Chapter 208: Pretending to be an anesthesiologist

Regarding Dr. Ji's somewhat curious test, Xu Ze pursed his mouth with disdain, and muttered to himself, "Is it necessary?" Are you a teacher, or a deputy director, is it necessary to always have fun with us? "

But muttering is just muttering after all, he won't just talk about this to have fun, so he has to go forward and give the patient a detailed physical examination from head to toe.

Xu Ze has figured it out now, and he feels that there is no taboo, if he wants to pretend that he will not pretend anything, he will not pretend, anyway, there is nothing too taboo for him in this hospital now, since he is going to come to Yundi for internship now, then it is inevitable that he will go to other departments Mei, I can't say when I met an acquaintance, and it was exposed.

So, now he doesn't care, anyway, most of these classmates know about his previous work in the clinic, and many people know that he has good medical skills, and no one will find it strange to be a little more publicized here.

As for the teacher Ji in front of him, Dr. Ji, Xu Ze is even more lazy to take into account other people's feelings, if you tell me to do it, I will do it... Let you also see our methods, and save the time when you can't teach well in front of us.

Looking at Xu Ze's skillful techniques and neat movements, he was almost doing it according to the most standard technique, but the deputy chief physician Ji Xueping opened her eyes more and more, and looked at the student in front of her with a surprised face, she didn't understand why there was such a big gap between people and people.

This group of students must be reluctant to make mistakes in a class, but why is this kid in front of him so neat without teaching anything, and the other students are looking idiots, and then looking at this kid in front of him seems to be taken for granted.

"When I first came to work, I was afraid that I couldn't compare to the kid in front of me... Why is there such a big gap between people? Unless this kid has done this before..."Doctor Ji's mind was full of mixed thoughts, but he felt wrong when he thought about it, although this kid in front of him looked more mature than his students, but he was only twenty-one or twelve years old at most, and now he was in his senior year, could it be that he could mix in the hospital in his sophomore or junior year? This is impossible.

Therefore, although Dr. Ji was full of surprise, he could only be surprised, seeing Xu Ze's skillful technique, he also saved his own trouble, and praised Xu Ze's technique on the side, and at the same time followed Xu Ze's technique, teaching other students, so that they could also learn how to perform physical examinations on patients.

Looking at this Doctor Ji's behavior, Xu Ze couldn't help but show a trace of contempt in his eyes, and the deputy chief physician, he was still so lazy, no wonder he always grabbed me to do things

Xu Ze angrily finished the whole set of physical examinations, and Doctor Ji also finished explaining smoothly at this time, and nodded and smiled at Xu Ze: "Xu Ze, your team leader is very good, much stronger than us back then."

Although he was not angry in his heart, in the face of the teacher, Xu Ze still pretended to be submissive, nodded modestly and smiled: "Teacher Ji has won the prize."

The curious Doctor Ji was about to ask Xu Ze if he was so familiar with these things, when suddenly he heard a voice on the radio: "Doctor Ji... Please go to the rescue room, please go to the rescue room..."

Hearing the voice on the radio, Dr. Ji's face was pale, and he hurriedly said to Xu Ze: "Xu Ze... You take them to the office and sit down for a while, and my men will come over

Xu Ze naturally heard the voice on the radio, and naturally knew what Dr. Ji was going to do, so he nodded in response immediately, and after Dr. Deji trotted out, he took everyone with his team to the office to sit and wait for Dr. Ji to come back.

More than a dozen members of Xu Ze's group, including men and women, and the big guys are all classmates, sitting in the office, they don't feel bored, everyone is chatting with each other, talking about the new things that have come to the hospital for internship in the past few days.

Everyone has been living a fresh and comfortable life these days, and they used to stay at school every day, but now they have changed places and felt a fresh taste in the hospital, which is naturally very fresh.

I heard the students talking about the Star Annex, talking about the benefits of the Star Annex, and some people were interested in coming here to work in the future.

