MTL - Live Surgical Broadcast-Chapter 21 Arrogant operation

Lift the pregnant woman into bed and adjust the angle of the operating bed to 15 degrees to the left.

This is to move the uterus of the pregnancy to the left for easy searching for the appendix. At the same time, it can also reduce excessive stimulation of the uterus during surgery, so as to avoid complications such as aggravation of threatened abortion.

The preoperative preparation is very fast, and the Xie Yi people are already in place.

Zheng Ren brushed his hands, put on clothes, laid a sterile single, and stood at the surgeon's position.

"0.5% lidocaine, add half a milk." Zheng Rendao.

Milk is the nickname of propofol and is an anesthetic inducer. It is generally used in the induction of general anesthesia and continuous epidural anesthesia. The effect of local anesthesia is not strong.

The anesthesiologist stunned and wanted to argue something, but he saw that Zheng Ren’s dedication was still holding back.

Even the appendicitis in pregnancy can not be anesthetized, what else does he dare to do?

"5ml syringe, change 1ml syringe needle." Zheng Ren stood under the shadowless lamp, the figure is slightly tall. Every sentence is extremely firm and cannot be questioned.

The finer the needle of the syringe, the less painful the patient is, but the more difficult it is to push the anesthetic.

Start anesthesia, skilled and rhythmic infiltration anesthesia, let the anesthesiologist look at the heart.

After each needle is pushed, it will be delayed for a few seconds, waiting for the lidocaine mixed with propofol to take effect and then proceed to the next step. The technique is gentle but accurate. From the perspective of the patient's vital signs, there is basically no acupuncture-like pain caused by the syringe.

Really cow, no wonder dare to do a local appendectomy.

An anesthesiologist is a person who knows the goods and looks more and more into the gods.

In the classroom, the expressions of Director Pan and Director Liu exchanged.

When seeing that the patient was an appendicitis during pregnancy, Director Pan had put down the old "Pipe Cone".

When seeing Zheng Ren preparing for the numbness, Director Pan Pan began to scream.

"Director Pan, your vision is really powerful." Director Liu thought that he had won the game, and Zheng Ren was looking for his own death, and he could not blame himself. At this time, he was in a relaxed mood and began to attack the opponents who were not self-sufficient in garbage. I haven't done it for many years. When you were in the county and township hospitals and the troops, I always do it. It is estimated that Zheng Ren is learning from you. Today, I also learn well and go up.

After that, Director Liu changed to a more comfortable position, smiling and looking at the projection, Zheng Ren has begun to numb.

Director Pan Pan wants to spray him back, but now where is the mood?

Almost half a night, the website of Xinglinyuan suddenly has hundreds of accounts at the same time, whistling, and squeezing into a live video.

[天啦噜, what I saw, appendicitis during pregnancy! I have to do it! Is this the big **** live show to die? 】

[What do you know, sit down, you block my sight. 】

[Local anesthesia, I have never done this, really have to learn this time. I hope that God will do it slowly, and I will inform other people to see it. 】

Have you ever had a local appendectomy? I have never done it, move a small bench and great theology. 】

[No +1.]

[Not done +2.]

[...]

[Not done +10086.]

Behind every account in the Xinglin Garden is a doctor. This is a professional website that requires real-name certification and requires a medical practitioner certificate to be used as an auditing standard.

The basic anesthesia for appendectomy is continuous epidural anesthesia, which is commonplace. The people who stayed up late to this time were young doctors in their 30s. No one had ever had a local appendectomy, even if they were professional doctors.

[Why is the anesthetic in his syringe turbid? 】

[I just heard that I have to add propofol, do I have an anesthesiologist? Talk about what is the principle of this arrogant operation. 】

[I am the deputy chief physician of the anesthesiology department of a top three hospital. I said that I feel awkward and completely ignorant. 】

At the beginning of the operation, a group of professional doctors began to enter the aggressive mode.

There is no doubt that local anesthesia is an unfamiliar procedure. Can't even understand the anesthetic drugs injected by the surgeon? This is a bit too much.

