Chapter 27 Disinfection and Anesthesia

PS: If you want to hear more of your voices and receive more of your suggestions, search for the WeChat public account "qdread" now and pay attention to give more support to "Doctor 1879"!

"Smack!"

The rubber gloves on Professor Wolfgang's hand made a soft noise, and he finally reluctantly put them on.

Although John had just made a point, the professor of internal medicine still scratched his head a little about how to put them on, and in his opinion, just put them on his hands, but John insisted that they follow his own demonstrations: first put one hand inside the glove, and then the other hand can and can't touch something, and it takes a few minutes to put on a glove......

But after some twists and turns, everyone finally got fully armed.

The high-pressure steam-sterilized sterile isolation gowns, gloves, hats and masks wrapped everyone tightly, revealing only a pair of eyes, and after a while, the body began to sweat non-stop. And even so, John kept reminding them, for example, that the hat must cover all the hair, and the mask must cover the mouth and nose, etc......

It is impossible to complain, but after watching John's operation, everyone has nothing to say.

Because everyone was just a bystander and didn't need to help with the operation, John didn't force them to wash their hands or anything, but he himself was the chief surgeon, and he just brushed his hands for more than three minutes, and then soaked his hands and arms with alcohol made the others even more anxious! However, John himself was calm, calmly completing one item after another, as if he was dealing with the most precious work of art in the world!

"Maybe it's because of this attitude that he has achieved so much success."

Silently waiting for John to finish his preparations, Professor Bergman thought a little distractedly.

"Gentlemen, we can go in."

Finally, after putting on the slippers. John made the sound of urns through his mask and walked into the innermost operating room with four bystanders.

"John, you're all set."

As soon as everyone came in, Thomas stepped forward and whispered.

"Okay."

John nodded, turned around and said in a deep voice, "Gentlemen, pay attention to what I say!" During surgery. Feel free to watch as many times as you like, but please stay at least one meter away from the operating table or any operator! If you have any questions, I will answer you as much as I can, is that okay? ”

"Yes!"

Bergman, who was already a little impatient, immediately nodded and said loudly: "John, let's start!" ”

Even if the others were dissatisfied, they wouldn't say anything at this time, and nodded their heads to show that they understood. By now, they could all see that Mr. Huntelaar's emphasis on sterility had probably reached a paranoid level. If you don't want to be kicked out of the operating room, it's best to be honest and obedient.

After getting everyone's confirmation, John relaxed slightly and walked to the side of the operating table with his hands raised. And at this moment, the eyes of the first assistant Thomas, the second assistant Paul, and the instrument assistant Robert were all focused on him.

After slowly glancing at the three assistants, John said in a deep voice, "Gentlemen. Let's go. ”

After hearing John's order, the three of them nodded at the same time.

Although at this time there were four people standing behind the crowd. One of them was their immediate boss, Professor Bergman, but at this time, Thomas and the others only had John in their eyes? Huntelaar is alone, following his orders alone!

"Prepare iodine tincture and alcohol, prepare lidocaine and puncture needle!"

Feeling the warmth of the breath coming from his mouth being blocked by the mask, John squinted his eyes and commanded.

"Iodine tincture? Lidocaine? ”

After hearing these two new words, except for Professor Bergman, who had seen it for a long time. Everyone else was amazed, Professor Wolfgang was fine, as an internist he only had some impressions of iodine tincture and lidocaine, local anesthetics, but Chuck? Dale and Edward are different.

They are very curious about the disinfectants and local anesthetics that have just appeared!

In fact, Liszt sent two of his men this time. The most important thing is to learn new disinfection technology, but on the other hand, it is also the purpose of investigating local anesthesia technology, if it is really as safe and convenient as "The Lancet" says, Owens and Dale will stay for a while and learn local anesthesia technology back! Therefore, Dale attaches great importance to the anesthesia before surgery, and his attention is highly concentrated at this time.

John whispered to the patient on the hospital bed, "Mr. Miller, I will put numbing medicine on your lower back next, so that your lower body is unconscious...... I need you to pose like you did yesterday, can you do that? ”

"Absolutely!"

Biting his lower lip, Mr. Miller nodded.

