Just like that, amidst the shock and surprise of everyone in the audience, Chen Nan walked towards the patient!
In the observation room outside, a group of leaders and experts couldn't help but look solemn when they saw this scene before them. They remained silent and waited for the operation to begin!
At this moment, a man in his thirties turned to Ge Yerong and said:
"Dean Ge, this is..."
When Ge Yerong saw the man speaking, he first felt a thump in his heart, and then looked at the dignified and majestic middle-aged man in his fifties next to the man.
He naturally knew that this question was not what Secretary Yang wanted to know, but this person.
Ge Yerong said quickly: "Secretary Yang, let me introduce you."
"This person is not an ordinary person. Although he looks young, he is the deputy director of the Integrated Traditional Chinese and Western Medicine Ward of our hospital!"
"Young and promising, he was recommended by President Lu and a group of Chinese medicine masters."
"His acupuncture and anesthesia are very effective!"
"When I was participating in the training, even Director Gao of the Administration of Traditional Chinese Medicine was very fond of him!"
Hearing Ge Yerong's words, Secretary Yang looked at the man aside.
The other party smiled and said, "Well, okay!"
"This surgery is meaningful!"
"If successful, this will be a successful example of combined traditional Chinese and Western medicine in the treatment of Parkinson's surgery!"
"Moreover, this also reflects the exquisiteness of our Chinese medicine!"
"good!"
"Dean Ge is good at employing people."
When Ge Yerong heard this, he breathed a sigh of relief and said with a smile: "Leader Qin is so polite!"
Although Ge Yerong’s level is not low!
After all, the China-Japan Friendship Hospital, as a hospital directly under the jurisdiction of national ministries and commissions, is a department-level unit.
But...after the medical system was restructured, the administrative level of the medical system could no longer be interchanged with the administrative level as before.
Even so, for such a dean, his status, power and connections are not low.
But...the Mr. Qin in front of me is a big deal!
The difference is huge!
Ge Yerong knew that Mr. Qin was worried about one thing, that is, someone would come in and get gold plated by relying on special relationships and connections!
As we all know, the significance of today's surgery is anything but ordinary.
If you can participate in this operation as an anesthesiologist or chief surgeon, it will definitely be a rare and great thing for your future development and life experience.
Therefore, Ge Yerong must explain this in advance, otherwise... the misunderstanding will be huge.
But Secretary Yang's words also made Ge Yerong suddenly wake up to something...
This...this Chen Nan can't...
Suddenly!
Ge Yerong's heart trembled, could this Chen Nan really come to get gold plating?
Damn it, if the operation fails because of Chen Nan, I...
For a moment, Ge Yerong panicked inside.
He had to brace himself to watch the operation.
Not just him!
Today, among those who came to observe, which one is an ordinary person?
Everyone raised their eyes to watch the operation, and at the same time... they were also watching this young and somewhat shameless anesthesiologist.
There are many experts among them!
As we all know, the trouble of this operation is not only the handling of delicate intracranial organs and tissues, but also the role of the anesthesiologist.
It is necessary for the patient to cooperate accurately with the doctor while undergoing anesthesia.
As a result, the difficulty of the operation increases proportionally!
And in the operating room!
Dozens of neurosurgery experts gathered in a circle and stood there, carefully observing the operation.
The operation officially begins!
While everyone was watching, Chen Nan actually took out a pack of filiform needles.
The scene in front of him immediately frightened a group of experts around him.
Good guy, what are you doing...?
Acupuncture?
Isn't this surgery?
Why did you take out the acupuncture needle?
For a time, not only the experts in the room, but also everyone in the observation room outside couldn't help but start talking about it.
"What...what is this for?"
"I don't know...acupuncture?"
"Let's see and then talk!"
"Um……"
Chen Nan was unmoved. He held an acupuncture needle and inserted the needle into the patient's Hegu point and the Chengshan and Zusanli points on the lower limbs. He also twisted, lifted and inserted the needle to quickly gain Qi.
After gaining qi, Chen Nan looked at the patient's condition and judged the physical signs.
Duan Youguang on the side looked at Chen Nan's operation and said nothing.
He respects Chen Nan, just as he respects every professional.
If you don’t understand, don’t comment.
This is Duan Youguang’s philosophy.