The barrage began to brush the screen.

[Why do you have to stop for a few seconds after one injection? What is the principle? 】

[It is estimated that the local anesthetic drugs will work to avoid irritating patients. The onset time of 0.5% lidocaine infiltration anesthesia is usually about 12 seconds. How does it take about 3 seconds for each injection of anesthetic? 】

[Is this the role of propofol? 】

[It has already collapsed, please accept the big knees. 】

[Do not specialize in brushing the screen, see surgery, see surgery! 】

Finally, the barrage issued by the person who was quietly watching the operation was covered up by a dense barrage and disappeared into the ocean of the people.

[I remember the appendectomy during pregnancy, the textbook written on the right side of the right rectus abdominis incision, how do I feel a bit high in the incision position of the Great God? Is it that I remember correctly? 】

[Maybe check the dialectic and determine the position of the appendix. 】

[5cm small incision, do mid-pregnancy appendicitis, how confident! 】

Although it was only a case of appendectomy, everyone looked at it with gusto. As the surgery began to open, the barrage gradually disappeared.

......

......

Zheng Ren cut the skin with a knife, bluntly separated the subcutaneous tissue and muscles, and opened the peritoneum.

Every step of the operation, anesthesia with local anesthetic drugs, the operation is not fast, but very stable.

The anesthesiologist looked at the surgery, looked at the ECG monitoring, and then turned to look at the surgery. It has reached the peritoneum, and the patient's blood pressure, heart rate, and breathing are very stable.

This means that Zheng Ren's local anesthesia effect is particularly good, the patient did not feel the pain of surgery.

What a special thing is a enchanting, the anesthesiologist thinks.

Zheng Ren has already done the limit and replaced it with an anesthesia professional. It will not have such a perfect performance. Is it the role of propofol? Do you want to test it at the next surgery?

The anesthesiologist quickly shook his head and took this unrealistic thought out of his mind. I am still annoying in the middle of the law, in case of any accident, my small shoulder can not afford.

After cutting the peritoneum, Zheng Ren used a bend in the middle to find the tail directly.

The middle bend pliers are imaginary, and there is no extra force for the swollen, fragile appendix.

One hand held the middle bend, and the other hand reached the front of the Shei people~www.novelbuddy.com~ Xiao Bian was photographed in the hands of Zheng Ren.

"Don't bend." Zheng Ren took a small bend and ran back, saying: "Syringe."

The Shei people wake up, this is not the appendectomy that they are used to doing, but the appendectomy under local anesthesia. It is not possible to directly clamp the ligaments and arteries around the appendix and local anesthesia is required.

The Xie Yi people who have followed the appendectomy have flashed small stars in their eyes, as if they have found a new toy, and they are fully focused on Zheng Ren’s movements.

After a light injection of anesthetic, Zheng Ren picked up a small bend and began to separate the ligaments.

Zheng Ren felt that he was unfortunate. When he was at stake, he encountered a patient with appendicitis during pregnancy and had to do it.

Although in the system space, he specialized in the operation of local appendicitis, but this kind of arrogant operation can not do it without doing it, too many accidents.

Fortunately, this type of appendicitis during pregnancy is a simple appendicitis.

Because of the relationship between pregnancy, the uterus is bulging, and the omentum that should have been covered around the appendix was pushed away. If the appendix is ​​perforated, there is no omentum protection, the patient will have serious complications, and the intraoperative treatment is very troublesome.

The patient in front of me does not know whether the diagnosis is clear, the reason for timely treatment is that she is too young, good health and high immunity. The appendix is ​​swollen to the limit, but there is no perforation.

The inflammatory exudation around the appendix is ​​not heavy.

It’s a blessing.

Zheng Ren began to remove the appendix, sutured the appendix artery, and sutured the remnant root of the appendix and then tightened a needle.

The operation was clean and beautiful.

Smooth, beyond everyone's expectations, whether it is the classroom or the Xinglin Park, it has fallen into a silence.