Zhou Can carefully felt the benefits of the hemostatic technique after it was upgraded to the fifth level.

At the fourth level, it is mainly reflected in the fact that electrocoagulation hemostasis is more accurate and flexible, and it has the ability to analyze the cause of bleeding.

At this moment, he found that electrocoagulation to stop bleeding was not only more accurate, but also in the process of hemostasis, he could clearly feel whether the bleeding had been controlled.

It seems to be just a small improvement, but it can provide a layer of safety for him when he performs electrocoagulation to patients to stop bleeding.

There is no need to worry that the electrocoagulation time is too short, the bleeding does not stop or the bleeding is not stable, and the bleeding will be repeated after surgery.

There is no need to worry about excessive electrocoagulation, which will lead to necrosis of blood vessels and surrounding tissues.

In either case, secondary harm can be caused to the patient.

Needless to say, tissue necrosis caused by excessive electrocoagulation occurs from time to time. If the wound does not heal for a long time, the infection and suppuration are considered mild.

It directly leads to a variety of postoperative complications and even sepsis, which is terrifying.

We have heard of the need for immediate amputation when a limb dies.

In fact, when there is large necrosis of any tissue in the body, it should be removed immediately.

Otherwise, the large absorption of necrotoxin often affects the loss of function of other organs. Respiratory failure, liver and kidney failure, etc., can easily take the life of the patient.

Therefore, the improvement of electrocoagulation and hemostasis during surgery is very beneficial.

The tragedy of tissue ischemia and necrosis caused by excessive electrocoagulation would not have occurred.

In addition, incomplete electrocoagulation leads to re-bleeding after surgery is also a very big hidden danger.

For example, an open surgery was done to remove a tumor in the abdomen.

Larger blood vessels will definitely be ligated to stop the bleeding. However, small blood vessels are mostly stopped by electrocoagulation.

During the operation, the bleeding was successfully stopped by electrocoagulation at the small and medium bleeding spots in the abdominal cavity.

The doctor closed the abdominal cavity for the patient, and the operation was successful.

The patients and their families were very happy to hear this.

But after one night, the patient's condition suddenly deteriorated. The doctor was confused, the operation was obviously a success! After some twists and turns, nothing was wrong.

After taking photographs, it was found that the patient had an effusion in the abdominal cavity.

The experienced chief doctor looked at it and was frightened. Rush to the operating room for rescue. When I opened the abdominal cavity, I saw that it was full of blood. After investigation, it was found that the hemostasis was not firm due to incomplete electrocoagulation. Postoperative intra-abdominal bleeding is present.

After trying to save the patient, he was finally saved.

All the doctors breathed a sigh of relief.

In the future, when encountering hemostasis in the abdominal cavity, thoracic cavity, and cranial cavity, they will be extra careful.

This is just one of the most common examples.

The patient was lucky to have his life back.

Some patients die directly from postoperative bleeding.

Or there have been cases of people who become disabled and vegetative because of postoperative bleeding.

This is also the reason why many high-risk surgeries must require the chief surgeon to be the deputy chief physician or chief physician.

Because the surgical level of doctors has reached the level of deputy director or above, it is completely different from the attending level. Only the level of deputy director or above can ensure the safety of tertiary surgery.

Zhou Can's hemostasis has been upgraded to level 5, in addition to the improvement of electrocoagulation and hemostasis ability, the analysis of the cause of bleeding, diagnosis, and the selection of hemostasis methods have also been qualitatively improved.

For some bleeding spots, he only needs to look at them twice to roughly determine the cause of the bleeding, which is a problem with that part of the blood circulation system. How to solve it?

He has a very clear and intuitive understanding.

Some patients may have internal bleeding such as intracranial hemorrhage, uterine bleeding, intraperitoneal bleeding, etc. Zhou Can used to need to use examination methods to diagnose it.

Now, even if the patient does not take a film, he can accurately deduce where the patient's bleeding point is based on the symptoms described by the patient, as well as the color of the local skin, whether the patient has blood in the stool, whether he vomits blood, etc.

It can even be as big as deducing what is causing the bleeding.

In addition to the improvement of hemostasis in the above aspects, he has a more comprehensive and profound understanding of the entire blood circulation system of the human body.

There were many things that were difficult to understand or didn't understand, but now they are suddenly clear.

This should be a theoretical improvement.

After the hemostasis was upgraded to level 5, Zhou Can did not become complacent because of this, but continued to concentrate on the operation of the patient.

It seems to be just a basic surgical upgrade, but it makes him more handy and comfortable in the operation.

Surgery is the operation of the patient, and bleeding is a problem that must be addressed during the operation.

