At half past nine on Tuesday morning, Lin Jie walked into the operating room, Zeng Yang, Gao Yanhong, the two attending doctors, and anesthesiologist Xing Yue were all ready.

Xing Yue first reported: "Specialist Lin, the patient still has a preoperative examination of the fetus in the womb, and there are no new abnormalities. Anesthesia testing also found no allergies or other rejections, and surgery can be performed. ”

Lin Jie nodded lightly and said, "Doctor Xing, this operation has worked hard for you." ”

Xing Yue is nearly 50 years old this year, a senior anesthesiologist at the affiliated hospital, and Lin Jie was specially invited to escort this operation.

In surgery, there is a saying that "the surgeon manages the disease, and the anesthesiologist manages the life".

In a major surgery, the surgeon and the anesthesiologist will work together to ensure the smooth operation of the surgery.

They have different divisions of labor and have their own emphasis.

Before the surgery, the anesthesiologist needs to evaluate the patient's physical condition, such as disease history, surgical history, and drug history, determine the anesthesia plan, perform an anesthesia test on the patient, and perform a final physical examination before the operation.

It is up to the anesthesiologist to make the final decision on whether the patient can undergo surgery.

During the operation, the anesthesiologist should use various instruments to continuously monitor the patient's vital signs, such as electrocardiogram, blood pressure, pulse, blood oxygen saturation, etc., so that the surgeon can only concentrate on the operation.

In the event of an accident such as hypotension or massive bleeding during the operation, the anesthesiologist should quickly replenish blood volume, provide adequate oxygen, maintain stable circulation and respiratory function, and ensure that the patient can pass the operation safely while actively stopping the bleeding by the surgeon.

The anesthesiologist, who is responsible for monitoring the patient's vital signs, has the power to stop the operation at any time when the patient's data is abnormal.

Therefore, it is said in the industry that the job of an anesthesiologist is to ensure that the patient can leave the operating room alive.

Anesthesia is both a skill and an art, and becoming a good anesthesiologist is not a simple matter.

After anesthesia, the patient's requirement is "no pain", and the surgeon's requirement is "muscle relaxation", and a smooth and successful operation must first have a good anesthesia as a foundation.

This requires that the anesthetic drug should be given no more and no less, just right.

The control of the dosage of this medicine requires a long period of learning and experience.

The anesthetic dose is often calculated by body weight, and the dosage is considered in combination with factors such as the patient's age, the function of important organs, and the depth of surgical stimulation.

However, there is no fixed dose, it is not as simple.

For patients with a history of heart disease, severe bronchitis, asthma, liver cirrhosis, obesity, hypoglycemia, hypotension, alcoholism, infancy, advanced age and other diseases, it is necessary to individualize the administration, which is slowly accumulated by experience.

Moreover, the individual differences of people are very different, and the tolerance of anesthetics is also different.

The anesthesiologist also needs to observe the physiological characteristics of the patient while administering the drug during the operation, and increase or decrease the amount of anesthetic as appropriate!

The operation that Lin Jie is going to do today, the pregnant woman is a high-risk pregnant woman, and the fetus is only six months old, which is a considerable test for anesthesia work.

In order to avoid accidents as much as possible, Lin Jie personally invited Xing Yue to participate in this operation, ensuring to the greatest extent that Ge Qiuzhi could wake up after the operation.

Xing Yue smiled lightly and said politely: "It is also my honor to work with Expert Lin. ”

"I heard from Dr. Wang and Dr. Fu in our anesthesiology department that working with you is the easiest thing to do, and it can even be said to be enjoyable. ”

"It's not like some doctors, who make some accidents every now and then, which makes people worry. ”

Lin Jie just smiled faintly, disapproving at this little flattery.

However, anesthesiologists work with many doctors in the hospital and are arguably the group that knows the surgeon's level of competence best.

If you want to ask which surgeon in the hospital has the best surgical skills and which doctor is the best at performing a certain surgery, it is most appropriate to ask an anesthesiologist.

Lin Jie came to the operating table and said to Ge Qiuzhi, who was still awake: "Doctor Ge, you can sleep peacefully, when you wake up, all your worries will be gone." ”

Ge Qiuzhi looked at Lin Jie's eyes and said softly, "Expert Lin, everything is left to you." ”

Lin Jie gestured to Xing Yueyi, he took an inhalation anesthetic mask and put it on Ge Qiuzhi's mouth and nose.

A few seconds later, Ge Qiuzhi fell into a coma.

Xing Yue began to adjust the amount of anesthetic drip.

Two or three minutes later, he did a small test on Ge Qiuzhi, looked at various monitoring data, and said, "Specialist Lin, you can start the operation." ”

As soon as Lin Jie stretched out his hand, he took the scalpel from the nurse and slashed it under Ge Qiuzhi's bulging belly......

Two or three minutes later, a fetus the size of a palm was taken out of Ge Qiuzhi's womb by Lin Jie.

The fetus's chest has a bulge the size of a ping-pong ball visible to the naked eye.

