I Spent Those Years In the Operating Room Fighting Monsters

Latest website: Chapter 253 Extreme Speed ​​Chasing

You know, there are at least two foundations for the development of surgery.

One is aseptic surgery, and the other is anesthesia.

Aseptic surgery can greatly reduce infections during and after surgery, and anesthesia is a basic guarantee for surgical operations.

Who dares to operate on a patient without anesthesia?

After this is done, I am afraid that the surgeons who step down will be killed by the patients. Doesn't it hurt?

Therefore, in the case of pain, the patient will have a particularly extreme reaction, and once such a reaction occurs, the patient is suffering. After the reaction occurs, the surgeon cannot let the patient cooperate. It is also a reason.

The patient is moving, and the surgeon is also moving. How can you be sure where your own knife is?

When Qu Na heard this, he hurried over, and while increasing the amount of anesthesia, he pinched the patient and asked, "Does it hurt?"

"It hurts, it hurts, it hurts." The patient was almost crying at this time.

Is it really good to be stabbed alive?

Hearing what the patient said, Cao Mengda was a little puzzled: "Anesthesiologist? The shoulder patients on your side usually get brachial plexus block, isn't it under general anesthesia?"

Generally speaking, brachial plexus block is more troublesome than general anesthesia. Of course, if you play well, the effect is also very good, and the cost to the patient is also low. It's just that it is not as convenient and fast as general anesthesia. The effect of anesthesia may be It is also relatively inferior.

When I asked, Tuna was a little embarrassed. He didn't say anything more, but started to increase the amount of anesthetic.

Liu Deqian hurriedly explained: "Professor Cao, this is Director Qu Na Qu, an anesthesiologist in our orthopedics department. Usually when we encounter shoulder arthroscopy operations, other doctors use general anesthesia, but Director Qu Can give us nerve block anesthesia!"

"You also know that after nerve block anesthesia, the patient's local pain will be greatly reduced, which can be more conducive to postoperative recovery."

Quna and Lin Zixiang’s skills are the same. They are well-known in Changshi No.1 People's Hospital, and Liu Deqian personally invited him to accompany Professor Cao Mengda, so ah, definitely can’t sell teammates at this time.

Cao Mengda nodded and continued to press on the patient's wound without saying more.

It just seems that the patient still feels a slight pain in the wound after Trana has added nerve block drugs to a certain extent.

Suddenly, Qu Na's heart sank, and there was care in his heart, and said: "Director Liu, Professor Cao, this patient is probably intolerant to anesthetics. Wait for a while, and I will change to general anesthesia immediately."

In terms of anesthesia, thorough preparations have been made before the operation. The intravenous access has been established and can be changed to general anesthesia at any time.

Moreover, Trana had all the medicines drawn, so after turning on the switch of the intravenous infusion pump, he pushed the general anesthesia medicine into the patient's blood vessel.

The patient gradually fell asleep!

After this, Cao Mengda and Liu Deqian continued to operate.

After opening the mouth, it must be flared. There is definitely no special flaring device in Changshi First People's Hospital, and Cao Mengda can only make do with straight pliers.

However, as soon as he expanded his mouth, the patient's arm immediately twitched slightly.

Although the arc is not very large, it also means that the patient still feels pain at the moment.

It's just that he has been numb and he seems to be sleeping deeply.

Seeing this scene, Cao Mengda immediately stopped the operation, and then said: "Director Qu, this patient may not tolerate anesthesia-related drugs very much. Now that the incisions have been made, what else can you do?"

Once the operation starts, it doesn't mean that you can stop it by saying stop. Now, after a hole has been made in the patient, then tell the patient, shall we end the operation? Are you not sensitive to narcotic drugs?

Of course, if all the methods are still the same in the end, we still have to talk about this kind of thing, but we still try our best to solve the problem before we get there.

Qu Na quickly looked at the patient's condition again and touched the back of his head at that time.

Said: "This kind of person is quite rare. When I was in a meeting, I heard that a colleague from Guangdong or Sichuan introduced a similar situation. There are only occasional records in the literature."

"Professor Cao, the medicine I am using is the best medicine currently available in our hospital. Some more medicines can be added, but the effect will not be much deeper, so it may just increase the amount of medicine."

"But in unit time, the amount of drugs that our human body can tolerate is limited. I want to see the limit of the amount of drugs that patients can tolerate pain."

"With this operation, the patient may naturally wake up in a short time."

