Medical road Qingyun

Gynecologist Hao Fang quickly arrived and began to do a physical examination of the patient.

The patient has been desperately stressing that it is important to save the child.

"Doctor, we have been married for two years, and we finally have this child. During the previous prenatal checkup, the doctor said that my uterus was malformed, and it was a miracle that I was able to get pregnant.

Hao Fang frowned and reminded solemnly, "Your condition is very serious, and you have already had symptoms of threatened miscarriage." If you want to save the child and save yourself, you must have gallbladder removal surgery as soon as possible. Otherwise, the child can't be saved, and you are also in danger! "

Will the gallbladder removal surgery affect the child?" The patient is still hesitant.

"There will be a certain impact, and anesthesia is required for surgery." Hao Fang did not hide it and told the truth.

"If you are anesthetized, will the child be born into a fool?" The patient asked apprehensively.

Hao Fang sighed, "I can't rule out this possibility."

"Without anesthesia, I can hold on!" The woman's face was even slightly distorted because of the pain, but her tone was unusually firm.

Xie Changtian and the gynecologist looked at each other, both moved by the woman's determination and embarrassed by her adventure.

The husband held the patient's hand and said in a dumb voice: "Don't be tough. Listen to the doctor and hurry up for surgery. If the child is gone, it is gone. As long as you're safe, nothing else is a problem. Seeing

that the doctor was slow to express her position, tears slipped from the corners of her eyes, "If the child has a problem, I can't live." The

husband looked at Xie Changtian in despair, and fell to his knees!

"Please, doctor. Save my wife, save my children. The

pleas of the patients and their families made Xie Changtian and Hao Fang hesitate.

They have seen a lot of people and have been in various situations.

There is a big risk in putting a woman on the operating table.

The worst-case scenario is that the operation fails, and neither can be saved, and the patient's family will definitely not give up.

They all have to be punished!

"Why don't you try local anesthesia?"

Zhao Yuan, who was silent before, made a suggestion!

"Does local anesthesia have no effect on the fetus?" The woman trembled in pain and said eagerly.

"It's better than general anesthesia! There is little to no impact. Xie Changtian quickly glanced at Zhao Yuan, a little hesitant.

"Then local numbness!" The woman said decisively, "Doctor, hurry up and arrange surgery for me!" Rest assured, something went wrong and I don't blame anyone. "

The woman also knows where she stands.

Severe pain that causes uterine contractions, which can cause miscarriage at any time.

Based on his trust in Zhao Yuan, Xie Changtian decided to give it a try.

In the multipurpose hall, more than a dozen surgeries are displayed on the screen, most of which have already begun.

The only operating room in the emergency surgery room is that there are no patients.

Even Zhao Yuan left the operating room.

Just when everyone thought that the emergency surgery department was very likely to cancel this teaching activity.

A flat car enters the operating room.

Xie Changtian introduced to the camera.

"Next, Dr. Zhao Yuan from the emergency surgery department of our hospital will perform local anesthesia surgery on a pregnant patient with acute cholecystitis!"

There is no too much detail, but it is like thunder on the ground!

What the???

Zhao Yuan, a medical student in emergency surgery, will demonstrate a fourth-level difficulty operation on the spot!

Is this crazy!

......

The main window of the screen switches to the emergency surgery digital operating room.

In addition to the busy pictures of doctors and nurses in front of the operating table, subtitles are also used to introduce the patient's condition.

This is a comprehensive operation.

The emergency surgeon performs a local anesthetic gallbladder removal operation and then induces labor by the obstetrics and gynaecology department to ensure that the fetus and the adult are safe and sound.

As an expert in emergency surgery, Chen Peng certainly knows the difficulty.

Local anesthesia, also known as regional anesthesia, is the application of local anesthetic to a part of the body while the patient is conscious, so that the sensory nerve conduction function of a certain part of the body is temporarily blocked.

The advantages of local anesthesia are that it is simple, safe, awake, has few complications, and has little impact on the patient's physiological function.

However, local anesthesia is generally used for debridement and suturing, tooth extraction, small mass resection, Beck's needle, etc., and local anesthesia is rarely used for major surgeries in clinical practice.

Because local anesthesia is not only extremely demanding for anesthesiologists, but also for the surgeons.

The anesthesiologist should be able to take all factors into account and have a plan for emergencies that may arise at any time.

The surgeon should perform quickly and accurately, and complete each step within the local scope of anesthesia and within a limited time.

The use of local anesthesia for pregnancy complications is not without references.

However, it is extremely rare in clinical practice.

What's more, it is now a public place for hospital exchanges.

If the operation fails, it will not only involve medical disputes, but also affect the image of the hospital.

"In the past, it was often said that Tianhua Hospital was the top emergency surgery team in the country, but today the myth is about to be shattered."

