Before the operation begins, the surgeon routinely pinches the patient's abdominal skin with tweezers. If the patient does not cry out in pain, it proves that the anesthesia is initially in place and the operation can be performed.
Why is it called "only preliminary" because everyone's reaction to surgery, including pain, is different... For example, the reason for this difference may be the difference in the absorption and metabolism of anesthetics by individual patients. Some patients have different metabolism of drugs.
Some patients metabolize drugs slowly. Due to individual differences in drug metabolism, it is impossible to make an accurate assessment before surgery and can only be determined during surgery depending on the situation.
The fact that the surgeon pinches the skin before performing the operation to ensure that it is painless does not guarantee that the patient will experience pain during the operation. Only the anesthesiologist's continuous intraoperative monitoring can ensure the patient's safety and comfort during the operation.
For the sake of safety, today's anesthesiologists usually start anesthesia with the safest possible dose. This initial dose is based on a small amount, and then leave an external tube at the epidural anesthesia puncture point to facilitate additional doses when necessary.
.
During the operation, the main surgeon incised the abdominal wall. Like other operations, he first conducted an exploration to explore the uterus and the surrounding organs. After the exploration, he padded the intestinal tube with saline gauze and inserted a retractor. Geng's job came and he worked hard to pull it.
Open both sides of the abdominal wall to expose the surgical field to other surgeons.
Because the large size of the tumor stretches the uterus very much, it is difficult to perform surgery in the abdominal cavity. The uterus will be lifted out of the abdominal cavity with forceps. No matter what, such a large tumor and uterus must be pulled continuously.
And the pulling force must be very strong, otherwise the entire diseased organ cannot be exposed.
At this point in the operation, the patient began to moan.
When they heard the patient scream in pain, Geng Yongzhe and Zhang Shuping were shocked. They couldn't believe their ears. They thought the anesthesia doctor was here, how could the patient scream in pain even though the anesthesia was on? What surprised them even more was that the anesthesiologist sitting there
Dr. Zhou, who was near the patient's head, lowered his head and didn't know what he was doing. He seemed not to hear the patient's cries of pain. For a moment, everyone thought that Dr. Zhou's ears were suddenly deaf. Everyone in the operating room
People can react to this sound, but Dr. Zhou seems not to feel it.
As the chief surgeon, Du Haiwei, needless to say, his whole face must have darkened. When a surgeon hears a patient screaming during an operation, you can imagine how anxious he would feel.
"Doctor Zhou." Du Haiwei's solemn voice came out.
Dr. Zhou seemed to be unable to hear the first sound. Until the operating room nurse walked over to remind Dr. Zhou, Dr. Zhou raised his head and replied: "It's okay, I gave her some medicine." He spoke in a very indifferent tone.
, as if he has a complete grasp of the patient's current condition.
Anesthesiologists like Dr. Zhou are qualified to challenge Du Haiwei. In terms of seniority, the two are almost the same. Professionally speaking, Du Haiwei is definitely not as professional as Dr. Zhou in terms of anesthesia training, even if he is a professor of surgery.
Du Haiwei has 100% control over the patient, and it is impossible for Du Haiwei to direct an anesthesiologist. The professions are different, and it is even more impossible for a surgeon to overstep his authority and accuse the anesthetist of his mistakes.
Dr. Zhou's tough reply was based on his professional confidence.
It's just that the patient complains of pain. How can you ask a surgeon to carry out the operation?