158 Do you still want face!
The Flying Knife teaches to see the patient before surgery, which is a rule to avoid the surgeon not being aware of the patient's situation at all, and to a certain extent, it plays a positive role in avoiding medical accidents as much as possible.
But many professors don't have time to see patients at all, anyway, they are all skilled workers, and they can do it when they go up, and they know it in their hearts when they look at the eye films before surgery.
Professor Tang and Ren Haitao of the Second Hospital of the Medical University did not forget to see the patients, and Wu Mian saved a lot of tongues.
Professor Tang looked at it a little simpler, mainly for physical examination and watching films, Ren Haitao was very careful, starting from the test sheet.
There were no obvious abnormalities in the preoperative chest X-ray and ECG examinations. Laboratory test results: white blood cells 9.17×109g/L, neutrophil percentage 50.1% (normal value 50.0%~70.0%).
This time, Ren Haitao has exhausted his skills, and even Professor Tang feels a little too careful to look at the patient. He also did very few operations such as airway assessment, and even the most professional electronic airway scope was brought to Yaizi without any trouble.
Professor Tang shook his head in his heart, no one has such a detailed operation at home, and it is basically the anesthesiologist who presides over anesthesia before going on stage to take a look. And Ren Haitao is doing this as if he is demonstrating the basic operation, just like taking students.
No, this is for Mr. Wu to see, Ren Haitao's motivation is really enough.
The operation is estimated to be over in more than an hour, but unfortunately Mr. Wu said that there was something wrong early in the morning and refused to sit and eat together after the operation.
At 8:15, the patient was sent to the stage, and Ren Haitao escorted him all the time, which was more rigorous than the formal requirements.
It's not that it can't be done, but each anesthesiologist is responsible for at least 5 surgical patients a day, and some are still connected to the table, and the top does not come down, and the patients below have to go up, otherwise the operation will not be completed.
Anesthesiologists don't have time for that.
However, these problems do not exist today, there is only one patient, and Ren Haitao has tried his best to show what an anesthesiologist can do.
Coming to the operating room and preparing for the operation, Ren Haitao looked at the various values of the ventilator, monitor, and micropump, and glanced at the dilapidated airtight doorway.
"Teacher Ren, you can come to anesthesia in person, the patient is really lucky. Wang Chengfa accosted him on the side and said.
Ren Haitao snorted absentmindedly, and didn't reply at all, all his thoughts were not here.
"When we're at home, how much numbness can we get a day?" Wang Chengfa continued to chat.
Although he could see that Ren Haitao didn't want to take care of himself, he was a senior doctor in a higher-level hospital after all, and he had the capital to be arrogant. Wang Chengfa didn't understand why, it definitely wouldn't be because of Township Chief Wu.
Although they were angry and knelt down and licked Wu Mian, they couldn't show it, after all, they were all people in the medical circle...... The most important thing is that Wang Chengfa has never understood why.
He said ten sentences, and it would be good if Ren Haitao could answer one or two sentences. While making preoperative preparations, checking various anesthesia and rescue drugs, Ren Haitao waited for Wu Mian's arrival.
Soon, Wu Mian, Dean Zhou and others came in talking and laughing.
"Teacher Wu!" Ren Haitao had been preparing for a long time, and greeted him as soon as possible.
"Hmm. Wu Mian nodded, "Do you feel difficult to see the patient before the operation?" ”
"It's not difficult. Ren Haitao said confidently, "The preoperative visit assessed the patient's clinical cardiac function level I., airway assessment Mallampati grade I., mouth opening greater than 3 fingers, cervical spine escalation, nail and chin distance and chest and chin distance showed no abnormal indications." The patient complained of a mild upper respiratory tract infection 7 days ago, with occasional cough and sputum production, and a normal body temperature of 36.7 degrees Celsius. ”
"Leukocytes 9.17×109 g/L, neutrophil percentage 50.1%, eosinophil percentage 6.2%. ”
Hearing this, Wu Mian's figure seemed to pause slightly, then turned his head, and absentmindedly turned his head and said something to Chu Zhixi.