With a strong hemostasis, it is equivalent to a strong security guarantee.

This also made Zhou Can more confident and confident in the operation.

After this operation, a special patient was brought in soon after.

It's a 21-year-old guy.

There is a huge lipoma on the left side of his face, which has not been treated in time, and now the tumor is too large to cause a series of serious symptoms.

Not only did the left side of the young man's face look like a monster, but his left eye was almost blind.

The teeth in the mouth are also badly damaged, and there is not much left.

According to the patient's own report, eating is a problem.

Some slightly unchewable foods will not be eaten. Fish or meat with bones, he didn't dare to eat at all.

Because this huge tumor pressed on his mouth, it was easy for him to be punctured by sharp food during eating, causing severe pain.

In addition, the tumor can compress the breathing passages while he sleeps, making it difficult to breathe.

He couldn't sleep on his side, so he had to lie down and sleep.

Turning over unconsciously at night can cause great danger to him.

Even when the young man entered the operating room, he wore a mask on his face. The tumor made his appearance extremely ugly and hideous, causing him to develop severe low self-esteem.

"Doctor, will my face return to normal after the surgery?"

The young man asked Liu Lao with hope.

"It's basically going to be back to normal, at least it's going to be much better than it is now. However, your facial lipoma is very large, and the risk of surgery is very high. You need to be prepared for the possibility of a series of complications and even life-threatening. ”

Liu Lao said solemnly.

Removal of superficial lipomas is usually only a minor first-degree surgery.

Many junior surgical residents like to encounter this type of patient the most. Because you can practice with them.

Surgery to remove superficial lipomas is less difficult and less risky.

The senior doctors are also happy to leave the exercise opportunities to their rookies.

At present, this operation is an extremely difficult tertiary major surgery. Infinitely close to level four.

The general deputy chief physician would not dare to perform such an operation.

Mr. Liu belongs to the old qualification of the deputy chief physician, with extremely rich surgical experience and high surgical strength.

Although the title is deputy chief physician, the surgical strength is a real director level.

"This tumor has been with me since I was a child. At that time, because the family was poor, there was no treatment. Now I like a girl and she has a crush on me. But the girl's family, knowing about my situation, firmly disagreed with their daughter being with me. I didn't make any money over the years, but with the help of the media and caring people who donated money to me, I had the opportunity to have this surgery. No matter how risky the surgery is, I am willing to try it. It is a pain to live now, and life is better than death. ”

The young man's account made the doctors and nurses feel deeply sympathetic after listening to it.

How many people, their greatest desire is nothing more than to become an ordinary person. Able to live like a normal person.

A physical disability, or a physical impairment, or a chronic illness that cannot be cured, can make people live in pain. They need to face all kinds of discrimination, ridicule, and even bullying from society.

Studying, finding a job, and talking to someone are much more difficult than ordinary people.

As medicine advances and technology becomes more advanced, there are more ways to address these patients' physical defects or diseases.

A person who has lost a leg, if it is only a low-level amputation, can be fitted with a prosthesis.

After a long period of training, they are able to walk like a normal person or hold things with a prosthetic leg.

Not everyone is born with food and clothing.

A young man like this, because of his poor family, if it weren't for the help of media reporters to report on his affairs. He may not have a chance to change his fate in his life.

"Now that you've thought about it, let's start the surgery! Our doctors will definitely do their best to treat you. ”

Liu Lao asked the patient to lie down on the operating table.

The anesthesiologist prepares to perform the procedure under general anesthesia on the patient.

Zhou Can's anesthesia is still 1 point away from being upgraded to level 3, which is a very good opportunity. He immediately went over to help.

Although this operation is only a tertiary operation, the anesthesiologist is half of Zhou Can's master, a silent and serious doctor.

It is enough to show the danger of this operation.

Generally, anesthesia surgery that requires the intervention of a doctor is particularly risky.

"Lipoma is never a simple disease, it is generally closely related to the organs. When anesthetizing, multiple risks in surgery must be taken into account. For example, respiratory and cardiac arrest caused by anesthesia accidents, damage to surrounding large blood vessels during surgery, causing massive bleeding, life-threatening and so on. ”

Dr. Yu taught him some very practical dry knowledge.

A truly intelligent anesthesiologist is one like Dr. Xu, who can not only do his job well. Moreover, it can have a comprehensive prediction of all kinds of accidents that may occur in the patient's operation.

Even if it is an official doctor, the level is much lower than that of a doctor.

During anesthesia surgery, doctors can only predict some common surgical risks.

It is far from being as clever as Dr. Xu, who can have unique insights when encountering any major surgery.

It can provide a lot of very practical knowledge, so that Zhou Can can prevent various surgical risks in advance in future surgeries.

