Chapter 106: Preparation - Heavy physical work comparable to orthopedics!

Next.

Nine a.m.

Operating room.

At this moment, the super parturient, who weighs 300 pounds, is lying on the operating table, waiting for the preoperative anesthesia.

On Zhao Heng's side, there are two more equipment and nurses, and these four people were sent by Gao Jun to cooperate with him for anesthesia.

This kind of coordination work can only be done by finding an instrument matching table.

The two instrument matching tables behind Zhao Heng, Zhan Peng and Wang Chao, came in with Zhao Heng to do the equipment matching table!

However, Zhao Heng didn't have so much time to sigh, and the most important thing now was to successfully complete this very tricky anesthesia.

And the obstetrics attending doctor He Wei, with two resident doctors Xiaobai and Xiaohuang, stood not far away, watching Zhao Heng anesthetize the whole process.

"Teacher, it's the first time I've seen such a heavyweight mother."

Resident doctor Xiaobai said with some sighs.

"Yes, the fat layer behind the mother is 10cm, I really don't know how to perform puncture anesthesia later."

Resident doctor Xiao Huang also said.

"I'm curious, too."

The attending doctor He Wei looked at Zhao Heng, as well as the two nurses Xiao Li and Xiao Hong behind him.

"Teacher, this Xiao Zhao from the anesthesiology department, no, Doctor Zhao, is it really so powerful?"

Xiaobai looked at Zhao Heng, who was standing on the side of the operating table, looking unusually young, and asked He Wei with some doubts.

And Xiao Huang also had the same puzzled expression.

"Whether it's great or not, we'll find out later."

Unlike Xiaobai and Xiaohuang's suspicions, He Wei is very confident in Zhao Heng.

After all, Liu Ziang, the great god of brain surgery, had already released his words on a certain occasion, saying that only Zhao Heng could do everything in Dongfang Hospital for ultra-difficult anesthesia.

Regarding Liu Ziang's words, He Wei still believes in it.

Standing in front of the operating table, Zhao Heng carefully went through the anesthesia plan formulated yesterday in his mind.

"Push the bedside ultrasound machine over."

After settling down, Zhao Heng said to Xiaoli, the nurse who operated on the operation.

"yes, okay."

Nurse Xiaoli hurriedly pushed the B-ultrasound instrument next to the bed, and her eyes flashed with stars when she looked at Zhao Heng.

In the eyes of all the nurses in the operating room, Zhao Heng can be said to be the perfect boyfriend, but unfortunately, he has been preempted.

"Zhan Peng, Wang Chao, you cooperate with me to put the patient in the lateral decubitus position."

Zhao Heng said to Zhanpeng and Wang Chao again.

The lateral decubitus position mentioned here is to put it bluntly, that is, to let the patient lie on his side and hunch his body, such a position can push out the spinal canal located in the spine to the greatest extent.

If the body is arched, the patient's back will also be tightened due to the pulling effect of the skin, which is conducive to anesthesia and needle insertion.

This pregnant woman is 300 catties, and Zhao Heng alone can't put this position.

Therefore, this is also the reason why Zhao Heng proposed to let Gao Jun arrange people.

"Okay."

Zhan Peng and Wang Chao glanced at each other, then nodded.

Zhao Heng came in with them to make the equipment matching, and now that Zhao Heng has come up, they are still staying in place, and they have no ideas in their hearts, it is impossible.

This feeling can be said to be envy, jealousy and hatred, with mixed tastes.

The last equipment that couldn't stand this feeling, Zhao Heng's old classmate Wang Qiang, had already left his job to sell medical devices.

Next, Zhao Heng, Zhan Peng, and Wang Chao took a lot of effort to put this 300-pound super pregnant woman in a side position.

You must know that this mother weighs 300 kilograms, that is, 150 kilograms, and you must know that the results of 60 kilogram national weightlifters in the clean and jerk are generally at this level.

One can imagine how laborious it is to move this behemoth.

In the hospital, this kind of heavy physical work is probably only experienced by orthopedic doctors.

Zhan Peng and Wang Chao stood on both sides and were responsible for fixing this position.

As for Zhao Heng, it is time to start the real anesthesia operation.

Seeing that Zhao Heng and the three of them were so hard to put themselves in position, He Wei and the three of them were also a little emotional.

"Teacher, this is really hard work."

Xiaobai is a girl with glasses who looks a little weak and slender, and she can't help but sigh when she sees that the three big men are sweating in order to put on their positions.

"Not really."

He Wei nodded.

When this pregnant woman was admitted to the hospital, in order to move her to the hospital bed, three male nurses were dispatched, and the two beds were put together in the back to make this super pregnant woman lie down.

"Teacher, what is Dr. Zhao going to do with bedside ultrasound? If you want to be anesthetized and punctured, you don't seem to be able to use B-ultrasound, right? ”

Xiao Huang is a slightly chubby girl with a round face, and when she saw Zhao Heng beckoning the nurse to push the B-ultrasound next to the bed, she asked with some confusion.

"I don't know about that."

He Wei shook his head slightly and said.

It is true that bedside ultrasound is not used for ordinary anesthesia puncture, but not necessarily for this special heavyweight patient.

However, He Wei couldn't imagine what Zhao Heng was going to do with bedside B ultrasound.

On the operating table, Zhao Heng took the B-ultrasound probe next to the bed from nurse Xiaoli and carefully looked at the thick fat layer on the patient's back.

"Apply couplant here."

Zhao Heng pointed to a location and said to another nurse, Xiaohong.

"Okay, Dr. Zhao."

Nurse Xiaohong nodded, and hurriedly applied the couplant in her hand to the position set by Zhao Heng.

Couplant is a high-quality gel used in ultrasound examination, which can fully lubricate the skin, reduce the gap between the probe and skin tissue, and reduce the gas barrier.

Although Zhao Heng has not specialized in B-ultrasound, he has golden fingers, and he has been to the functional department many times, and even the skills of B-ultrasound examination, he has picked up and integrated a lot.

After fixing his mind, Zhao Heng placed the B-ultrasound probe on the patient's back, and the next moment, the ultrasound wave continued to diverge through the probe, and the returned image also instantly appeared on the screen of the B-ultrasound instrument next to the bed.

Anyone who has done B-ultrasound knows that the image probed by B-ultrasound needs to be imaged and identified again by the B-ultrasound doctor in combination with anatomical knowledge, not the kind that can be seen directly.

"Is this looking through the fat layer to find a suitable place for piercing?"

Xiaobai looked at Zhao Heng holding the B-ultrasound probe in his hand, constantly moving, as if he saw something, and said slowly.

"What can you find? The fat layer on the patient's back is up to 10cm thick, and the ultrasound transmission of such a thick fat layer has been attenuated, and the final image has to be blurred. This human brain is not a computer, and it can be restored in three dimensions. ”

Xiao Huang also said with some doubts, it seems that she is not optimistic about Zhao Heng's operation.

"Okay, just look at it. If you don't think it's okay, people don't necessarily can't do it. ”

He Wei said angrily.