Leave professional matters to professionals, and then trust them!
And Chen Nan will naturally not betray the trust of the other party.
The reason why he chose Hegu, Chengshan and Zusanli was to gain Qi while allowing the Qi and blood in the meridians throughout the body to react more quickly.
Acupuncture anesthesia has its unique advantages.
First of all, it helps the adrenal cortex function and makes patients more sensitive to stress reactions.
After all, this Parkinson's surgery is very important to find the patient's VL nucleus.
How to accurately locate the focus point?
There is no doubt that it makes the patient more sensitive to stress, better promotes the patient's reaction during surgery, and allows the surgeon to better find the focus of the disease.
Secondly!
Hegu point is a very magical point.
It has a very good regulating effect on many diseases of the head and face.
Especially for painful diseases, Hegu is the most important factor. Acupuncture has a saying of "Hegu is found on the head and face".
It’s evident!
Acupuncture anesthesia is helpful to improve the blood supply and nourishment function of brain tissue during surgery. For neurosurgery and damage to head function, it is conducive to reasonable brain protection.
This is what Chen Nan will do today.
Li Huapeng asked: "Director Chen, when can the operation begin?"
Chen Nan looked at the time: "Wait a moment."
"The operation will begin in fifteen minutes."
"The patient is now in a Deqi state and needs to make the meridians more sensitive."
"After that, the operation will go smoothly!"
Li Huapeng heard the sound, nodded and said nothing.
Everyone in the room stared at Chen Nan seriously.
Anesthesiologist Luo Huixiang is even more so!
Today, he has completely become a standing device with no output. He is like a destroyed defense tower that cannot even provide a field of vision.
Chen Nan was observing the patient's condition while performing acupuncture.
It’s almost time!
He began to adjust the stimulation frequency.
This time, Chen Nan still chose electro-acupuncture.
After all, compared with traditional acupuncture, the stimulation frequency of electroacupuncture is more stable when using a machine.
but!
At this moment, Chen Nan suddenly chose the 100hz unit.
You should know that under normal circumstances, the stimulation frequency will not exceed 20hz when performing acupuncture anesthesia on the limbs, but... the head is different.
Most of the head is the scalp. In order to achieve better acupuncture anesthesia in this area, the intensity must be increased.
Therefore, there is such an operation.
As for the waveform, he adopted density waves.
When all debugging was completed, seven filiform needles appeared in Chen Nan's hand.
Start directly with Sishencong, but only take two needles.
Then, along the Du Meridian, select three points in succession.
Afterwards, stimulate again around the Zygomatic and Liao points.
The anesthesia effect of acupuncture depends on two keys!
Point selection is the first key point of acupuncture and anesthesia!
Generally speaking, there are no more than two types of acupoint selection for acupuncture and anesthesia.
One is to select acupoints along the meridian, selecting acupoints that are closely related to the incision site and surgical organs. For example, Yangming Hegu and Sanjian acupoints are selected for tooth extraction; Sanyinjiao and Taichong acupoints are selected for abdominal fallopian tube ligation.
One is to select proximal acupoints, selecting acupoints near the operation. For example, when extracting teeth, choose cheekbones and chest acupoints; when performing caesarean section, choose acupoints with pulse points, etc.
But Chen Nan’s acupuncture and anesthesia is extraordinary!
He has another method of selecting points.
Without naming it, Chen Nan called it: "Selecting acupoints according to neurological theory."
Or it can also be called acupoint selection in the same segment!
For example, for thyroid surgery, choose Futu, Hegu, and Neiguan (C1-C8); select acupoints according to the distribution of nerve trunks or directly stimulate the nerve trunks.
This method of acupoint selection is widely used in orthopedic surgery.
For example, the Jiquan point or the brachial plexus point (one needle on each side of the axillary artery pulse point) is selected for certain upper limb surgeries; the third and fourth lumbar nerves, femoral nerves, sciatic nerves, etc. are stimulated for certain lower limb surgeries.
The acupoint selection technique used by Chen Nan today is exactly this. He stimulated the second branch of the trigeminal nerve at the Zhongliao acupoint to perform certain head surgeries or craniocerebral surgeries, which was very effective.
Chen Nan had no reservations about these things.