After Mr. Miller was lying on his side on the operating table and curled up, Paul said, "John, iodine tincture and alcohol are ready." ”

"Mr. Miller, your back will be a little cooler."

Using tweezers to pick up a block of gauze soaked in iodine tincture, John whispered a reminder and began disinfecting the puncture point on his back and the skin around him. After the iodine tincture dried, John picked up 70% of the alcohol and began to deiolate, and said in a deep voice while rubbing: "Gentlemen, the effect of iodine tincture and alcohol deiodization, I have already explained it very clearly in the paper, but when applying disinfectant, please pay attention to the fact that it should be rubbed from the center of the operating area to all sides!" This is to ensure that the gauze that has been in contact with the contaminated area will not go back to contaminate the disinfected area. Also, try to make the range as large as possible......"

The actual operation during these surgeries may seem inconspicuous, but the sum up of each item can be very significant.

While listening, Dale and the others secretly desperately memorized every word John said. Perhaps at the beginning, they would be a little unimpressed with many things, such as the setting mode of the operating room, and John's strict and almost harsh operating specifications, but when the operation was about to begin, a feeling of extreme shock suddenly rose in the hearts of several observing surgeons!

Take a look at what you're looking for!

In a clean, sturdy operating room, four surgeons wear cool gear. Each has a clear division of labor, and is busy around an operating table......

Subconsciously, the disdain in the minds of the surgeons was thrown away.

"John, lidocaine is ready."

When the sterilization was complete, Paul handed John the syringe with which he had smoked the lidocaine. It's just that after taking the syringe from Paul's hand, John's movements suddenly stopped!

Is this about to begin?

Looking at the syringe in his hand that was already full of lidocaine. John's eyes suddenly became foggy.

Today's surgery is different from the previous ones, it is not a simple and boring phlebotomy or abscess incision, but an appendectomy that requires neuraxial anesthesia and opening the abdominal cavity!

Didn't even have intravenous access before anesthesia, and this is about to begin?

When it really came to this moment, John's heart, which was full of confidence before, suddenly pounded violently!

At this moment, it would have been difficult for anyone in the room to comprehend John's mood at this moment, for it seemed to them that the boy was well prepared to test the results of those theories. But only John knew in his heart that the more he had prepared. The more I feel unsteady.

After all, he was fundamentally different from the surgeons of his time.

For example, Bergman, Thomas and others, although they will also pay attention to safety most of the time, they will not care too much about the results of the patient's operation, because the medical level of this era is like this, and it is normal for a person to die on the operating table! Especially for an operation like John's to open the abdominal cavity, no matter what the results are, they are acceptable.

But John couldn't accept that.

A simple appendectomy, John couldn't accept his failure. But what makes people helpless. There are still risks associated with surgery, even if the odds of these risks ultimately leading to consequences are slim. John was still a little worried. It's the instinct of a 21st-century surgeon, because today it's less prepared than John was familiar with in many of the things he was familiar with, such as intravenous access, antibiotics, and anesthesia that was about to be administered......

Today this appendectomy John is ready to use lidocaine. Epidural anesthesia was done between chest 10 and chest 11. Although it had been tested on animals and Robert and others before, John was still a little unsure at this moment.

In any case, he is a general surgeon, not a regular anesthesiologist.

No one in the world knows better how dangerous the profession of anesthesia is than John. Take today's surgery as an example, if the dose and effect of anesthesia exceed expectations by then. For example, if the epidural lidocaine is finally injected into the subarachnoid space, the slightest negligence will have extremely severe consequences, and at that time, John does not even have the medicine to rescue him!

In this case, John's worries were a matter of course.

However, this worry lasted for about six or seven seconds, and John quickly freed himself from this senseless affection. After a short period of entanglement, John allowed to save zĂ i, but he did not allow himself to hesitate about it, let alone shake his beliefs!

"If God is alive, please bless this one of your people."

John took a deep breath, a trace of firmness flashed in his eyes, and he whispered: "Mr. Miller, I will use a syringe to do local infiltration anesthesia next, and your back will hurt a little......" (The novel "Doctor 1879" will have more fresh content on the official WeChat platform, and there will also be a 100% lottery gift for everyone!) Open WeChat now, click on the "+" sign in the upper right corner to "add friends", search for the official account "qdread" and follow, hurry up! (To be continued......)