Anesthetic drugs produce anesthetic effects on the human body through central nerve block, but it is not ruled out that a very small number of people do not catch a cold.

It's like Journey to the West in the Chinese classics, and it does not rule out that there are three or four people in the country's one billion people who want to scold him for being a horrible TV series. There is no way.

Next, Trana determined the maximum amount of drug that can produce anesthesia effect for the patient through pain response, and suddenly frowned, and said: "Professor Cao, according to the current drug concentration and infusion rate, this anesthesia is at most only It can last for more than forty minutes, and then go up, it is estimated that the patient will be injured by the drug-induced nerve."

"Look, can it work in such a short time?"

"If it is not possible, or do the operation separately, or simply not do it. Transfer to a higher-level hospital to do it again?"

The amount of surgery scheduled for this patient is to start the shoulder joint and knee joint at the same time. If both are done, it will definitely be impossible in more than 40 minutes.

But the anesthesia can only last for so long, so there can only be trade-offs!

Although it is very uncomfortable to stop the explanation of the patient after the operation, and it is also a blow to the reputation of the surgeon, but the operation has not yet fully started. It is just that the mouth has just been opened and it is still too late, but there is still a possibility of being affected by the patient. Report with family members.

This situation is an unexpected and uncontrollable situation. No one will take anesthetics to patients for skin tests or tests, so no one can predict that patients will be so intolerant of anesthesia.

After listening to Professor Cao Mengda, he immediately said: "Dr. Liu, the rotator cuff is stitched here. With a more skilled assistant, I can do it in 40 minutes. But this stitching of the meniscus, you see, yes. Do it this time or just push it to the next time?"

"If you can do it yourself, we can do it separately."

Liu Deqian's complexion changed slightly at that time. To be honest, he would have to clean up his knee joints and suture his meniscus in more than 40 minutes.

And Liu Deqian has another candidate like Chen Bing in his mind. It is estimated that the stitching operation can be completed in such a short period of time. It's just that it was too embarrassing to ask Chen Bing to go to the operating room at this time.

Therefore, Liu Deqian did not speak for a while.

Professor Cao Mengda said: "Dr. Liu, the time is urgent. We still have to make a decision quickly. Let's delay here for one more minute, and then we will lose one minute later."

Liu Degan said: "Professor Cao, I'll make a call and we will perform the operation separately."

Although Liu Deqian felt that he was embarrassed and embarrassed to ask Chen Bing, as a doctor, he should not make fun of the patient's condition and treatment process. He still cannot forget this basic principle.

He called the tour and quickly called Chen Bing, and then quickly explained the things in the operating room.

Chen Bing immediately replied hello, and then hung up the phone.

Liu Deqian returned to the operating table and said, "Professor Cao, Director Chen of our department is also a very skilled sports medicine doctor, so I plan to ask him to do the suture, and I will help you do the rotator cuff suture."

Cao Mengda nodded, and said to the anesthesiologist without any hesitation: "Director Qu, thanks for your hard work, we will start right away."

"Come on the sleeve!"

In pursuit of time, Cao Mengda didn't plan to do shoulder joint exploration step by step, but he wanted to do the rotator cuff directly in one step and put the sleeve directly up.

This was also an extremely bold time-saving operation he thought of after seeing Lu Cheng doing this yesterday.

Cao Mengda put the sleeve on, Chen Bing and Lu Chengcheng went down to the operating room, and then quickly washed their hands.

When I arrived on the stage, I put on my clothes without saying anything, and asked: "Tour, is the second set of arthroscopy equipment turned on?"

"Director Chen, the equipment has already been taken, but you came too fast, so the equipment hasn't arrived yet." The answer was not the tour, but the hand-washing nurse.

"Okay!" Chen Bing responded indifferently, and immediately called someone to lift his leg, and he started disinfecting.

The previous plan for the patient was to perform the operation separately, so the knee joint was not disinfected. At this time, Cao Mengda and others have already started the main task of shoulder arthroscopy, so there is no spare time to disinfect the knee joint.

This left little time for Chen Bing's operation.

After Lu Cheng got on stage, Chen Bing gave him a wink and called him to help Cao Mengda.

This is not the time to breathe at all. Chen Bing is the director. If Liu Deqian has a medical accident, he is also jointly and severally liable, and the struggle in the department can never be put on the patient. This is the last bottom line of being a doctor.

Liu Degan can make this call, and Chen Bing cannot be too selfish.