Performing it in public is just hoping to get some people's attention.
He does not believe that as a national demonstration site for the integration of traditional Chinese and Western medicine, acupuncture and anesthesia, which is expected to become a technology of traditional Chinese medicine influencing the international medical circle, can not be taken seriously!
He glanced at the cameras around him, looking forward to being really noticed in this scene today.
or!
Even if it doesn't happen today, he still hopes that today's surgery will make the country or relevant departments pay attention to such an issue.
Of course, acupuncture anesthesia and acupoint selection are only one of them!
The real difficulty lies in the second part!
That is, from gaining qi, to "guiding qi", and then to "keeping qi".
The problem in between is the difficulty of acupuncture.
Of course, this is only the scope of traditional Chinese medicine, not the scope of Western medicine, which Chen Nan doesn’t understand.
It may be necessary to conduct research from various aspects such as neuroelectrophysiology or neurotransmitters.
Chen Nan's pretentious behavior today is undoubtedly sending a signal to the outside world:
"Research on modernization of acupuncture anesthesia, one missing N, waiting online, urgent!"
When it comes to acupuncture techniques, it pays attention to a state of "qi reaches its full effect"!
What does "Qi Zhi Zhi Zhi" mean?
Acupuncture "deqi" generally requires a preliminary preparation.
For example, a lung resection operation under acupuncture usually takes 4-8 hours, and additional anesthesia can be added during the operation.
Anesthetic drugs can be used to anesthetize, and an additional dose or other can be performed according to the amount.
And how to maintain or increase the "deqi" of acupuncture?
This is a problem!
However, for Chinese medicine, it is difficult to say it is difficult, but it is easy to say it is easy.
It can be done by not only drawing on the experience of acupuncture treatment techniques, but also taking into account the long operation time of lung resection surgery.
A method of intermittent operation at one point and rotating operation at multiple points is adopted.
This enables acupuncture to "de-qi" relatively stably and without interruption, achieving a state of "qi reaching its full effect" for a long time.
This is a great test of a basic skill.
"Deqi!"
The human body has yin and yang qi, which turns into the qi of the internal organs, circulates through the meridians, and spreads throughout the body.
Only by gaining Qi can we get the final effect!
The higher the level of "Deqi", the higher the level of acupuncture.
At this time, after acupuncture, Chen Nan clearly understood the patient's condition and had a relatively comprehensive judgment.
After turning on the power, Chen Nan made a little judgment and knew that everything was ready.
This is the so-called "Qi arrives and the effect arrives"!
Then, Chen Nan said directly to Duan Youguang on the side: "Director Duan, you can start!"
Duan Youguang heard the sound and couldn't help but asked curiously: "Don't you need to... wait for a moment?"
Chen Nan smiled and said: "No need!"
"Start now, just in time!"
As soon as these words came out, Luo Huixiang was the first to be unconvinced.
After all, even if general anesthesia or other anesthesia methods are used, the patient is still in the process of absorption.
But after Chen Nan connected the electroacupuncture, he started the operation directly.
Is this anesthesia effective?
and!
He didn't believe that Chen Nan could solve the anesthesia problem with just a few needles and electricity.
The duration of this operation is unknown.
As an anesthesiologist, you must test well and be prepared to increase or decrease the dosage of medicine at any time.
And Chen Nan, is this possible?
However, Duan Youguang's eyes were deep, and after seeing Chen Nan's response, he did not hesitate at all, turned around and nodded to Li Huapeng and others beside him.
Signal the operation to begin!
Li Huapeng nodded quickly and began to prepare the stereotaxic instrument.
The surrounding neurosurgery experts all frowned!
Will this work?
Is this anesthesia?
Can this kind of anesthesia solve the problem?
Can the patient persist in completing this surgery?
For a moment, the entire operating room was silent. Everyone was obviously a little uneasy about the next operation!
In the observation room outside, an expert couldn't help but frown and said: "Is this... possible?"
"This...can the operation be performed without anesthesia?"
"By the way, Professor Wu, you are from the Anesthesia Research Center. Acupuncture anesthesia...is this possible?"
The professor surnamed Wu heard this, but turned a deaf ear!
He stared closely at Chen Nan's operation.
There was something in his mouth, but no one around him could hear it.
It seems like a demon!
