Chapter 5 Exploding Experience? Difficult paravertebral block puncture!

Nine a.m.

3rd Operating Room.

Zhao Heng and Xu Manni, as well as anesthesiologist Gao Jun, were already waiting in the operating room.

"Everything is ready, right?"

Xu Manni asked Zhao Heng.

The preparation she said was to prepare the instruments used for surgery, since Zhao Heng originally made a surgical table, she was also happy to be relaxed, and let Zhao Heng prepare the surgical instruments together.

"Well, the thoracentesis and thoracotomy instruments are ready."

Zhao Heng responded.

"Okay."

Xu Manni looked at Zhao Heng and nodded with satisfaction.

"It's a big job."

Anesthesiologist Gao Jun said with a sigh.

The patient must first be sent to the operating room, where he will anesthetize and the operation can be performed after the anesthesia is completed.

Moreover, the work of anesthesia is actually very risky, and it must be just right, and the dose of anesthesia cannot be more or less.

If the dose is too much, the patient may not wake up after the operation, and if the dose is less, he will wake up early, which is even worse.

"A fall from a height and a puncture wound to the chest and abdomen is indeed a very complicated operation."

Xu Manni nodded and said approvingly.

"This kind of big job, why don't you have an assistant, can you do it alone?"

After a pause, Xu Manni said again.

"Assistant? You don't know how short of anesthesiologists there is now. In the entire Oriental Hospital, nearly 10,000 surgeries are performed every year, but there are less than 20 anesthesiologists, which is exhausting to me. ”

Gao Jun complained helplessly.

This anesthesiologist seems to be just a simple anesthesia, but the requirements for doctors are extremely high, to be proficient in dozens of disciplines at the same time, anesthesia is extremely important, there is no room for mistakes, wrong anesthesia, no experience or mastery of the correct anesthesia method, may bring serious adverse consequences.

In the operating room, if the anesthesiologist has been sitting in the corner playing with the mobile phone, then everyone is very relieved, but once the anesthesiologist puts down the mobile phone and stands up, it is a big incident.

"Xiao Zhao, your learning ability is so strong, it is better to follow me to learn anesthesia, although it is tiring, but I dare to guarantee that the income does not have to be less than the chief surgeon."

Gao Jun looked at Zhao Heng and said suddenly.

Although anesthesia is a specialized discipline, all medicine is common, and clinical practice can also be transferred to anesthesia, which is not a problem.

Zhao Heng's performance yesterday, he saw it all, it can be said that that kind of calm psychological quality is born dry anesthesia.

"Uhhhhh

Zhao Heng didn't know how to answer.

In the operating room, the status of anesthesiologists can be said to be very high.

Whether an operation can be done or not, in addition to the surgeon having the final say, the anesthesiologist also has a great say.

The anesthesiologist said no, who would dare to do it?!

"Okay, people study surgery well, and it has a great future."

Xu Manni smiled when she heard this, and relieved Zhao Heng.

After a while, the door to the operating room opened, and the patient was sent inside.

When they came in, several people were a little surprised.

The patient, who appeared to be a middle-aged uncle at a construction site in his forties, looked pale and breathed weakly, while a steel bar was clearly inserted diagonally in his chest.

Such a strong visual impact made Zhao Heng a little speechless for a while.

Coming in with the patient was Xia Xiaoyu, a resident doctor in the emergency department, who was sweating profusely and said to Gao Jun eagerly: "Teacher, I'm sorry for you, the director is still urgently studying the surgical plan, and I'll come over in a while." ”

"Hmm."

Gao Jun nodded, but his face instantly became solemn, this injury, the patient was directly through the chest by the steel bar, the lung damage is very large, which has increased the requirements of anesthesia, this kind of severe traumatic surgery, the anesthetic dose must be large, but the patient's lungs are seriously injured, the respiratory function is transplanted, and the dose of muscle relaxant must be grasped well.

Thinking of this, Gao Jun said to Xu Manni: "Prepare for thoracic paravertebral block puncture." ”

"Okay."

Hearing Gao Jun's words, Xu Manni was visibly stunned, and then responded.

This thoracic paravertebral block puncture, the full name is thoracic paravertebral block puncture, which is different from ordinary thoracic puncture anesthesia, this paravertebral block anesthesia, the advantage is that the damage to the paravertebral nerve can be minimized, but the difficulty is also raised at once.

Soon, the instruments were ready, and Gao Jun was about to start performing paravertebral puncture, but looking at his solemn appearance as if he was facing a great enemy, he knew that this operation was not easy at all.

