Chapter 14 Preparing for Surgery
The instrument nurse quickly took the informed consent form for the operation, and when it was handed over to Yi Sheng, the instrument nurse said unprecedentedly: "In these years, there are few doctors who don't think about their future." The older generation of anesthesiologists in the Department of Anesthesiology have all performed surgeries, so I asked my former alumni to come, so you don't have to worry about the technology. β
"Thank you. Yi Sheng took the operation and gave informed consent and said: "You go out, I just need to be responsible alone, there is no need to involve others." β
"It's okay, I'm very tough, and no one will trouble me. The instrument nurse said with a happy face: "Let's get to know me, my name is Su Jin." β
"Yi Sheng. Yi Sheng smiled and said, "When the operation is over, please have supper." β
The patient's consciousness was still quite clear, and after listening to Yi Sheng's informing him of the risks of the operation, the patient gasped weakly and asked, "Doctor, do you think I'll be fine?" If I die, what will happen to my daughter who is still in elementary school, she is still so young that she can't live without her father." β
"Don't worry, I'll get you well. Yi Sheng handed the pen to the patient, watched him sign it, and then said to Su Jin: "Sister Su, let's go." β
At this time, the door of the observation room was pushed open, and the female resident Pei ran in panting, still holding a puncture bag in her hand and said: "Fortunately, you didn't leave, let's do a waist puncture for the patient first to see the situation!"
Lumbar puncture, the full name of lumbar puncture, is one of the commonly used examination methods in neurology. It is used for the observation and diagnosis of central nervous system infections and tumor cells, intracranial pressure measurement, and intracranial administration.
"I won't stop you if you want to have surgery, and I can also help you, but you have to check whether the intracranial pressure is enough for the surgical indicators. The female resident Pearson said intermittently, and after speaking, she collapsed on the chair next to her and wiped the fine sweat from her head, "My mother, I'm tired of my mother." β
"Can a patient with an acute epidural hematoma have a lumbar puncture?" Yi Sheng asked, picking up the patient and putting him on a stretcher.
"Huh?" the female resident Pearson was stunned, put her finger to her mouth and pondered for a long time before muttering, "It seems that you can't do it." β
Yi Sheng was amused by the stupid expression of the female Pearson, walked up and touched the head of the female Pearson, and said, "Well, 50% water and 50% flour are very evenly proportioned. β
Yi Sheng pushed the car out of the observation room, leaving the heroine Pearson with a puzzled expression, she looked at Su Jin and asked, "What does he mean by that, why can't I understand?"
"He said your head was full of mush. After speaking, Su Jin also followed.
After a long time, the female resident Pei was angry and screamed in the emergency hall: "Bastard, you are just mushy in your head!"
A sleeping baby lying in his mother's arms in the middle of the night suddenly cried, and the mother hurriedly coaxed the baby and threw a murderous look at the female Pearson, who quickly apologized and trotted all the way up.
In the spare operating room on the 6th floor of Building 3 of the Affiliated Hospital, Tao Qian is debugging the monitoring equipment for anesthesia.
Tao Qian is not an anesthesiologist in the attached hospital, he was going to wait for Su Jin to go out to eat with him tonight, but he was pulled by Su Jin to act as a temporary laborer.
As the proud protΓ©gΓ© of the famous American anesthesiologist Adrian Gilb, Tao Qianqian also has a high reputation in the field of anesthesia in the United States, and works at the Mayo headquarters in Rochester, which ranks first in the United States in terms of comprehensive strength.
"The equipment is too backward. "It took Tao Qian half a day to debug the equipment before it was completed.
In fact, it is no wonder that the hospital, all the advanced instruments and equipment are arranged in the emergency rescue room and the operating room of the surgery, although the spare operating room is often cleaned but rarely used, plus the hospital in the past few years in order to introduce the "positron emission tomography" technology (referred to as PET) equipment funds for several years, so the old equipment eliminated in the operating room can only be put into the spare operating room.
