Chapter 82 Anesthesia for High Epidural Block
"Dr. Zhao, then please."
Wei Tong looked at Zhao Heng and said, although there is a way, it is not possible for ordinary anesthesiologists to do high-level block anesthesia on the patient in front of him.
It is worthy of a young talent who has recently spread the word of mouth and become famous!
As he spoke, Wei Tong looked at Zhao Heng again and couldn't help but sigh.
In a place like a hospital, this kind of reputation basically can't be faked, whether there is that level or not, as soon as you get on the operating table, it is very clear.
"Hmm."
Zhao Heng nodded, although the difficulty is high, but this is not a problem for him now.
An hour later.
Operating room.
On the operating table, lying down is a patient who has been medicated in advance and has fallen into a semi-comatose state, and Zhao Heng, what he needs to do now is high epidural block anesthesia.
Next to Zhao Heng, standing was Ding Minjun, the instrument of this operation, and behind him, Wei Tong was also there.
To be honest, Wei Tong has also seen this kind of difficult operation of high block anesthesia, but the anesthesiologists who can do this operation are at least forty years old, like Zhao Heng in his early twenties, Wei Tong has really never seen it.
And Ding Minjun, who stood beside Zhao Heng to cooperate, felt even stronger.
In the operating room, she and Xu Manni have always been compared by others, but whether it is family background, appearance, figure and temperament, in everyone's hearts, Ding Minjun is vaguely inferior to Xu Manni.
This made Ding Minjun very unconvinced.
However, recently, Ding Minjun's resentment has become even stronger, and the reason is because of Zhao Heng.
Women, too, like to compare themselves not only with themselves, but also with men.
Looking at Zhao Heng, who was seriously looking for the puncture position, his expression was very focused, and he looked more mature, stable and handsome, and thought about Xu Manni again, Ding Minjun suddenly felt sour in his heart.
"Needle."
Zhao Heng quickly and skillfully determined the position of the body surface of the puncture, and said to Ding Minjun who was standing next to him.
βγγ Oh.. Good. β
Ding Minjun, who was in a daze, immediately reacted when he heard Zhao Heng's words and handed the puncture needle in his hand to Zhao Heng.
Wei Tong, who was standing on the side, couldn't help but smile slightly when he saw this scene.
However, although he felt that Zhao Heng's level was good, he was still a little surprised to find the most suitable puncture position so quickly.
Medicine is an empirical discipline, and the improvement of the level requires continuous accumulation of experience, as far as he knows, Zhao Heng has only been engaged in anesthesia for a month or two.
Is there really such a practical genius in this world?
You must know that the choice of the location of the puncture is not simple, and it directly determines the success or failure of anesthesia.
The angle at which the needle is inserted will directly determine where the catheter is injected with anesthetic medication and peace of mind.
If the catheter is biased to one side, a single anesthetic may occur, or worse, the catheter may become obsessed into the foramen intervertebral and the anesthesia may block only a few spinal nerve roots.
In addition, for such an advanced patient, it is already very reluctant to withstand a puncture anesthesia, so this operation must be extremely precise and successful at the first time.
Zhao Heng took the puncture needle from Ding Minjun's hand, fixed his body with his left hand, held the puncture needle in his right hand, and stabbed it with precision, power and dexterity towards the determined position.
Laugh at!
The puncture needle passed through the ligament and entered the epidural space, and at this moment, Zhao Heng heard this extremely slight sound.
Well.
The location is correct and the feeling of being in the air is very good.
Zhao Heng thought in his heart.
"It's time to inject the medicine."
Zhao Heng held the puncture needle with both hands and said to Ding Minjun, who was standing next to him.
Ha?
That's good, is it so simple?!
Ding Minjun's face was sluggish, to be honest, she has been an instrument nurse for so long, she doesn't know how many preoperative anesthesia she has cooperated with and seen, and she has indeed seen such a neat and accurate puncture for the first time.
However, she still reacted instantly, took out the part of the needle that was needle, and inserted the syringe that had been filled with anesthetic into the needle.
"Quick injection, you know?"
Zhao Heng held the puncture needle with both hands and said to Ding Minjun again.
There is also a reason why Zhao Heng chose to inject anesthetic drugs quickly, the larger the drug capacity, the faster the injection rate, the wider the scope of the block, and the better the effect.
"Hmm."
Ding Minjun nodded, at this moment, Zhao Heng gave her the feeling, this feeling of confidence and calm temperament, just like those big directors of surgery.
The anesthetic was quickly exhausted.
Next, Zhao Heng did several anesthesia acupuncture tests, and the results of the tests showed that the effect of anesthesia was very good.
Moreover, the patient's heart rate, blood pressure, respiration, and carbon dioxide levels are normal.
This shows that the preoperative anesthesia effect of the tricky patient lying on the operating table has reached the best level.
"Teacher Wei, it's time for surgery."
Zhao Heng took a look at the life monitor and said to Wei Tong.
"Well, okay, thank you, Dr. Zhao."
Wei Tong breathed a sigh of relief, nodded and said to Zhao Heng.
The most difficult part of anesthesia has been completed, and the next operation is just a routine operation in digestive surgery, and the difficulty of this part is just average for a senior attending surgeon like Wei Tong.
Next, Wei Tong took two resident doctors, Xiao Zhang and Xiao Wang, and began the operation.
Not long after the operation began, in front of Wei Tong, a white light cluster that Zhao Heng was very familiar with appeared, but this light cluster was a little small and the color was not too bright.
Seeing this, Zhao Heng's mind moved, and the white light cluster in front of Wei Tong turned into a streamer and drilled into Zhao Heng's mind.
γDing! Cholecystectomy (proficient)γ
Soon, Zhao Heng fused the surgical experience of this pick-up.
Well, it's just a simple cholecystectomy, and after integrating this surgical experience, Zhao Heng has basically reached the level of Wei Tong for cholecystectomy.
Better than nothing.
Zhao Heng couldn't help but think in his heart.
This operation, for Wei Tong, is basically not difficult, not to mention the most difficult anesthesia part, Zhao Heng has already completed, so the operation is going on very smoothly.
The operation was not complicated, so even the work of the instrument, Xiao Zhang Xiaowang, the two resident doctors brought by Wei Tong, also took it.
This made Ding Minjun, who was standing on the side, feel a little bored.
Looking at the people sitting on the side, holding his hands, with a calm demeanor, and the appearance of a medical master, Ding Minjun felt a little sour in his heart.
Why? All good things are taken away by Xu Manni!
"Doctor Zhao, you did a really good job of piercing, I have seen so many doctors do punctures in the operating room, and you have done the best, accurate and fast."
Ding Minjun said without words.
Belch?
Accurate and fast?
Zhao Heng was paying serious attention to the patient's vital indicators, and when he heard Ding Minjun say this, he suddenly felt a little strange.
The other people in the operating room also looked a little strange when they heard this.
"Doctor Zhao, do you usually practice a lot?"
Ding Minjun asked again.
βγγ Well.. β
Zhao Heng nodded in response, but he and Ding Minjun were not very familiar with each other.
In the past, when he was an instrument table, such an instrument nurse didn't pay attention to his instrument table at all, but now he is screaming at Dr. Zhao.
It's really unpredictable.