Chu Zhixi was stunned, nodded immediately, and turned to leave.
Ren Haitao was not unhappy because of Wu Mian's "contempt", he continued to report his medical history, which was particularly thorough. Regardless of whether Mr. Wu listens or not, he must explain it carefully.
is a very detailed report, although there is still some unsaid, but Wu Mian is not picky. What I didn't say didn't matter, Ren Haitao did things very carefully.
Nodding, Wu Mian sat on the small round stool in the corner and watched the operation silently. Soon Chu Zhixi came back, sat next to Wu Mian, and watched with a smile as a kind of centaur was busy.
Wang Chengfa listened to Haitao's report, his eyebrows were upside down, and his old face was red. Although the surgery is average, the height of the eyebrows and eyes can still be understood.
rushed to shoot Wu Mian's fart, and it reached this level. The chief physician of the anesthesiology department of the highest level tertiary hospital in the province turned into a junior doctor.
As for it!
Do you still want face!
Wang Chengfa and Director Wang slandered in his heart.
Wu Mian completely ignored Wang Chengfa's existence, whether he was happy or unhappy had nothing to do with him.
After the operation, the most important thing is to go to Lao Ou Mountain with Chu Zhixi. Being able to live leisurely for two days and live a paradise-like life makes me yearn for it when I think about it.
"Girl, what did you buy yesterday?"
"I bought a little spicy food, and fresh cucumbers, which I washed and cut in the morning. Chu Zhixi said, "It's boring to drive, waiting for you to feed." ”
"Well, I'm thinking about bringing a few pairs of gloves for a while. ”
"I just bought it by the way, don't worry. Chu Zhixi said.
Looking at Ren Haitao's anesthesia, Wen Zhenhan and Wang Chengfa had already gone to brush their hands, the instrument nurse was counting the instruments with the itinerant nurse, and Wu Mian was staring at Ren Haitao.
The patient was sent to the operating room, and Ren Haitao routinely opened venous access, connected to monitoring, and monitored blood pressure of 100mmHg/65mmHg, heart rate of 72 beats/min, and SpO2 of 97% in the state of non-oxygen inhalation.
All the values are normal, Ren Haitao just wants to do his own limit, just don't make Teacher Wu uncomfortable to watch.
If you talked about Teacher Wu in the past, Ren Haitao may still have a trace of doubts.
But after the last guidance to rescue patients with anaphylactic shock, he has long admired the five-body throw to the ground. Ren Haitao has written down the questions to be asked after the operation and recited them repeatedly, for fear of missing something.
It's a pity that Mr. Wu doesn't have time, so it seems that he has to wait a while.
After pre-inhaling oxygen through the mask for 5 minutes, midazolam 1 mg, ondansetron 4 mg, dexamethasone 5 mg and fentanyl 100 μg were administered through an intravenous kettle.
Intravenous bolus injection of lidocaine 20 mg, propofol 150 mg, rocuronium bromide 50 mg, rapid anesthesia induction, mask ventilation was smooth, and the chest rose and fell well.
Ren Haitao paid attention to all the operations, paid full attention, and even checked each ampoule one by one, for fear that the Bajingzi Traditional Chinese Medicine Hospital would be irregular and there would be expired drugs in the medicine store.
When I go out for surgery, I can't be too cautious in front of Mr. Wu.
After intravenous bolus injection of rocuronium bromide for 3 minutes, the 7.0 ordinary endotracheal tube was selected for endotracheal intubation, and the intubation process was smooth, and the fixed catheter was placed at a depth of 22 cm from the incisors.
All goes well, then just expand your lungs and connect to the ventilator. Ren Haitao also knows the value of the ventilator, and everything is under control.
But change happens in an instant, and no matter how careful and serious you are, you can't avoid accidents.
During hand-controlled ventilation, Ren Haitao suddenly felt great resistance, showing an "iron lung" feel.
His heart was cold all of a sudden, so damn...... What's the situation!