"I...I don't know either!"
"But... I think the possibility is relatively high."
Wu Yongbing has been thinking about Chen Nan's use of acupuncture points just now. It seems ordinary, but...in fact, there are too many profound things hidden behind it.
Wu Yongbing is the deputy director of the Capital Anesthesia Research Center. He has been responsible for acupuncture and anesthesia-related matters for a period of time.
Wu Yongbing even gave a nationwide guide to acupuncture and anesthesia!
Simple acupuncture and anesthesia surgery can be used for five surgeries including tooth extraction, eyebrow tattooing, and thyroid surgery!
There are detailed acupuncture and anesthesia guidelines for these surgeries.
but!
After this guide was announced at that time, not only did it not attract much attention, but everyone was somewhat dismissive of it.
After all, there is no point in using acupuncture anesthesia for such a small surgery!
However, for those major surgeries, although Wu Yongbing's team has occasionally succeeded, there is a lack of big data sample support.
Obviously, Wu Yongbing's ambiguous answer did not satisfy everyone.
Mr. Qin, who had been silent until now, suddenly spoke!
"Professor Wu, can acupuncture and anesthesia be used clinically?"
"In other words, what is the specific effect of acupuncture anesthesia?"
Hearing Mr. Qin speak, the room instantly became quiet!
Wu Yongbing said excitedly:
"Mr. Qin!"
"Acupuncture and anesthesia is definitely a banner of our Chinese medicine!"
"It's even a stepping stone to go global and let the world recognize traditional Chinese medicine."
"We have done research and found that acupuncture anesthesia can indeed be used clinically, and we have published five versions of clinical guidelines."
"As early as the 1950s and 1960s, we have achieved very good results with acupuncture, and the history of acupuncture and anesthesia can be traced back to 607 AD."
"Of course there is a reason for this!"
“In the 1970s, acupuncture and anesthesia reached a very powerful level!
There are more than 30 countries that use acupuncture clinically. Sweden, Canada, Japan, the United States, Singapore and other countries have begun to engage in research on the principles of acupuncture.
By 1979, acupuncture anesthesia was used in almost all common surgeries across the country!"
"But...after the 1980s, the popularity of acupuncture and anesthesia suddenly dropped!"
"The main reason is because of the development of modern anesthesia medicine. Compared with acupuncture anesthesia, modern anesthesia concepts are more in line with clinical operations."
Wu Yongbing sighed: "Because...the effect is unstable!"
“First, incomplete analgesia is the most prominent problem of acupuncture!”
"Secondly, visceral reactions cannot be completely suppressed."
"Finally...the muscle relaxation is not enough. There is a big gap between the degree of muscle relaxation controlled by acupuncture and muscle relaxant drugs. This may be related to incomplete analgesia and visceral reactions. Especially in abdominal surgery, muscle tension often brings problems to the surgical operation.
difficulty."
"So, in the 1990s, the rapid development of analgesics and anesthetics in the United States directly caused the popularity of acupuncture and anesthesia to subside."
"At present, acupuncture has not been widely promoted in clinical practice and has not gained international recognition. This is mainly because the analgesic effect is unstable, the operation of acupuncture anesthesia is not standardized, and the principle of action is still unclear."
"so……"
"To this day, this is still the situation!"
"but!"
Wu Yongbing said this and continued to say excitedly: "I believe it's not that acupuncture and anesthesia won't work, but that we haven't researched it yet!"
Mr. Qin heard the sound and nodded, his eyes thoughtful.
He was thinking about what Wu Yongbing said.
I am also thinking about what Chen Nan said.
The PD3Y plan was proposed by Qin Shiming.
Qin Shiming has his own views on the development of medicine, and he is not a pure introductionist.
He sticks to his own ideas and ideas.
Only when Chinese medicine stands up on its own can we fundamentally solve medical problems.
Relying on overseas is not a way out after all.
Acupuncture anesthesia...
Is it feasible?
Thinking of this, Qin Shiming looked up again at the surgery that was about to begin.
If the operation is successful!
He decided to try it!
Moreover, Chen Nan is too young.
Being young is a good thing. It means that Chen Nan will have a long development and growth period in the future, and his peak will last for a long time, which means... maybe!
…
Operating room.
