zhao Heng, and said with some doubts.
General clinical undergraduates do only practice basic thoracic puncture. This paravertebral block puncture is an advanced technique of thoracic puncture, which is usually only practiced by anesthesiologists.
"I have also practiced paravertebral puncture, and it's okay to just cooperate."
Zhao Heng said confidently.
With technology in hand, you are so confident!
"Okay, you come."
Gao Jun pondered for a moment, then nodded.
It is indeed better to have one more person to help.
He is a senior anesthesiologist, so he should be accompanied by an assistant, but there are too few talents in this field.
Zhao Heng came to Gao Jun's side and began to cooperate with him in paravertebral puncture.
Strange to say, with Zhao Heng's cooperation, the paravertebral puncture, which was originally quite difficult, became silky smooth.
Gao Jun had never experienced this smooth feeling after so many puncture techniques.
It can be said that with Zhao Heng as his assistant, his operation fluency has been directly improved to a new level. This feeling of handiness makes people very comfortable.
"Xiao Zhao, you didn't just practice once or twice, you also said that you are not interested in anesthesia?"
Gao Jun held the spinal canal needle and slowly pushed the anesthetic into the spinal canal while speaking.
"I was interested in it when I was in school, and I practiced it once or twice."
Zhao Heng said very modestly.
"This is not a level that can be achieved after one or two exercises. If you get more familiar with it, I think you can do this operation."
Gao Jun said slowly.
He couldn't be more familiar with this technology. As far as Zhao Heng's proficiency with him just now is concerned, if he is more familiar with it, it will not be a problem to operate it alone.
I found a treasure!
Gao Jun couldn't help saying in his heart.
This Zhao Heng is not only accomplished in cooperating with surgery, but also has such a skill in anesthesia and puncture.
Could it be that he is the strongest support in the legend?
"I don't want to steal the teacher's job."
Seeing the successful puncture, Zhao Heng made a rare joke.
"I would love for one more person to master this technology."
Gao Jun said indifferently.
After a pause, he suggested again: "Xiao Zhao, why don't you come and be my assistant. Don't worry, I won't let you do it for nothing. I will share half of the operating table fee with you."
In recent years, there have been too many surgeries in Dongfang Hospital. Gao Jun feels that if this continues, he will die suddenly in the operating room.
If there is really such a good assistant as Zhao Heng, who can share his work, he feels that even if the operating table fee is reduced by half, that's fine.
After all, if you have a life to earn money, you also have a life to spend.
"Teacher, I will consider it."
Zhao Heng originally wanted to refuse, but after thinking about it, Dongfang Hospital is the top hospital in the country, and the anesthesia station fee is also top-notch. As far as Gao Jun is concerned, the anesthesia station fee for his surgery is 400 yuan.
On average, every day, Gao Jun has to perform at least five or six surgeries on rare occasions, and even up to ten surgeries on the running platform at most. This is calculated to be three to four thousand yuan, and half of it is at least more than 4000. Well, after a month, over 1000 is not a problem at all.
And Zhao Heng's current salary is less than five thousand.
(End of this chapter)
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