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

This is to move the pregnant uterus to the left so that the appendix can be found. At the same time, it can also reduce excessive stimulation of the uterus during surgery, so as not to lead to complications such as aggravation of threatened miscarriage.

The pre-operative preparations were quick, and the Shay people were already in place.

Zheng Ren brushed his hands, put on clothes, laid out the sterile sheet, and stood in the surgeon's position.

"0.5% lidocaine, plus half a bottle of milk. Zheng Rendao.

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

The anesthesiologist was stunned for a moment, wanting to argue something, but seeing Zheng Ren's concentration on it, he still held back.

Even if he dares to use anesthesia for appendicitis during pregnancy, what else would he not dare to do?

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

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

The anesthesia begins, and the skillful and rhythmic infiltration anesthesia action makes the anesthesiologist feel relaxed and happy.

After each injection, wait for a few seconds for the propofol-mixed lidocaine to take effect before proceeding to the next step. The technique is gentle but accurate, and from the patient's vital signs, there is basically no pinprick pain caused by a syringe.

It's really good, no wonder you dare to do local anesthetic appendectomy.

An anesthesiologist is a person who knows the goods, and the more he looks, the more fascinated he becomes.

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

When he saw that the patient was suffering from appendicitis during pregnancy, Director Pan put down the old "Pipe Cone Chapter".

When he saw Zheng Ren preparing for anesthesia, Director Pan began to get anxious.

"Director Pan, your vision is really amazing. Director Liu thought that he had won the game, Zheng Ren was looking for death by himself, and he couldn't complain about himself, he was in a relaxed mood at this time, and began to attack the opponent who was not able to measure himself with trash talk, "Local anesthetic appendectomy, I haven't done it for many years, Director Pan, when you were in the county and township hospitals and the army, you often did it." It is estimated that Zheng Ren learned from you, and today I will also study hard and increase my skills. ”

After speaking, Director Liu changed to a more comfortable posture and smiled at Zheng Ren who had begun to have local numbness on the projection.

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

It was already the middle of the night, and suddenly hundreds of accounts logged in at the same time on the Xinglinyuan website, roaring and squeezing into a live video broadcast.

[Oh my God, what did I see, appendicitis during pregnancy! I still have to do local anesthesia! Is this a great god's live trick to death?]

[What do you know, sit down, you're blocking my view.] 】

[Local appendicitis, I've never done it before, I really need to study hard this time.] I hope the great god will do it slowly, and I will quickly inform the others to come and see. 】

[Have you ever had a local anesthetic appendectomy? I haven't done it, move a small bench and have a big theology. 】

[Haven't done it before+1.]

[Haven't done it before+2.]

【……】

[Haven't done it before+10086.]

Behind every account in Xinglin Garden, there is a doctor. This is a professional website that requires real-name authentication and a medical practitioner's certificate to do the audit standard.

The basic anesthesia for appendectomy is a continuous epidural, which is commonplace. The people who stayed up until this time were all young doctors in their thirties, and none of them had had appendectomy under local anesthesia, even if they were professional doctors.

[Why is the anesthetic in his syringe cloudy?]

[I just heard that propofol is going to be added, do you have a counterpart from the anesthesiology department? 】

[I am the deputy chief physician of the anesthesiology department of a tertiary hospital, and I said that I was confused and didn't understand it at all. 】

As soon as the operation began, a group of professional doctors began to enter the state of confusion.

There is no doubt that appendectomy under local anesthesia is an unfamiliar procedure. I can't even understand the anesthetic drugs injected by the operator, which is a bit excessive.

The barrage began to swipe.

[Why do I have to stop for a few seconds after an injection?]

[It is estimated that the local anesthetic drug will take effect and avoid irritating the patient.] The onset time of 0.5% lidocaine infiltration anesthesia is generally about 12 seconds, why is the interval between each injection of anesthetic drugs about 3 seconds?

[Could this be the effect of propofol?]

[I've already knelt down, please take my knees down.] 】

[Don't swipe the screen, watch the surgery, watch the surgery!]

The barrage sent out by the last person who called for quiet observation of the operation was covered by a dense barrage and disappeared into the sea of people.

[I remember the appendectomy during pregnancy, the textbook wrote that the incision next to the rectus abdominis muscle on the right side of the McStellar point, how do I feel that the incision position of the great god is a little too high?

[It may be that the physical examination and dialectics have determined the location of the appendix. 】

[5cm small incision, do appendicitis in the second trimester, how confident do you have to be!]

Although it was only an appendectomy, everyone watched it with relish. As the surgery began to open the skin, the barrage gradually decreased.

……

……

Zheng Ren used a knife to cut the skin, bluntly separated the subcutaneous tissues and muscles, and opened the peritoneum.

Each step of the operation is anesthetized with local anesthetic drugs, and the operation is not fast, but it is very stable.

The anesthesiologist looked at the operation, looked at the ECG monitoring, and then turned his head to see the operation, and the peritoneum had been reached, and the patient's blood pressure, heart rate, and breathing were very stable.

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

What a demon, the anesthesiologist thought to himself.

Zheng Ren has already reached the limit, and if he were a professional anesthesiologist, he would not have such a perfect performance. Is it the effect of propofol? Should I try it at the next surgery?

The anesthesiologist quickly shook his head, pushing the unrealistic thought out of his mind. It's better to go to anesthesia in a decent way, in case of any accidents, your small shoulders can't afford it.

After cutting the peritoneum, Zheng Ren probed with a mid-bend and directly clamped out the appendix.

The mid-curved forceps were weak and did not give the swollen, fragile appendix a trace of excess strength.

One hand held the middle bend, and the other hand reached out in front of the Shay.

Xiaowan was photographed in Zheng Ren's hands.

"Don't make small bends. Zheng Ren slapped Xiaowan back and said, "Syringe." ”

The Shay people realized that this was not an appendectomy that they were used to, but an appendectomy under local anesthesia. The ligaments and arteries around the appendix cannot be clamped directly, and local anesthesia is required.

Shay, who had been bored with appendectomy, had little stars in his eyes, as if he had found a new toy, staring intently at Zheng Ren's movements.

After lightly injecting the anesthetic, Zheng Ren picked up the small bend and began to separate the ligaments.

Zheng Ren felt that he was unlucky, and when life and death were at stake, he actually encountered a patient with appendicitis during pregnancy, and he had to do it under local anesthesia.

Although in the system space, he has specially practiced the operation of local meastic appendicitis, but if this kind of riotous operation can not be done, he will try not to do it, and there are too many accidents.

Fortunately, this case of appendicitis in pregnancy is relatively simple.

Because of pregnancy, the uterus is distended, and the omentum that should cover the appendix is 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, I don't know if it is because of the clear diagnosis and timely medical treatment, or because she is too young, in good health, and has high immunity, the appendix is swollen to the limit, but there is no perforation.

Inflammatory exudations around the appendix are also not severe.

It's a blessing.

Zheng Ren began to remove the appendix, sutured the appendiceal artery, sutured the appendix stump, and then strengthened the suture into a needle.

The surgery was done cleanly and beautifully.

Smoothly, to everyone's surprise, whether it was the classroom or the apricot grove garden, they all fell into silence.