Xu Ze sat on the chair and yawned very tastelessly, if it was him a year ago, maybe now he would be like these classmates, excited and fresh to be able to go to the hospital for internship.

But now he has a completely different vision from these classmates, and the things that are fresh in the eyes of these I students are already familiar things that can no longer be familiar to him, and now he has to listen to people explain these things again, so he feels that it is extremely boring.

Seeing the lively discussion of his classmates, Xu Ze smiled, feeling a little depressed in the office, so he walked out of the office by himself and walked outside.

The ward of the Department of Respiratory Medicine was already full at this time, Xu Ze walked around the corridor, and felt that it was extremely tasteless, but slowly walked to the front of the emergency room inadvertently.

Seeing that Dr. Ji Xueping was instructing the doctors and nurses to rescue several patients with a serious face, Xu Ze was a little interested and leaned against the door to watch.

As the chief resident second only to the head of the department, the power and responsibility in the department is great, and when rescuing patients, if the director is not there, then she is the highest JL fox doctor, and she will work by her.

Looking at the several patients in the rescue room who were being rescued at the same time, Xu Ze couldn't help frowning, there were a few patients who needed to be rescued, it seemed that these patients should be due to a collective illness caused by a certain reason.

But now the situation inside is not good, there are four or five patients, but now there is only Dr. Ji Xueping and another doctor, as for the nurses, there are four or five, but they are also busy.

At this time, Dr. Ji was frowning inside, and while he was resuscitating a patient, he asked the nurse on the side angrily, "What's the matter, there is no one from the anesthesiology department... These patients have to have tracheostomy, how can we be busy..."

The nurse was yelled at by Dr. Ji like this, but her face was shocked, and she hurriedly said, "Dr. Ji, I'll call again and ask..."

The nurse quickly took out her mobile phone and dialed a call, and after chatting a few words with the other side, she hung up the phone, looked at Dr. Ji with an embarrassed face and said, "Dr. Ji... The anesthesiology department is also very busy now, saying that it will have to wait a while"'"

"I'm going to have to wait a minute"-" Doctor Ji heard this, but he didn't grit his teeth anymore, and snorted angrily: "Wait a minute, they will come to collect the corpse..."

Xu Ze looked at Ji Xueping's angry and hurried appearance outside, looked at a few patients on the bed, and couldn't help sighing, but this love began to warm up again.

"Originally, it wasn't my business, but human life was at stake...", he took out the hat and mask in his pocket, put it on himself, and then sighed lightly and walked towards the emergency room with a calm face.

Walking into a patient's bed, Xu Ze looked at 7 eyes, the patient who was obviously having difficulty breathing, and even his face was beginning to cyanine, and then said in a deep voice to the nurse who was busy giving oxygen to the patient: "Give me a tracheostomy bag..."

Hearing this voice, the nurse was overjoyed, and then looked at Xu Ze dissatisfied: "Why don't you even ,-,bring your bag when you come here?"

"We are too busy to win, I just finished one below, and I rushed over, where is the time to go back and get the bag"-"Seeing that this nurse really thought that she was from the anesthesiology department, Xu Ze hurriedly pushed the boat down the river and said with a smile.

The nurse didn't hesitate at this time, and quickly took out a tracheostomy bag from the cabinet on the side and handed it to Xu Ze, and then snorted: "Fortunately, our respiratory medicine department, other departments, I'm afraid there are not so many spare bags,'." "

Xu Ze smiled, but didn't say more, now Dr. Ji Xueping is next to another patient, if she finds out that it is herself, then there is absolutely no chance to save people by herself, if this patient has a problem because of a delay, it would be a pity.

At that moment, he took the tracheostomy bag, conveniently landed on the treatment table next to him, and then began to perform tracheostomy on the patient.

Xu Ze reached out and grabbed the patient who was about to suffocate, pulled his shoulders up, and then grabbed a pillow at the head of the bed and put it under the patient's shoulders, making the patient's head tilt back, exposing the trachea in the neck. Then he said to the nurse, "Lift me to fix his head!"