Although Duan Youguang looked calm on the outside, he was a little uneasy inside.
He took the tweezers and prepared to test the patient.
But……
After testing it many times one after another, the patient's reaction... surprised him!
Is it really better?
Duan Youguang couldn't help but look at Chen Nan.
But Chen Nan smiled at himself: "Director Duan, I am currently maintaining anesthesia for two hours. If the time is too long... I will need another injection."
Duan Youguang nodded quickly: "The operation begins!"
Chen Nan stood aside and observed the operation. This kind of operation was far more difficult than ordinary surgery.
Regardless of the surgical operation, there are requirements for the surgeon.
Or modern instruments combined with digital exploration.
They are all performances of top surgery.
Under the multi-dimensional digital influence of TPGS, only one opening is needed and no large-scale operating space is required for the head.
Two robotic arms, with the help of drills, enter the skull.
And this time!
Along with the sound of skull grinding, the atmosphere in the operating room was very serious.
And in such a serious atmosphere, suddenly a burst of sound rang out.
"Smells good?"
"What...what does this smell like?"
"Why do I feel itchy on my head?"
"Director Duan...where is the fire?"
Following the patient's nonsensical and even inappropriate words, the reaction in the operating room was completely different!
Many people couldn't help laughing.
but……
More people were surprised.
Because such a question happens to indicate that the patient is conscious but has reduced pain perception!
This is definitely a good thing for this surgery!
Duan Youguang is also in a good mood!
He joked: "I'll show you what it is when I get a chance."
"But...do you feel like it smells like roasted sheep's hooves?"
As soon as these words came out, the patient greatly agreed: "Indeed!"
"It's a bit similar!"
"That...collagen smell?"
"right!"
"But...it's more like...the smell of burnt ribs when my wife cooks them."
One sentence made everyone laugh no longer.
"Ha ha!"
"That's right!"
"Yes, that's what it tastes like."
This joke made the atmosphere in the operating room less depressing than before, and also made several surgeons feel more relaxed.
Modern stereotactic devices are by no means comparable to those of the past.
This is modern digital analysis.
When installing the directional device, the sagittal midline of the frame must coincide with the midline of the skull. The Y-axis of the frame is parallel to the G-I line. The head is located in the center of the frame in the front-to-back direction. Avoid tilting back, tilting forward or rotating the frame with the appearance of a ray.
Possibility to eliminate positioning errors!
The anterior horn of the lateral ventricle is punctured through the cranial hole, and pressure-inflated ventriculography is performed or after positive contrast agent is injected.
Immediately take anteroposterior and lateral cephalograms!
All of a sudden, the third ventricle, interventricular foramen, aqueduct, pineal recess, anterior and posterior commissures and other positioning landmark structures were all displayed on the screen.
Next, comes the most critical step!
"Prepare target positioning!"
Following Duan Youguang's words, several directors around him nodded quickly.
Li Huapeng controls the stereotaxic digital equipment, monitors it at all times, and accurately controls various variables.
And another director began to say to the patient: "Now, raise your right hand!"
The patient slowly began to raise his right hand.
Along with the constant shaking of the palm, the digital instrument on the side analyzed and fed back the reaction inside the skull!
"X=18mm, Y=2mm, Z=6mm!"
Seeing the patient's cooperation, Li Huapeng was so excited that he quickly said without waiting for Duan Youguang on the side to react!
Several other directors also suddenly became excited!
The first cooperation was perfect!
The first step is already on the right track!
This surgery is likely to be successful!
For a while, several people were a little excited.
Duan Youguang suppressed his inner excitement and said again: "Locate the target, the ventrolateral nucleus of the thalamus!"
"Conduct tremor and stiffness analysis!"
"receive!"
If the tremor analysis and coordination difficulty are said to be 70 points.
Then...the stiffness analysis requires the patient's cooperation to reach 90 points!
In this way, the patient's cooperation will be very important for finding and locating the target!
All of a sudden!
Everyone took a deep breath, held their breath, and got ready.
Qin Shiming outside could not help but hold his hands in front of his chest and his eyes became serious.
If successful!
This will advance the success of their PD3Y plan.
Even, it will help more patients.
But……
If it fails.
The PD3Y plan will even become a laughing stock for some people.
