Chapter 48 Completely qualified!(1/2)
Gynecologist Hao Fang arrived quickly and began to perform physical examinations on the patient.
The patient has been trying hard to emphasize: It is necessary to protect the child.
"Doctor, we have been married for two years and finally got this child. During the prenatal examination, the doctor said that my uterus was deformed and it was a miracle to be pregnant."
Hao Fang solemnly reminded, "Your condition is very serious and you have already shown symptoms of a precursor miscarriage. If you want to protect your child and yourself, you must undergo a cholecystectomy as soon as possible. Otherwise, if the child cannot be protected, you will be in danger!"
"Will the cholecystectomy affect the child?" The patient was still hesitating.
"There will be a certain impact. Anesthesia is required for surgery." Hao Fang did not hide it and told the truth.
"If anesthesia is caused, will the child become a fool?" the patient asked nervously.
Hao Fang sighed, "This possibility cannot be evacuated."
"I can hold on if I don't have anesthesia!" The woman's face was even a little distorted due to the pain, but her tone was extremely firm.
Xie Changtian and the gynecologist looked at each other, moved by the woman's determination and felt embarrassed by her adventure.
The husband held the patient's hand and advised him in a hoarse voice: "Don't be stubborn. Listen to the doctor and have the surgery quickly. If the child is gone, it will be gone. As long as you are safe, nothing else will be a problem."
Seeing that the doctor was reluctant to express his opinion, the woman tears fell from the corner of her eyes, "I can't survive if there is a problem with the child."
The husband looked at Xie Changtian in despair and fell to the ground!
"Doctor, please. Save my wife and save my children."
The patient and his family's begging made Xie Changtian and Hao Fang hesitate.
They have met many people and encountered various situations.
There is a great risk to letting a woman on the operating table.
The worst plan is that the operation fails, and neither can be saved. The patient's family will never give up.
They all have to be punished!
"Why try it?"
Zhao Yuan, who was silent before, made a suggestion!
"Does local numbness have no effect on the fetus?" The woman trembled in pain and said anxiously.
"It's better than general anesthesia! It has almost no effect." Xie Changtian quickly glanced at Zhao Yuan, a little hesitant.
"Then it's a numb!" the woman said decisively, "Doctor, arrange the surgery for me quickly! Don't worry, if there is a problem, I won't blame anyone."
The woman also knows her current situation.
Severe pain causes uterine contraction and can cause miscarriage at any time.
Based on trust in Zhao Yuan, Xie Changtian decided to give it a try.
In the multi-function hall, more than a dozen surgeries were displayed on the screen, most of which have begun.
Only the emergency surgery operating room has no patients.
Even Zhao Yuan left the operating room.
Just as everyone thought that the emergency surgery department was very likely to cancel this teaching activity.
A flat car entered the operating room.
Xie Changtian introduced the camera.
"Next, Dr. Zhao Yuan from the emergency surgery department of our hospital will undergo local anesthesia surgery on a patient with pregnancy and acute cholecystitis!"
There is no too much remark, but it is like thunder thunder on the ground!
What???
Zhao Yuan, a medical student in the emergency surgery department, will demonstrate a difficult level 4 operation on the spot!
Is this crazy?
...
The main window of the screen switches to the digital operating room of emergency surgery.
In addition to the busy scene of the doctor and nurse in front of the operating table, subtitles are also provided to introduce the patient's condition.
This is a comprehensive surgery.
First, the emergency surgery doctor performs local numbness and gallbladder removal surgery on the patient, and then the obstetrics and gynecology department induces labor to ensure that both the fetus and the adults are safe and sound.
As an expert in emergency surgery, Chen Peng certainly knows the difficulty.
Local anesthesia is also called local anesthesia. When the patient is awake, local anesthesia is applied to local parts of the body, 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 and easy to perform, safe, patient awake, few complications, and has little impact on the patient's physiological function.
However, local anesthesia is generally used for debridement and suture, tooth extraction, small mass removal, drawer's needle, etc. In clinical practice, local anesthesia is rarely used for major surgery.
Because local anesthesia not only has extremely high requirements for anesthesiologists, but also has strict technical requirements for the surgeons.
Anesthesiologists should be able to comprehensively consider all factors and have plans for emergencies that may occur at any time.
The surgeon must operate quickly and accurately, completing each step within the local scope of anesthesia and in a limited time.
Local anesthesia is used for pregnancy complications, and there are not no reference cases.
But it is extremely rare in actual clinical use.
What's more, it's now a public occasion like hospital communication.
If the operation fails, it will not only involve medical disputes, but also affect the image of the hospital.
"Some people often say that Tianhua Hospital is the top emergency surgery team in the country, and today the myth is about to be shattered."
Chen Peng sighed, regretful, and gloated.
Ling Chao frowned and said indifferently, "I don't know how the management arranged it! Once the operation fails, it will cause a fatal blow to Tianhua's image if it is reported!"
Chang Hongbo's expression seemed to have not changed, but he still beat the drum beat in his heart.
If Xie Changtian was in front of him, he would definitely scold him for being so bloody.
For open activities like this, just seek stability, so why bother making fancy things?
It’s so difficult, wouldn’t it be digging a hole for yourself?
He originally planned to use this exchange meeting to let the newcomers in the hospital show their style and let the outside world know that Tianhua Hospital also pays attention to the construction of the talent echelon.
Among them, Zhao was the key reserve talent.
Zhao Yuan has great abilities and is extremely potential. He often has a flash of inspiration during surgery.
But it is obvious that the difficulty of level 4 surgery is beyond his ability.
...
Preoperative preparation is completed quickly.
Bai Lu acted as an instrument nurse and sorted out the tools needed.
Bai Lu is full of trust in Zhao Yuan.
She firmly believed that since Zhao Yuan dared to do this surgery, there would 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 performing first- and second-level surgery or even third-level surgery was similar to that of the chief physician.
Sometimes when he was resting by himself, Zhao Yuan pushed the anesthetic and never made any mistakes.
Tu Lin's palms were sweating at this 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 as if he was not wearing clothes and was naked in front of the public.
As a military doctor who once saved lives and helped the wounded on the battlefield, Zhao Yuan has profound research and understanding of anesthesia.
On the battlefield, the responsibility of the military doctor is not only to use the most efficient method to keep the soldiers alive.
You can't use general anesthesia to swell the warriors and wait to be captured by the enemy.
In special circumstances, the warrior must go to battle with injuries after treatment.
This is the test of the military doctor’s anesthesia level!
"Doctor Tu, I will carry out the anesthesia. Please give me guidance!"
The anesthesiologist Tu Lin was a little surprised. He took a look at Xie Changtian first, saw him nodding to him, and said, "Okay!"
“Prepare propofol and licadoin!”
Zhao Yuan's words surprised Tu Lin.
In local anesthesia surgery, ricardoin is preferred, and propofol is rarely used.
Propofol is usually used for general anesthesia. For example, in painless gastroscopy or artificial abortion in major hospitals, propofol will be used. After using propofol, it will bring an extremely comfortable feeling to the patient. Many patients will wake up and feel that they have a very beautiful dream.
Of course, drugs have a good side and a sinful side. The unexpected death of superstar Michael Jackson is related to improper supervision after injection of propofol.
To be continued...