Chen Peng sighed, a regret, and nine points of schadenfreude.

Ling Chao frowned, and said nonchalantly, "I don't know how the management arranged it!" Once the operation fails, it will be a fatal blow to Tianhua's image!

Chang Hongbo's expression didn't seem to change, but he still beat the drum in his heart.

If Xie Changtian was in front of him, he would definitely be scolded for being bloody.

In a public event like this, it's okay to seek stability, so why bother with bells and whistles.

If it's so difficult, isn't it digging a hole for yourself?

He originally planned to use this exchange meeting to let the newcomers in the hospital show off their style and let the outside world know that Tianhua Hospital also pays attention to the construction of talent echelon.

Among them, Zhao Yuan is a key reserve talent.

Zhao Yuan's ability is not bad, he has great potential, and he often has a flash of inspiration during surgery.

But it was clear that the difficulty of the fourth-level surgery was beyond his ability.

......

Preoperative preparation was done quickly.

Bai Lu acted as an instrument nurse and sorted out the tools that needed to be used.

Bai Lu was full of trust in Zhao Yuan.

She firmly believes that since Zhao Yuan dares to do this operation, there will be no problem.

Anesthesiologist Tu Lin has worked with Zhao Yuan many times.

He knew that although Zhao Yuan was an intern, his level of first-level and second-level surgery or even third-level surgery was about the same as that of the chief physician.

Sometimes when he was resting beside him, Zhao Yuan pushed the anesthetic and never made a mistake.

Tu Lin's palms were sweaty at the moment, and he was a little nervous.

Although there were not many people at the scene, dozens of people in the lecture hall were staring at him.

For the first time, he felt like he was unclothed and naked in front of the public.

As a military doctor who once saved lives on the battlefield, Zhao Yuan has a deep research and understanding of anesthesia.

On the battlefield, the responsibility of the military doctor is not only to use the most efficient methods to keep the soldier alive.

You can't use general anesthesia to turn the warrior upside down and wait to be captured by the enemy.

In special cases, after the soldier is treated, he has to go into battle with his wounds.

At this time, the anesthesia level of the military doctor will be tested!

"Doctor Tu, I will perform the anesthesia, please guide me!"

Anesthesiologist Tu Lin was a little surprised, glanced at Xie Changtian first, and when he saw him nodding at him, he said, "Okay!" "

Prepare propofol and licardoin!"

Zhao Yuan's words surprised Tu Lin.

In local anesthesia surgery, licardoin is preferred, and propofol is rarely used.

Propofol is usually used for general anesthesia, such as painless gastroscopy or abortion in major hospitals. After the use of propofol, it will bring extremely comfortable feelings to patients, and many patients will wake up and feel that they have had a very beautiful dream.

Of course, there is a good side to medicine as well as a sinful side. The unexpected death of superstar Michael Jackson is related to improper supervision after propofol injections.

Propofol is generally contraindicated in obstetric surgery.

Soon, Tu Lin knew why Zhao Yuan chose two anesthetics at the same time.

Propofol is used as an inducer, and it is licardoin that has an anesthetic effect.

In many literatures, propofol has this usage.

However, Tu Lin, who has always sought stability, will never use this scheme on such an important occasion.

Zhao Yuan whispered to Bai Lu, "Ten 1 ml syringes." "

The thinner the syringe needle, the less irritation to the patient and the more delicate the anesthetic infiltration will be.

The trouble that comes with it, though, is that pushing the anesthetic can become difficult.

Soon, syringes filled with five sticks of propofol and five licardoin were on the plate.

Zhao Yuan began anesthesia.

Tu Lin stood closest and felt the deepest.

Zhao Yuan's movements were gentle and skillful.

The pace of anesthetic infiltration is unhurried and just right.

One of the hardest is pushing doses of propofol and licardo every three seconds.

Each push is different, and changes can be made at any time based on the small reactions of the patient's body tissue.

ECG monitoring, blood pressure, heart rate, and breathing are very stable.

This means that the local anesthetic is excellent and the patient does not feel the pain of the procedure.

Tu Lin couldn't help but sigh, if he did it himself, he would never have such a perfect performance.

The main screen in the multi-purpose lecture hall switches to the operating room of the emergency surgery department again.

Zhao Yuan is cutting open the skin with a knife.

Blunt separation of tissue and muscle, smooth opening of the abdominal cavity.

The controversy soon became apparent.

Zhao Yuan didn't plan to use a laparoscope, but the incision was less than five centimeters.

I thought it was a super invincible mistake.

Zhao Yuan hooked out the swollen gallbladder with mid-curved forceps.

Chen Peng's eyes spewed with disbelief.

At this moment, he finally knew why Zhao Yuan could stand in front of the camera!

This medical student can do blind exercises!

He's totally qualified!