Gynecologist Hao Fang arrived quickly and began to perform a physical examination on the patient.
The patient has always stressed that he must keep his child.
"Doctor, we have been married for two years and it was not easy for us to have this child. During the previous prenatal check-up, the doctor said that my uterus was abnormal and that it was a miracle that I could get pregnant."
Hao Fang frowned and reminded solemnly, "Your situation is very serious and you have already shown symptoms of threatened abortion. If you want to save the child and yourself, you must have a cholecystectomy as soon as possible. Otherwise, the child cannot be saved and you are also in danger!"
"
"Will cholecystectomy have any effect on the child?" The patient was still hesitant.
"It will have a certain impact, and the operation requires anesthesia." Hao Fang did not hide anything and told the truth.
"If the child is born under anesthesia, will he become a fool?" the patient asked anxiously.
Hao Fang sighed, "I can't rule out this possibility."
"I can hold on without anesthesia!" The woman's face was even a little distorted because of the pain, but her tone was extremely firm.
Xie Changtian and the gynecologist looked at each other, moved by the woman's determination but also embarrassed by her risk-taking.
The husband held the patient's hand and tried to persuade him in a mute voice: "Don't be stubborn. Listen to the doctor and do the surgery as soon as possible. If the child is gone, it will be gone. As long as you are safe, everything else is not a problem."
When the woman saw that the doctor was reluctant to express her position, tears fell from the corners of her eyes, "If something goes wrong with my child, I won't be able to survive."
The husband looked at Xie Changtian in despair and fell to his knees!
"Doctor, please. Save my wife, save my child."
The pleas of the patients and their families made Xie Changtian and Hao Fang hesitate.
They have met many people and encountered various situations.
There are great risks in putting women on the operating table.
The worst-case scenario is that the operation fails and neither of them can be saved. The patient's family will never give up.
They all have to be punished!
"How about trying local anesthesia?"
Zhao Yuan, who had been silent before, made a suggestion!
"Does local anesthesia have no effect on the fetus?" the woman said eagerly, shaking all over in pain.
"Better than general anesthesia! There is almost no impact." Xie Changtian quickly glanced at Zhao Yuan, hesitating.
"Then local anesthesia!" the woman said decisively, "Doctor, please arrange surgery for me quickly! Don't worry, if something goes wrong, I don't blame anyone."
The woman also knows her current situation.
Severe pain causes uterine contractions, which can lead to miscarriage at any time.
Based on his trust in Zhao Yuan, Xie Changtian decided to give it a try.
In the multi-functional hall, more than a dozen surgeries are displayed on the screen, most of which have already started.
Only the emergency surgery operating room had no patients.
Even Zhao Yuan left the operating room.
Just when everyone thought that the emergency surgery department was very likely to cancel this teaching activity.
A flat car enters the operating room.
Xie Changtian introduced to the camera.
"Next, Dr. Zhao Yuan from the emergency surgery department of our hospital will perform local anesthesia on a pregnant patient with acute cholecystitis!"
Without going into too much detail, it was like thunder on the ground!
What???
Zhao Yuan, a medical student in emergency surgery, will demonstrate a level 4 difficulty operation on site!
Is this crazy?
…
The main window of the screen switches to the Emergency Surgery Digital Operating Room.
In addition to the scenes of doctors and nurses busy in front of the operating table, there are also subtitles to introduce the patient's condition.
This is a comprehensive surgery.
First, the emergency surgery doctor performs local anesthesia on the patient to remove the gallbladder, and then the obstetrics and gynecology department induces labor to ensure that both the fetus and adults are safe.
As an expert in emergency surgery, Chen Peng certainly knows the difficulty.
Local anesthesia is also called regional anesthesia. When the patient is conscious, local anesthetic is applied to a part of the body to temporarily block the sensory nerve conduction function of a certain part of the body.
The advantages of local anesthesia are that it is simple and safe, the patient is awake, there are few complications, and it has little impact on the patient's physiological functions.
However, local anesthesia is generally used for debridement and suturing, tooth extraction, small mass resection, Kirschner wire removal, etc. In clinical practice, local anesthesia is rarely used for major surgeries.
Because local anesthesia not only places extremely high demands on the anesthetist, but also has strict technical requirements on the operating surgeon.
Anesthesiologists must be able to comprehensively consider all factors and have plans for emergencies that may arise at any time.
The surgeon must operate quickly and accurately, completing each step within the local scope of anesthesia and within limited time.
The use of local anesthesia for pregnancy complications is not without reference cases.
However, it is extremely rare in actual clinical application.
What's more, now it's a public place like hospital communication.
If the operation fails, it will not only involve medical disputes, but also affect the image of the hospital.
"It was often said before that Tianhua Hospital has the top emergency surgery team in the country. Today, the myth is about to be shattered."
