medical road high rise

Chapter 306 Can't Learn

Chapter 3: Can’t Learn

Electron microscope monitoring is a specialized subject, and most anesthesiologists will not learn it. It is boring, and at the same time, they don't know when it will be used.

"It's mainly for food, one more skill, one more way out." The anesthesiologist said.

The director of brain surgery nodded, the reason is the same, but it still makes people feel a little strange.

"Add a little ropivacaine to block the patient's nerves and infiltrate the incision." Qin Feng said.

Qin Feng wakes up the patient and uses ropivacaine because he is afraid that the pain will bring bad emotions to the patient. Although there is no pain-sensing nerve in the brain, there is one on the scalp.

The anesthetist prepared the anesthetic and went up to inject it. All other anesthetics were stopped.

The patient woke up in a daze, Qin Feng yelled twice and raised two fingers.

"How much is this?"

The patient looked at Qin Feng in confusion, "Aren't I in surgery? Where is this?"

Qin Feng explained the process to the patient, but the patient was still a little confused. Qin Feng could only slowly guide the patient's consciousness, and then handed over the work to the director of brain surgery.

"Try moving your toes," said the director of brain surgery.

Qin Feng stared at the electron microscope monitoring, and after the patient's toes were instructed to move, the monitor also immediately responded.

Constantly guiding and ordering actions, Qin Feng also began to plan the route for removing the tumor.

The anesthetist is not idle either. After the patient makes the corresponding instructions, he will stimulate the functional areas near the tumor, and use the electron microscope monitor to see if there is any response, so as to judge which areas can be removed and which areas cannot.

After 10 minutes, Qin Feng marked the patient well, asked the anesthetist to re-administer the patient under general anesthesia, and then stepped aside.

Qin Feng picked up the scalpel and officially began to remove the brainstem tumor.

"Your electron microscope monitoring and anesthesia skills are good." Qin Feng praised.

"Dr. Qin's reputation is too high, so it's so-so." The anesthesiologist smiled, "The next step is up to you."

Qin Feng nodded.

In fact, Qin Feng's praise for the anesthesiologist came from the heart.

After the patient is awakened, although the time is not long, the anesthesiologist must ensure the perfect control of sedation and sedative drugs, and at the same time also monitor the feedback with the electron microscope. This technology is definitely the seedling of the top anesthesiologists in the future.

With the help of an anesthesiologist, Qin Feng's operation became much easier.

After determining the scope of resection, Qin Feng only needs to follow the marked route to perform the resection.

With the help of the microscope, Qin Feng's knife moved freely on the surface of the patient's brainstem, slowly cutting the tumor.

"The patient's blood pressure has risen," Zhao Guoping reminded.

"Ventilate the patient and instill dehydrating agent intravenously." Qin Feng said calmly.

After about 2 minutes, the patient's blood pressure returned to normal, and Qin Feng continued the operation. The subsequent operations were basically step-by-step without any risk.

The director of brain surgery thought for a while, and then asked: "Xiao Qin, when you separate the brain tissue and go deep into the brainstem, why do you separate the Duan Huan Gong instead of choosing to enter from the cerebellar notch?"

The cerebellar notch is also a channel, which can directly penetrate into the brainstem from the outside of the cranium. Most brain surgeons, including the director of brain surgery, are used to entering the deep brain from the cerebellar notch.

Qin Feng said while separating: "Because the tentorial notch area is the area where intracranial nerves and blood vessels are secreted, but the path is too long, it can easily cause damage when pulling or cutting the tentorium at the same time."

"But Liduanhuangong is more dangerous, and the cerebellar tentorium is much safer, right?" the director of brain surgery continued to be puzzled.

"It is true that the risk of disconnection of the genitalia is greater, but the benefits are greater than that of the cerebellar tentorium. There are too many uncertain factors in the trace." Qin Feng said.

Both methods are correct, Qin Feng is correct, and the director of brain surgery is even more correct.

But Qin Feng was trained in the training room. Although Li Duan Huan Gong is difficult for other brain surgeons, for Qin Feng who has trained a hundred times, it has become a kind of medicine like drinking water and eating. Habit.

Another reason why Qin Feng chose Liduanhuangong is that there are few important areas around, and the fault tolerance rate is still relatively high.

The director of the brain surgery department stopped talking. At first he thought that Qin Feng had some research of his own, but he didn't expect it to be a matter of technical proficiency.

But Qin Feng is so young, you said that he has performed ten similar operations, the director of brain surgery would never believe it, it can only be said that Qin Feng is very talented, and he will know the operation at a glance.

"The operation is complete."

Qin Feng put down the scalpel, and the tumor, blood vessels, and nerves in front of him were perfectly separated, and there was no tumor left at all.

In general brain tumor surgery, the factors of nerve damage and blood vessel damage are considered, so as to decide whether to sacrifice nerves or blood vessels, resect the tumor or leave a small amount of tumor, and preserve nerves and blood vessels.

Qin Feng was able to solve all three problems. It must be said that Qin Feng's surgery was superb.

"This was done perfectly. The cranial nerves and blood vessels were obviously completely wrapped up by the tumor, but they were still perfectly cut and preserved." The director of brain surgery praised, "This can no longer be described as a genius, it can only be described as a genius." Describe it as a monster."

In the tray, Zhao Guoping took a second measurement of the excised tumor, and it turned out to be the same as the previous measurement.

The director of brain surgery also took a deep breath and looked troubled.

I can't learn important techniques in this surgery, although Qin Feng does every step in front of him.

However, these things cannot be understood at a glance, such as avoiding functional areas, cranial nerves and blood vessels. This technique is a little skill for everyone and needs to be explored by oneself.

Even if Qin Feng said it clearly, the director of brain surgery would definitely use a piece of brainstem, a piece of cerebral cortex, which would scare me to death.

One minute on stage, ten years of work off stage, the same is true for doctors.

Of course, Qin Feng belongs to that kind of evildoer, so he is not counted in it, the director of brain surgery comforted himself silently.

In the end, the director of brain surgery followed Qin Feng out in a daze, and the patient's wife and daughter stood at the door waiting, unwilling to sit down.

She was afraid that she might lose her standing when she heard the bad news.

Qin Feng and others got closer and closer, and the patient's wife propped one hand on the wall, telling herself in her heart that no matter what the result was, she must hold on.

Logically speaking, the longer the operation time, the higher the chance of survival.

But for the mother and daughter, it was a different kind of suffering.

Qin Feng took off his mask and said with a smile: "The operation was a success."

The patient's wife and daughter looked at each other, wept with joy, and then wanted to kneel down to Qin Feng.

Qin Feng and Zhao Guoping looked at each other and supported them.

"Don't do this anymore. If you do this again, I will go back and give you a critical illness notice." Qin Feng "threatened".

Hearing what Qin Feng said, the two stood up, Qin Feng and others left, and handed the patient over to the brain surgery department.

It was supposed to be sent to the ICU for observation, but Qin Feng felt that it was unnecessary, as the patient's family could not afford the ICU expenses at all.

(End of this chapter)