"Okay..."Hearing Xu Ze's words, the nurse didn't dare to slack off, and quickly reached out and pressed the patient's head, so that he couldn't move at will, so as to wait for Xu Ze to do it.

Seeing that the patient's head had been fixed, Xu Ze didn't dare to slack off, after opening all the tracheotomy bags, he folded two more lidocaine, opened them and put them aside for later use.

After neatly putting on the sterile gloves, Xu Ze picked up the tweezers in the tracheostomy bag, clamped the complexed iodine cotton ball inside, quickly disinfected the trachea of the patient's neck, and then carefully laid the sterile towel, ready to start the operation.

At this time, Dr. Ji Xueping, who was next to the bed, saw that the patient who was unhandled, and someone finally had a tracheotomy, which was also a sigh of relief, and secretly said that the anesthesiology department was finally a little fast today, otherwise if something happened to this patient, Ming'er would have to make trouble with their anesthesiology department.

Although he breathed a sigh of relief, Dr. Ji still operated on the patient by himself, and explained to Xu Ze: "These patients are all tracheal burns, which is more troublesome, when you cut it, you have to be careful." ”

Listening to Dr. Deji's words, Xu Ze dared to answer, but he just lowered his head and nodded in response, for fear that Dr. Ji would see the flaws.

After taking a syringe in his bag and carefully extracting a few milliliters of lidocaine from the lidocaine bottle next to him, Xu Ze began to perform preoperative anesthesia on the patient.

Xu Ze carefully followed the anterior median of the neck from the inferior edge of the thyroid cartilage to the suprasternal fossa to infiltrate the patient with lidocaine.

He is familiar with this, Bi Jing has passed many virtual internships in the virtual space, so it is naturally not a problem to do it.

The so-called tracheal burns, of course, will not have any effect on him, he is in the virtual space, tracheostomy patients, most of them are war wounds, and there are naturally many tracheal burns, which can be said to be very familiar. Holding a scalpel at the moment, a straight incision is made to gently cut the skin and subcutaneous tissue along the anterior midline of the neck from the inferior edge of the thyroid cartilage to the sternal-fossa close to the sternal-fossa.

When the skin and cleaved tissue had been cut under his scalpel, small streams of blood began to slide down the wound. Xu Ze picked up a small piece of gauze in his bag and gently wiped away the blood, and then used vascular forceps to carefully separate the sternohyoid muscle and sternal thyroid muscle along the midline to expose the thyroid isthmus.

Looking at Xu Zeno

After a few easy strokes, the skin on the patient's neck was successfully peeled off! The milky white trachea inside was exposed, and the nurse who fixed the patient's head next to him couldn't help but look at Xu Ze a few more times.

She just saw that Xu Ze was very young from the upper half of Xu Ze's face that was not covered by a mask, and she was originally a little worried about Xu Ze, and said secretly: "How can the anesthesiology department send some such young doctors out, this tracheal burn patient, it is more difficult to perform tracheotomy, if you don't do it well, it will be troublesome." "

But now I can see that Xu Ze's neat technique, even if it is not slower than Dr. Ji Xueping, and he exposes the patient's trachea, which can be regarded as admiring and relieved

Xu Ze took out two retractors, gently hooked one side, and then said to the nurse, "Help me pull one..."

As a nurse in the Department of Respiratory Medicine, she was naturally very familiar with this kind of assistance work, so she immediately freed up one hand, and then carefully took the hook to prevent herself from touching Xu Ze's hand with sterile gloves, and then gently pulled it.

It's just that she can only free one hand now, and she can't pull both hooks at all, but now she looks up behind her, trying to find someone to help pull the other hook.

However, she looked at it twice, but she was disappointed, several other nurses behind her were all working as assistants to Dr. Ji Xueping and the other doctors on duty, and no one could take a lead at all, so she had to look at Xu Ze helplessly and said, "Don't wait any longer."