He studied very seriously.

I am also very diligent in helping to work.

It didn't take long for the intubation and preparation for the establishment of the extracorporeal bypass channel to be completed.

"Is it okay for me to anesthetize the patient?"

"Hmm!"

Dr. Yu nodded slightly, snorted, and agreed.

Zhou Can has long been accustomed to his 'unique' style of conversation.

Inhaled general anesthesia is administered to the patient immediately.

Fortunately, there were no accidents until the patient lost consciousness. During the anesthesia, there were no horrific respiratory or cardiac arrests.

[Anesthesia XP +1.]

[Congratulations on your promotion to level 3 anesthesia, which can independently provide general anesthesia or spinal anesthesia surgery for ordinary patients, can better ensure the stability of patients' vital signs during the anesthesia process, and can initially have cardiopulmonary and cerebral resuscitation, mechanical ventilation, and special management of severe patients in surgical accidents.] It can be better in patients with shock, perioperative acid-base imbalance, acute heart failure, multiple organ dysfunction syndrome, sepsis, acute renal failure, oxygen therapy, cardiac defibrillation and cardioversion, pacing and other rescue operations. 】

The anesthesiologist's promotion should be the most difficult.

Because the field involved is too wide.

Many anesthesiologists say that being promoted to attending physician is hell of a difficulty.

How difficult it is to ascend to the main rule, Zhou Can is not clear.

It took him nearly a year to move from internship to residency.

And until now, he felt that he had learned very little in the field of anesthesia, and he could only say that he had learned a few scratches.

If you want to reach the level of Dr. Xu, I am afraid that it will be difficult to achieve it without ten or twenty years.

Fortunately, this is just a side job, not a medical skill that must be promoted.

So he's not in a hurry.

The upgrade of anesthesia still brought him many unexpected benefits.

For example, the ability to predict risks during surgery.

At this moment, when he looked at this patient's surgery again, he actually had a feeling of heart palpitations.

I can't say it, I just feel inexplicable psychological pressure and mental pressure.

You know, before the anesthesia was upgraded to level 3, he was full of confidence in this operation.

Now I feel a little stunned.

It's not that he has become timid, but that after the anesthesia has been upgraded, he has a deeper awe of life and a sharper sense of danger.

"If there's no problem, let's start the surgery!"

Liu Lao obviously didn't perceive the danger, but as before, he was ready to hand over this operation to Zhou Can to exercise. He will only make a move when Zhou Can encounters an incompetent part of the operation.

"Old ...... Liu"

Zhou Can was a little hesitant.

His abnormal state was also discovered by Wu Ziyu.

Women are careful and sensitive to changes in other people's emotions and mentalities.

She just looked at Zhou Can curiously.

I don't understand why Dr. Zhou, who has always been full of confidence, suddenly became like an abyss and a cliff, and seemed to have a trace of fear that he did not dare to move forward.

This is the first time she has found this kind of emotion since she came into contact with Zhou Can.

"What's wrong?"

Liu Lao stared at Zhou Can, his eyes full of questions.

"This surgery is very risky, please check for me. If you encounter a part of the surgery that is too risky, you may need to do it yourself. ”

Zhou Can said with some uneasiness.

"Of course. At any time during the operation, if you feel unsure, stop immediately and leave it to me. As with any surgery, safety comes first. ”

Liu Lao's words have been said to him countless times.

Safety first is the most common phrase among senior doctors.

Because there was an accident during the operation, the person who took the responsibility was not the junior doctor, but the surgeon himself.

For example, in this operation, the actual surgeon is Zhou Can, but the nominal chief surgeon is Liu Lao.

If something goes wrong, Zhou Can will be affected to a certain extent, but the unlucky person is Liu Lao.

The senior doctor is willing to hand over some surgical exercise opportunities to the junior doctor, and must cherish it at this time. You must not lack morality and think that there is an accident anyway, and there is a senior doctor who will stand up to it.

This trust is actually very precious.

Many surgeons, even though they have been residents for more than three years, never let them hold a knife. At most, only give a retractor and a chance to sew the skin.

In fact, it is not that the senior doctor has any opinion of this person.

It's that this person's performance in his usual work is not good, so that the senior doctor does not dare to delegate power.

Zhou Can took two deep breaths to calm down his slightly nervous mood, and then asked the nurse to help him put on sterile gloves and start operating on the patient.

It is important to mention here that before the surgery, the doctor may need to wear sterile gloves when performing some special procedures or examinations.

If the doctor happens to be the surgeon, the sterile gloves on the hands should be contaminated at the beginning of the operation.

Then you have to replace it with a new one immediately.

(End of chapter)