Therefore, at this moment, everyone could not help but put away all their emotions and started to look forward to it seriously.
While others were concerned about the success of the operation, Wu Yongbing on the side was concerned about whether Chen Nan's anesthesia could effectively help the patient!
Time, at this time, became extremely slow.
Sweat had begun to form on Duan Youguang's forehead.
This is a sign of tension and anticipation.
And at this moment...
Suddenly, a sound rang out.
"I...I can move it myself?"
"Or...will you help me move?"
As soon as these words came out, there was a sudden silence in the operating room. Everyone stared at the patient on the operating table with their eyes wide open in search of reputation!
"You...you...don't look at me like that!"
"I...makes me very nervous."
"When I get nervous, my hands tend to get stiff."
"Ouch..."
"Coming!"
Before Li Huapeng could speak, he saw the indicator start to move.
"Appeared!"
"Ventromedial nucleus of the thalamus (Vim), X=14mm, Y=5mm, Z=0!"
"Quickly locate!"
In an instant, Duan Yuguangfu reached his heart and quickly started the operation.
This cooperation immediately excited everyone.
And Duan Youguang really didn't expect... this surgery could still be done?
The patient's cooperation is perfect!
Where can I find such a good anesthetist!
Not only can the patient's pain be greatly reduced, but it can also keep the patient awake!
What kind of powerful anesthesia technology is this?
A moment!
Duan Youguang said quickly: "Get ready for guide puncture!"
"Adjust the directional device according to the target coordinate data!"
Li Huapeng: "Received!"
"Verification and identification of target location!"
"receive!"
"The electrode puncture was successful!
Perform neurological and mental function tests!
Electrical stimulation test or anteroposterior and lateral cranial radiographs...
With the complementary cooperation of the four people, this surgery is developing in the direction that everyone expects!
time……
Minutes and seconds pass by!
Duan Youguang, while operating, carefully observed the patient's condition.
The key to this surgery lies in this!
During the process of making damaged lesions, we must pay close attention and observe the patient's reaction and clinical effects, which is crucial to achieving satisfactory efficacy and preventing complications.
Therefore, it is best to use less or no sedative drugs during the operation to keep the patient highly awake and cooperative.
If the symptoms are not relieved or complications occur, it means the positioning is wrong and the damage should be stopped immediately.
For patients who become confused and unable to cooperate during the operation, the operation should also be terminated.
And this time!
None of the above situations occurred!
At this moment, suddenly an exciting voice sounded.
"The tremor in the patient's left hand has disappeared! Disappeared!"
Li Huapeng shouted excitedly!
You can't blame him for being impatient.
He is really too excited!
Two years of hard work!
Will we finally succeed today?
Li Huapeng felt that his heart was so happy that it reached 200 speeds. If it were not for the restriction of myocardium, he felt that if he gave himself a turbo boost, he would have reached 400 to 500 speeds!
Duan Youguang and others were equally excited.
However, he still suppressed his inner excitement...
Said: "Attention!"
"Watch the stiffness!"
Li Huapeng quickly began to observe and test, and asked the patient to perform the operation.
"The stiffness...the stiffness is gone!"
Li Huapeng shouted excitedly!
They don't seem to notice that this is an operating room!
"Success!"
"We...we might actually succeed!"
Duan Youguang was extremely excited.
"good!"
"ending!"
As Duan Youguang finished the song, the audience's applause was like a wave, lasting for a long time!
Qin Shiming stood up even more excitedly and gave the warmest applause!
The operation is over!
Duan You couldn't care about anything else, so he hugged several comrades in excitement.
Chen Nan stood aside, looking at this scene with some envy.
Maybe... this is the meaning of hard work!
I personally witnessed the birth of a miracle today.
And at this moment, he was suddenly pulled over by someone's hand.
I looked up and saw that it was Li Huapeng.
He hugged Chen Nan!
Suddenly, a flash of spotlight flashed and the photo was frozen!
"my country's first surgery to radically cure Parkinson's disease under acupuncture and anesthesia was a complete success!"
…
And at this time.
Suddenly there was a sound.
"Excuse me, I... will... give me general anesthesia from now on!"
"This surgery is so... panicking!"
…
ps: I migrated yesterday and ran away with the virus, so there is no update, sorry!