Because the patient's chest was punctured by steel bars, no one can be sure whether the steel bars have damaged the paravertebral nerves, so this raises the difficulty of paravertebral puncture, which is already difficult, to another level.

At this time, Zhao Heng saw that in front of Gao Jun, a white ball of light appeared.

Burst the experience?

Zhao Heng was familiar with the road and aimed at the white ball of light, and the white ball of light turned into a streamer of light and drilled into his head.

The familiar prompt sound sounded in Zhao Heng's mind.

"Ding, picked up [thoracic paravertebral block puncture (proficient)].

Is this an explosive skill?

After fusing [thoracic paravertebral block puncture (proficient)], Zhao Heng found that he had completely mastered this difficult puncture technique, reaching the same level as proficient as Gao Jun.

Just like after a lot of training, all kinds of operation precautions, as well as practical operation experience, Zhao Heng has integrated at the moment.

"Teacher, I'll cooperate with you."

Integrating technical experience, Zhao Heng had a feeling of eagerness to try, and seeing Gao Jun's solemn face, Zhao Heng couldn't help but say.

"Why? You've only practiced thoracic punctures, right? ”

Hearing Zhao Heng's words, Gao Jun glanced up at Zhao Heng and said with some doubts.

The general clinical undergraduate graduation is indeed only practicing basic thoracic puncture, and this paravertebral block puncture is an advanced technique of thoracic puncture, which is generally only practiced by anesthesiologists.

"I have also practiced parapuncture, and it is still okay to just do cooperation."

Zhao Heng said confidently.

With technology in hand, that's how confident it is!

"Okay, here you go."

Gao Jun pondered for a moment and nodded.

It's really better to have one more person to help.

He is a senior anesthesiologist, and it stands to reason that he should be equipped with an assistant, but there are too few talents in this area.

Zhao Heng came to Gao Jun's side and began to cooperate with him to start paravertebral puncture.

It's strange to say, with Zhao Heng's cooperation, the paravertebral puncture, which was originally quite difficult, all the operation processes have become silky.

This kind of smoothness, after doing so many punctures, Gao Jun has never experienced it.

It can be said that with Zhao Heng as an assistant, his operation fluency has been directly improved by a notch, and this handy feeling makes people very comfortable.

"Xiao Zhao, didn't you just practice once or twice, but also said that you are not interested in anesthesia?"

Gao Jun held the neuraxial puncture needle in his hand and said while slowly pushing the anesthetic into the spinal canal.

"When I was in school, I was interested and practiced once or twice."

Zhao Heng said modestly.

"It's not a level that can be achieved in one or two exercises, but if you get familiar with it, I think you can do it."

Gao Jun said slowly.

He couldn't be more familiar with this technology, and with Zhao Heng's proficiency with him just now, no matter how familiar he was, it would not be a problem to operate alone.

I've found a treasure!

Gao Jun couldn't help but say in his heart.

This Zhao Heng is not only quite accomplished in surgical cooperation, but also has such a single-handed anesthesia and puncture technique.

Could it be that he is the strongest auxiliary in the legend?

"I don't want to steal a teacher's job."

Seeing that the puncture was successfully carried out, Zhao Heng made a rare joke.

"I wish there was one more person who could master this technology."

Gao Jun said disappreciatively.

After a pause, he proposed again: "Xiao Zhao, why don't you come and be my assistant." Don't worry, I won't let you do it in vain, my operating table fee will be half of yours. ”

In recent years, there have been too many surgeries in Dongfang Hospital, and Gao Jun feels that if this continues, he will simply die suddenly in the operating room.

If there was really such a good assistant as Zhao Heng and sharing his work, he felt that even if he was less than half of the operating table fee, it would be fine.

After all, if you have a life to make money, you have to have a life to spend.

"Teacher, I'll think about it."

Zhao Heng originally wanted to refuse, but after thinking about it, Dongfang Hospital is the top hospital in the country, and the anesthesia platform fee is also the highest level, as far as Gao Jun is concerned, he had an operation, and the anesthesia platform fee was 400 yuan.

And on average every day, when there are few, Gao Jun has to go to at least five or six surgeries, and at most, in the case of the treadmill, it can even reach ten, which is calculated as three or four thousand yuan, and this half is at least more than a thousand, and after a month, more than 10,000 is not a problem at all.

And Zhao Heng's current salary is less than five thousand.