Chapter 429: Thousands of Defenses, Still Something Happened!(It's a big chapter!Hmph!)

Sun Yu was stuffed with a large bag of surgical instruments and sent to the operating room before the morning shift began.

It's a pure errand job.

Because the anesthesiologists in the operating room need to check the patients, check the number of units, and refuse anesthesia when there is no surgeon present.

Therefore, the surgeon in charge of the surgical system usually sends an intern to act as a tool before the operation.

Wait until the patient is numb, the body position is also set, and the towels are ready to be disinfected, or the towels have been sterilized, and then go.

Zhang Tianyang should also belong to this "tool man" class.

But today, his status has crossed two levels and climbed directly to Senior Brother Meng's head.

After listening to the morning shift, Senior Brother Meng, who honestly went to prepare for the change of dressing, represents the second-to-last class.

It's no different from the tool people at the bottom.,It's all dispensable characters.。

Going a little earlier won't help, going a little later won't affect anything, just stay in the ward and deal with things like changing dressings before you go.

Zhang Tianyang's position today is the penultimate rank that Senior Brother Meng originally served.

He needs to go to the operating room as soon as he leaves his shift.

And carry the imaging data of the next surgical patient with you.

He is responsible for verifying the anesthesiologist's anesthesia effect, leading the tools to help the patient get in position, notifying the senior doctor that he is now available in the operating room, and also disinfecting the towel before the senior doctor arrives.

It seems to be a little more cumbersome.

But much more fulfilling and useful.

The operating room is still Room 21, which is the special operating room of the chief of urology.

The anesthesiologist is still an impressive pan anesthesiologist.

"Hello Mr. anesthesiologist. ”

Zhang Tianyang smiled and nodded in greeting.

I heard that the anesthesiologists in the anesthesiology department are randomly assigned to the operating room, but I don't know why, it seems that this anesthesia teacher is in charge of anesthesia every time he performs the operation.

What kind of fate is this?

"Shhh

The little anesthesiologist, who was originally in a good mood and humming a song, instantly gasped when he saw Zhang Tianyang's familiar figure.

"Why are you again!"

Pan anesthesia impressed Zhang Tianyang, why didn't Zhang Tianyang impress Pan anesthesia as well?

After realizing that this operation was another operation in which Zhang Tianyang participated, Pan's heart was suddenly filled with bursts of continuous "beep-beep-"

He was a little restless, then turned around and walked around the patient who had begun to be anesthetized.

Check whether the various deep and superficial venous access is unobstructed, look at the label attached to the liquid being transfused, look through the patient's pupils, and the depth of the endotracheal intubation, and carefully look at the numbers on the monitor for a while.

Finally, I got to the ventilator and squinted to confirm the light-colored data on the screen.

The intern Pan anesthesia brought today was a girl, a face that Zhang Tianyang had never seen, and at this time, the helpless pestle was next to the anesthesia computer, looking puzzled.

"Teacher, didn't you just say you were going to go next door and have a look?"

"I'm not going!"

Anesthesiologist Pan was categorical and waved his arm at the intern girl.

"You go over there for me! There's one of your senior brothers over there, and the two of you are watching over there, and if you have something, come and call me. ”

While speaking, Anesthesiologist Pan, who had confirmed the data, went around to the large iron cabinet at the end of the operating table, rummaged for a while, and walked back with a small bag of liquid.

Zhang Tianyang subconsciously glanced at it and found that it was a small bag of glucose!

The loud sound of "duang" when Pan anesthesia collapsed due to low blood sugar instantly came to mind.

This anesthesiologist Pan is worried about any emergencies and is preparing for hypoglycemia!

Zhang Tianyang was a little surprised for a moment, and then shook his head and smiled bitterly.

As for it?

seemed to see Zhang Tianyang's subtext, and Anesthesiologist Pan's eyes were resolute.

As for!

That's great!

He sat firmly on the round stool in front of the anesthesia computer, and sent the intern girl away again.

But his eyes have been fixed on Zhang Tianyang, and he has spoken word by word.

"I'm watching it myself!"

almost directly slammed Zhang Tianyang into the corner, pointed at his head, and gritted his teeth to warn, "Boy, you'd better give Lao Tzu a little luck today, don't make any more moths!"

Zhang Tianyang felt the terrifying gaze of Dr. Pan, and could only blink innocently.

He doesn't want this kind of thing!

You may not believe it, but you really don't blame him for this.