"No need... You just pull the other side!" Xu Ze raised his eyebrows, and then said. Originally, these two retractors did need to be pulled by the assistant, but now no, Xu Ze can't continue to wait, if the operation is not completed as soon as possible, then the patient may die of suffocation at any time.

Seeing that the nurse had already grabbed the other side, Xu Ze also grabbed the other hook with his left hand and said to the nurse, "Pull it!"

"Ahh Don't you really need anyone else? The nurse looked at Xu Ze and stretched out his left hand to grab the other

Side, only one right hand was left for surgery, and he couldn't help but be stunned.

Xu Ze shook his head gently, and then said, "No need, if you wait any longer, this patient won't have to do it..."

Listening to Xu Ze's affirmative words, the nurse herself knew what Xu Ze meant, if she didn't continue to do it now, the patient wouldn't be able to wait that long, so she had to nod her head at the moment, looking at Xu Ze's movements, hoping that Xu Ze could successfully complete it with one hand.

After all, although this operation is a little difficult, if it is a very good anesthesiologist, it can still be successfully completed.

After the two of them cooperated to pull the hook, and the two hooks were evenly forced, so that the surgical field was always kept in the midline, Xu Ze stretched out his right hand and touched the cricoid cartilage and trachea, and after making sure that the trachea was kept in the middle position, he officially started to do it.

After determining the specific position of the trachea, Xu Ze pulled the hook with his left hand and held the scalpel with his right hand, and carefully picked up 2 tracheal rings from the 2nd to 4th tracheal rings with a sharp blade.

Seeing that the two tracheas were cut off from the ring, and the air was poured into the patient's trachea along this gap, Xu Ze still frowned, this small gap is really small, and when the intubation is done, I am afraid that it will be a little difficult.

At the moment, he picked up the scalpel, but he neatly swung the knife to remove the part on the anterior wall of the trachea

The cartilage ring enlarges the tracheal incision a lot and allows for a lot more air infusion.

Seeing that Xu Ze only held the knife in one hand, he easily opened and expanded the patient's trachea, and even removed part of the cartilage, without using his left hand to assist, the nurse assisting next to him had a pair of pretty eyes, but he couldn't help but widen, looking at Xu Ze's movements full of admiration.

It was the first time she had seen anyone who could remove the cricoid cartilage so easily with just one hand, and it could be cut just right, without a single point or a point less.

Xu Ze couldn't care about so much at this time, so he immediately reached out and put down the scalpel and the retractor, then took out a curved forceps from the surgical bag to open the tracheal incision, and then found a tracheal cannula of suitable size with a stamen, and inserted the tracheal cannula along the tracheal incision that he had excised.

After the tracheal cannula was inserted, he took out the tube, put it into the inner tube, and pulled the sputum suction device of the bed, and after testing the normal suction, he sucked the secretions in the tracheal cannula, and found that there was no obvious bleeding in the trachea, so he was relieved.

Then he reached out and pulled up the strap on the tracheal cannula and tied it around the patient's neck, beating him to death

The knot is firmly fastened. Finally, an open gauze is placed between the wound and the cannula.

After completing all this, Xu Ze saw that the patient had passed through the intubation of the trachea in the neck and successfully inhaled some air from the outside world, so that the hypoxic cyanosis on his face was significantly relieved, which was a sigh of relief.

The operation has been successfully completed, Xu Ze looked at Dr. Ji Xueping opposite, who had also successfully completed her patient's operation, but he didn't dare to stay any longer, he should flash when he was done, otherwise if someone found out that he was just a fake, it would be troublesome again.

At that moment, he took off his gloves, explained to the nurse twice, and was about to turn around and leave, but as soon as he turned around, he suddenly heard a person striding in at the door.

The man ran in panting, and then asked in a loud voice, "Where is the patient?" Which patient has to have a tracheotomy... But it killed me, answered the phone, and after I finished one, I ran over!"

I wish you all a happy Mid-Autumn Festival and a happy family