Only after putting on the sleeve, Cao Mengda realized that things were not that simple, because the process of putting on the sleeve was still too reckless, so in terms of his vision, he didn’t do a microscopic examination first and then put on the sleeve. broad.

This has caused quite a lot of trouble for Cao Mengda to determine the position of the upper outer row of nails and find the position of the rotator cuff injury.

Seeing this scene, Lu Chengcheng came to Cao Mengda's side and said in a low voice: "Professor Cao, maybe you should try to move the probe up and look a little behind."

This is an injury of the supraspinatus muscle and is the most classic injury site in the rotator cuff injury. Although it is a classic injury site, it is not a common h/i-shaped classic injury, but a diagonal half injury. The continuity is not completely broken, so when looking for a broken end, there is also a certain difficulty.

Cao Mengda just remembered that yesterday Lu Cheng did a similar operation, so he moved his buttocks to the top of the table, and then lowered his voice and asked, "Xiao Lu, this operation is in a hurry. Look at the sleeve I am using now. Position, can you put a row of nails?"

Lu Cheng looked at the position of the sleeve outside the body, and after another look at the position of the sleeve inside the body, he pulled out the sleeve directly, and then used a sharp knife to scratch the original opening, and then installed the sleeve again. Went in.

In an instant, the field of vision became much wider, and the mobility was a little bit stronger.

Seeing this scene, Liu Deqian's face was surprised and delighted. A good operation must have a good field of vision. If Lu Cheng can do such a good field of vision, he will definitely save at least ten minutes of operation time!

It's just that this Lu Cheng is a graduate student called by Chen Bing. This tnd is very embarrassing.

Why wasn't Lu Cheng unearthed by him before?

Liu Degan, who was floating in his mind, just didn't pay attention to it. He saw Cao Mengda give up the position of the chief sword to Lu Cheng. Then he saw that Lu Cheng didn't know how to do it, so he hit the big knot in the humerus. The knot is up, and after tightening, it starts to cross the line.

After passing the thread to the operating position, Lu Cheng quickly picked up the rotator cuff stitching device that he didn't use before, and pulled the suture out very accurately and cleverly and returned to the sleeve.

In this way, all that is left seems to be knotted.

Liu Deqian and Huang Bilei were stupid at the time.

Is this rotator cuff stitched?

When is rotator cuff stitching so simple?

Is the rotator cuff stitcher that Chen Bing got back so easy to use?

No, this suture device Liu Deqian has also been used, but after using it twice, Chen Bing would not let him use it. Liu Deqian himself did not want to use it. After all, the longest time was spent on the needle finding process. For more than two hours, it has cast a shadow on him.

Lu Cheng's hand had already reached its limit at this moment, quickly knotting, and after cutting off the thread with a curved thread cutter, he pressed it again.

The torn shoulder cuffs immediately closed as before.

After that, Lu Cheng extended the plasma electric knife to the subacromial gap and buzzed quickly and quickly polished away the hyperplastic synovial membrane and rough tissue.

Then reverse to the shoulder joint gap!

Under normal circumstances, the left shoulder joint space is first and then the subacromial space is removed, but this time, in order to save time, we can only go the other way.

There is also abrasion in the shoulder joint space, and there is a small amount of proliferating synovial tissue in the supraspinatus tendon!

It's just that, for Lu Cheng, this is not a problem at all. Lu Cheng simply took five minutes to complete the microscopic examination of the shoulder joint space.

As a result, Lu Chengcheng almost completed the rotator cuff suture and shoulder arthroscopy and shoulder joint clean-up operations at almost full speed.

Seeing this scene ~www.wuxiaspot.com~ Except for Chen Bing, who was seriously undergoing surgery, everyone else showed expressions of astonishment.

Cao Mengda is even worse!

This kind of speed, this kind of speed to ensure quality, even in the 9th Academy of Magic City, there are not people who can complete it, but it depends on chance to complete it. Perhaps only his superior physician, Professor Lu, can do this step.

However, Lu Cheng, a young man, did it!

Cao Mengda has a bottom line about Lu Cheng's operation, but for Liu Deqian, Huang Bilei and others, what Lu Cheng has shown now has completely exceeded the ceiling of their cognition. After all, even at the China Orthopedics Annual Conference, some professors who can complete the rotator cuff suture + shoulder arthroscopy in an hour will be questioned by many colleagues.

The time for Lu Cheng to complete the operation was only 37 minutes.

Also add stitching and opening!

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