If you want to blame this thief, God blame it!

......

The first operation was unilateral adrenalectomy, which is less difficult of the four surgeries today.

This kind of surgery is a good way to refresh the surgeon.

On the operating table was a middle-aged female patient, already asleep under the effect of anesthetics.

Zhang Tianyang greeted Sun Yu and prepared to move the patient into a position with the nurses in the audience.

"Slow down, don't move!"

Pan jumped up from the round stool with a "rub" and instantly jumped to the side of the patient's head, firmly protecting the patient's tracheal intubation like a food guard.

"Alright, let's put it on. ”

Zhang Tianyang felt angry and funny.

But Pan anesthesia apparently doesn't care about the image anymore.

He firmly guarded the patient's head throughout the whole process, and it was not until the nurse in the audience firmly fixed the patient with a support device and a sheet that he cautiously left, sat on the round bench again, and poured something on the anesthesia table.

"Teacher, do you need additional anesthesia?"

Zhang Tianyang thought that Anesthesiologist Pan still had any anesthetic drugs that had not been injected in, so he looked over to take a look.

He found himself taking a large syringe, drawing liquid from a small bag of glucose, then labeling it, and carefully placing the syringe closest to him.

"I'm preparing myself with emergency glucose, is there a problem?"

Zhang Tianyang met the resentful eyes of Dr. Pan's anesthesiologist and walked away embarrassedly.

"Lao Pan, your glucose should be deducted from your salary!

The nurses in the audience shouted from afar, and also met Pan's resentful eyes.

"Got it......"

......

Ten minutes later, the senior director hurriedly stepped into the operating room.

At this time, Zhang Tianyang had already finished disinfecting and laying towels, and was in the second round of hand washing.

The director was in a good mood, and he came up with a compliment.

"That's right, Xiao Zhang, you're very efficient!"

Zhang Tianyang hung his washed hands and secretly glanced at the electronic clock behind the operating room.

In fact, no matter how fast the preoperative anesthesia and disinfection towel are laid, the current points are no different from the usual points that Senior Brother Meng called the director after finishing his work.

Perhaps, the big director just wants to boast about himself......

It's good to listen to, not to be taken seriously.

So Zhang Tianyang's eyebrows and eyes were crooked, revealing a smile that met social expectations.

"Xiao Zhang, you just told me that the heavy bleeding in the emergency department of the gastroenterology department on the weekend was not the stomach, but the esophagus?"

"Yes, yes, the esophagus ruptured, and the arterioles also ruptured, and it took a long time, so it was a bit troublesome. ”

"So, your technique of stopping bleeding under endoscopy without visual field does not have to be used for esophageal and gastric variceal bleeding, but can also be used for other bleeding?"

"Theoretically, that's true. ”

The director showed great interest in Zhang Tianyang's one-handed non-visual field hemostasis, and when he was wearing a surgical gown, he kept asking when he put a protective film on the laparoscope with his preparations.

Zhang Tianyang cooperated with the answers one by one, and finally waited for the final goal of the director.

"Xiao Zhang, you see that our urology department is doing laparoscopic surgery, and there are a lot of blood vessels in the stomach, sometimes the electric knife touches the artery, and the vision of the moment of blood is gone, can you do this?"

The chief director used a small piece of the towel to clamp the wire of the electric knife, and added another sentence.

"In fact, there are many such cases, sometimes the arteries are relatively small, or the touch is not serious, we quickly ligate, but there is no way. ”

"This can be a bit difficult. ”

Zhang Tianyang thought carefully for a while, shook his head gently, and came to a conclusion.

"To determine the direction of blood flow, it is necessary to model the contour of the entire vessel, so that the bleeding point can be reversed from the contour and the direction of blood flow.

In the stomach, all kinds of tissues and organs are too soft, easy to deform, and difficult to model, so I can only say give it a try. ”

But he hesitated for a moment, and then added.

"If it were me, well, when I didn't lose as much blood, I might have been a little bit more sure. ”

"Well, that's ......"

The director nodded thoughtfully, reached out and asked the instrument nurse for a knife.

"Then let's get ready to get started......"

The tip of the knife slowly approached the skinβ€”

"Ah!!h

Outside the operating room, there was a sudden scream.

β€”β€”β€”β€”β€”β€”β€”β€”β€”β€”β€”β€”β€”β€”

Today is also an effort to renew Ann!

Stealing incense