Chen Peng sighed, part regret and nine parts gloating.
Ling Chao frowned and said, "I don't know how the management arranged it! Once the operation fails, if word spreads, it will cause a fatal blow to Tianhua's image!"
Chang Hongbo's expression seemed unchanged, but he was still beating a drum in his heart.
If Xie Changtian were here, he would definitely scold him bloody.
For a public event like this, it's enough to be stable, why bother doing anything fancy?
If we make it so difficult, wouldn’t we be digging a hole for ourselves?
He originally planned to use this exchange meeting to let the newcomers in the hospital show off their talents and let the outside world know that Tianhua Hospital also pays attention to the construction of talent echelon.
Among them, Zhao Yuan is a key talent reserve.
Zhao Yuan has great abilities and great potential, and he often has flashes of inspiration during operations.
But it was obvious that the difficulty of level four surgery was beyond his capabilities.
…
Preoperative preparation is completed quickly.
Bai Lu serves as the equipment nurse and organizes the tools that need to be used.
Bai Lu has full trust in Zhao Yuan.
She firmly believed that since Zhao Yuan dared to perform this operation, there would be no problem.
Anesthesiologist Tu Lin has collaborated with Zhao Yuan many times.
He knew that although Zhao Yuan was an intern, his level of performing first-, second-, and even third-level surgeries was similar to that of a chief physician.
Sometimes when he was resting by himself, Zhao Yuan would administer the anesthetic and he never made any mistakes.
Tu Lin's palms were sweating now and he was a little nervous.
Although there were not many people at the scene, dozens of people in the lecture hall were staring at him.
For the first time, he felt like he was naked in front of the public without any clothes on.
As a military doctor who once saved lives and healed the wounded on the battlefield, Zhao Yuan has in-depth research and understanding of anesthesia.
On the battlefield, the responsibility of military doctors is not only to use the most efficient method to keep soldiers alive.
You can't use general anesthesia to numb the soldiers and wait for them to be captured by the enemy.
Under special circumstances, soldiers have to go into battle with injuries after treatment.
At this time, the anesthesia level of the military doctor will be tested!
"Doctor Tu, I will perform the anesthesia, please be there to guide me!"
Tu Lin, the anesthesiologist, was a little surprised. He glanced at Xie Changtian first, and when he saw him nodding towards him, he said, "Okay!"
"Get propofol and licadoin ready!"
Zhao Yuan's words surprised Tu Lin.
In local anesthesia surgery, licadoin is preferred, and propofol is rarely used.
Propofol is usually used for general anesthesia. For example, propofol is used in painless gastroscopy or induced abortion in major hospitals. After use, propofol will bring an extremely comfortable feeling to the patient. Many patients will wake up and feel
I feel like I have had a wonderful dream...
Of course, drugs have both good and evil sides. The unexpected death of superstar Michael Jackson was related to improper monitoring after injecting propofol.
Propofol is generally contraindicated in obstetric surgery.
Soon, Tu Lin knew why Zhao Yuan chose two anesthetics at the same time.
Propofol is used as an induction agent, and licadoine is used as an anesthetic.
In many literatures, propofol is used in this way.
However, Tu Lin, who always seeks stability, would never use this plan on such an important occasion.
Zhao Yuan whispered to Bai Lu, "Ten 1 ml syringes."
The finer the syringe needle, the less irritation to the patient and the more delicate the anesthetic infiltration will be.
However, the trouble is that it will become difficult to push the anesthetic.
Soon, five syringes filled with propofol and five licadoin were placed on the plate.
Zhao Yuan started anesthesia.
Tu Lin stood closest and felt the deepest.
Zhao Yuan's movements were gentle and skillful.
The pace of anesthesia infiltration is unhurried and just right.
The most difficult part was pushing doses of propofol and licadoine every three seconds.
Each push is different, and changes will be made at any time based on the slight reaction of the patient's body tissue.
ECG monitoring, blood pressure, heart rate, and breathing were all stable.
This means that the local anesthesia is extremely effective and the patient does not feel the pain of the operation.
Tu Lin couldn't help but sigh that if he had done it himself, he would never have such a perfect performance.
The main screen of the multi-functional lecture hall once again switched to the operating room of the emergency surgery.
Zhao Yuan was cutting the skin with a knife.
Blunt separation of tissues and muscles, and smooth opening of the abdominal cavity.
Someone soon discovered the controversy.
Zhao Yuan did not plan to use laparoscopy, but the incision was less than five centimeters.
Just when I thought this was a huge, invincible mistake.
Zhao Yuan used a medium-curved forceps to pull out the swollen gallbladder.
Chen Peng's eyes burst into disbelief.
At this moment, he finally knew why Zhao Yuan could stand in front of the camera!
This medical student actually knows how to do blind exercises!