Attaching the umbilical cord, Lin Jie placed the fetus in a special sink next to the inner thigh of Ge Qiuzhi.

This sink is filled with artificial amniotic fluid circulating at a constant temperature, which is just less than half of the fetus's body.

This sink is the operating table that Lin Jie carefully prepared for the fetus.

He tries his best to simulate an environment similar to the mother's womb to maximize the comfort of the fetus.

After Lin Jie fixed the fetus's head and limbs with straps, Xing Yue began to connect some monitoring instruments to the fetus and perform anesthesia injections.

This is the first time Xing Yue has done anesthesia work on such a young baby.

For such a young baby, although the neurodevelopment is not yet complete and the pain perception is delayed, what needs to be done is to open the chest to remove the parasitic fetus, as well as major surgeries such as heart repair, anesthesia is necessary.

It was also in the past two days that he searched for information in many ways to determine the final anesthesia plan.

The anesthetic was injected into the weak baby through the umbilical cord through the small infusion tube, and Xing Yue kept staring at the data changes on the monitor, not letting go of a small change in value.

After the main values slowly stabilized, Xing Yue breathed a sigh of relief and said slowly: "Expert Lin, you can start ......"

There were only three people waiting outside the operating room.

Yan Yuesi, Ge Qiuzhi's younger brother is a man with glasses and a generous appearance, and the other is An Kexin.

Yan Yuesi, who was walking and stopping, looked at the clock hanging on the wall and muttered, "At this time, the fetus should be taken out and ready for thoracotomy ......"

She turned her head to look at An Kexin, who was holding a laptop and seemed to be working, frowned, and said, "Mr. An, although you have signed a work agreement with Qiuzhi, it does not mean that I will definitely join Anlin Hospital." ”

"It all depends on the final outcome of this operation and the degree to which you are accommodating to my conditions. ”

An Kexin glanced up at her, then continued to stare at the computer screen and said, "Doctor Yan, you are thinking too much, you are no longer in our consideration. ”

"If you want to stay and work in Binhai, I suggest contacting Tongren Hospital and Limin Hospital. ”

Yan Yuesi was stunned, and said with anger: "Mr. An, are you playing a trick to get away with it?"

"I'm telling you, I'm not short of a family!"

"A special hospital like the Coastal University Hospital, if I think about it, it's not impossible. ”

An Kexin closed the laptop, stood up, looked at Yan Yuesi's eyes, and said, "I told you the truth, but I didn't mean to trick you." ”

"Lin Jie clearly told me that you do not meet the introduction standards of Anlin Hospital. ”

"You understand, Lin Jie is the soul of Anlin Hospital, and his decision is the final decision of Anlin Hospital. ”

She couldn't hold back her anger anymore, and asked: "I don't meet the standards? What are you kidding? My strength in obstetrics and gynecology, not to mention the top five in the country, there must be a place for me in the top ten." ”

"I don't meet the standards, how many high-level doctors do you want to bring in in Anlin Hospital?"

An Kexin looked at Yan Yuesi, whose anger value had skyrocketed by 10,000, and suddenly felt that Lin Jie's decision was wise.

She stroked a few strands of hair that ran to her forehead naughtily, and said calmly: "The hospital mainly introduces young and middle-aged doctors, not only to see their current level, but also to their development potential. ”

"And you, Doctor Yan, Lin Jie's evaluation is ......"

has already broken off the possibility of recruiting this person, An Kexin is not polite to speak, and said bluntly: "Although he is talented, he is conceited and proud, has poor emotional control, and belongs to the chicken-headed type of talent." ”

"If you come to Anlin Hospital, without the privileges and superhuman status given by the unit, you may have the possibility of being unbalanced in the face of colleagues who are not much worse than you and have full development potential. ”

"I can only be the head of a chicken?"

Yan Yuesi, who was angry at this, her chest rose and fell, and she sneered: "Even if it is a chicken head, I am also the chicken head of a well-known tertiary hospital in the province? ”

"I don't know, what is the development goal of Anlin Hospital? In your introduction to Anlin Hospital, it seems that the planned number of beds is less than 500, right?"

She said in a mocking tone: "Isn't this not even up to the standards of a tertiary hospital?"

An Kexin said lightly: "The goal of Anlin Hospital is not a third-class hospital, nor is it a special-grade hospital. ”

"Our goal ......"

She said proudly: "Our goal is to make Anlin Hospital an internationally renowned hospital and medical research institution. ”

It's still "that", Yan Yuesi subconsciously felt that An Kexin's cowhide was blowing to the sky.

She couldn't help but tease: "I don't deny Lin Jie's excellent medical skills, but with him alone, he wants to develop Anlin Hospital to such an extent, I'm afraid you're not living in a dream, right?"

"Naturally, it won't be Lin Jie alone!"

An Kexin said confidently: "Lin Jie will personally teach a group of people to achieve this goal together." Therefore, we have quite high requirements for the future plasticity of the introduced talents. ”

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