The door of the operating room was opened, Yi Sheng wore a brush gown and Su Jin pushed the patient in, the patient fainted on the road, Yi Sheng picked up the patient with great difficulty and gently placed it on the operating table.
Tao Qian sat in front of the monitoring equipment and looked at Yi Sheng, as an elite, Tao Qian likes to compare himself with others, and enjoys it, seeing that Yi Sheng is much younger than himself, Tao Qian thought that he might just be a trainee in the hospital.
An anesthesiologist like Tao Qian must be matched with Director Gao Jianxiu, the director of surgery of the affiliated hospital.
"Ah Jin, who will perform the operation today?" Tao Qian asked with a smile as he looked at Su Jin, who was sorting out the surgical instruments.
"The one who just came in. Su Jin didn't look at Tao Qiandao.
"Is there such a young Divine Surgeon in China now?" Tao Qian said with a frown.
"Do you want to do it?" Su Jin stopped what he was doing, raised his head and said impatiently.
"Do it, do it!" Tao Qian raised his hands and surrendered, if he wanted to be someone else to talk to him in this tone, Tao Qian would definitely pack up his things and leave immediately, but who let him say this is his own hair for more than 20 years.
Yi Sheng brushed his hands quietly in front of the brush table outside the door, and the relevant knowledge about "epidural hematoma removal" in his mind was recalling over and over again.
After all, it was his first time to take the knife, and Yi Sheng was still a little nervous.
The faucet next to him was turned on, and Yi Sheng turned his face to see the short arms of the female resident Pearson stretched out into the water.
"Actually, you don't have to brush your hands now. Yi Sheng reminded: "You have to prepare skin for the patient when you go in for a while, and you need to brush your hands again when you come out." β
"I'm sorry, but my head is full of mush, and I don't know how to prepare skin. It seemed to be a deliberate raiser, and there was a hint of annoyance in the tone of the female resident Pearson.
Generally, in such a situation, girls are magical animals that need to be coaxed, as long as Yi Sheng apologizes and has a better attitude, the contradiction can be perfectly resolved. However, he is Yi Sheng, a man who will not look at a second glance when he sees a girl dressed up on the side of the road, and Yi Sheng, who has so many talented and well-looking girls in the academy, loves to ignore them, not to mention a female resident Pearson with average appearance and talent.
Yi Sheng brushed his hands and turned around directly into the operating room, so angry that the female Pearson jumped to his feet and scolded his mother.
"Straight man!"
"Sister Su, can I trouble you?" Yi Sheng opened his mouth and said to Su Jin, who was sorting out the instruments: "The patient's right frontal epidural hematoma, I am going to use temporal occipital craniotomy to make a subtemporal approach, the patient should be in the lateral decubitus position, make a horseshoe-shaped incision, Sister Su, can you help prepare the skin for the patient?"
Yi Sheng gestured in mid-air: "The front end starts from the midpoint of the zygomatic arch, surrounds the auricle, and the posterior part reaches the junction of the middle and outer 1/3 of the transverse sinus. By the way, expand the range a little bit when preparing the skin. β
Su Jin held a craniotomy drill in one hand and a scalpel in the other, and said, "Do you think I'm suitable?
"I forgot. Yi Sheng wanted to scratch his head, but suddenly remembered that he had already brushed his hands, so he had to hang his hands in the air and said awkwardly.
"I said can you be reliable, you don't forget the gauze in it when you have surgery for a while, I'm still hungry. Tao Qian complained.
Yi Sheng and Su Jin both moved their eyes to Tao Qian's body at the same time, Tao Qian was stared at by the two of them, and his heart was furious, and he hurriedly covered his chest and emphasized: "Look at what!
"Less nonsense! The work of preparing the skin will be handed over to you!" Su Jin turned on the switch of the craniotomy drill in his hand, and the craniotomy drill bit made a "buzzing" sound, "Believe it or not, the old lady will scoop your head?!"