The operating room received news that a foreigner was coming.
As the patient's former doctor, Dr. Charlie had communicated with Fang Ze in advance that he could go to the operating room to have a look, so he brought an assistant to follow Dr. Tong.
The medical staff in the operating room had arrived early in the morning to make preparations.
The anesthesia team, Fang Ze, sent their director of the anesthesiology department to personally supervise the operation, explaining that the anesthesia work for today's operation might not be easy.
In any surgical operation, in addition to anesthetizing the patient in the early stage of the operation, the anesthesiologist also discusses with the surgeon the appropriate patient surgical position, which is a more important link. This has been mentioned slightly before in other surgeries.
In principle, the requirements for the patient's surgical position should facilitate the surgeon's intraoperative operation and reduce surgical injuries. The prerequisite is to ensure the safety of the patient during the operation.
Between the two, sometimes achieving consistency will inevitably lead to conflicts, which will test the respective strengths of anesthesiologists and surgeons.
For example, the surgery to be performed today is divided into two parts. The first part is transnasosphenoidal surgery, and the second part is craniotomy. The two surgeries must be performed in conjunction.
In this case, it is impossible to perform two different anesthesias separately. It will take a long time just to wait for the patient to fully wake up after the anesthesia. The anesthetic has a complete metabolism time requirement. This also leads to the fact that it is best not to change the surgical position at will during the operation.
Especially in neurosurgery, the nature of changing the surgical position is completely different from some orthopedic surgeries where limbs can be adjusted at will, which will endanger the patient's life.
There have been a lot of preoperative meetings. The anesthesia team and the surgeon have already negotiated and have a plan.
When Dr. Charlie followed Dr. Tong into the operating room, he saw that there was no restraint belt on the patient's body, which meant that the patient's position had not been arranged yet. He made two hums in his mouth, which probably meant that he had guessed correctly again.
The surgeon must make the final decision on body position first. This is because only the surgeon knows the route through which his surgery will enter the patient's body, and what position he needs to put the patient in to make it easier for him. The anesthesia team is mainly responsible for reviewing the safety of anesthesia. If
There is no danger and the final decision can be made.
As an authority in this specialty in China, Fang Ze’s anesthesia team has long been familiar with the various postural requirements for neurosurgery and is able to cope with it and cooperate with the surgeons. For the safety of the patient’s anesthesia, the difficulty of this operation is simply not to perform the operation during the operation.
In changing positions, the person who tests becomes the surgeon.
The body position is basically determined by the surgeon. The body position is related to the surgical approach, and the surgical approach is related to three-dimensional positioning. This is the golden rule of neurosurgery mentioned earlier.
Now that an international neurosurgery expert like Dr. Charlie has determined who the three-dimensional god may be, it is not difficult to guess who needs to be involved in such a thing. Then he asked Dr. Tong: Where is Dr. Xie?
Everyone present could hear that the foreigner was very curious as to what appropriate position Dr. Xie would put on the patient.
Speaking of the transnasosphenoidal approach in the early stage of today's surgery, the doctor needs to carry tools through the natural channels of the human body, which is significantly different from craniotomy. The characteristics of this type of surgical approach can be compared to other medical operations that pass through the natural channels of the human body.
Such as gastroscopy and colonoscopy operations.
Many people have had gastroscopy and colonoscopy, and those who have done it know that doctors are most afraid of encountering a blockage in the middle of the procedure.