Finally, she gently pressed her gloved fingers on one point, feeling the fluctuation of the abscess or fluid inside to see if her brain had made any miscalculations.
Chang Jiawei, who was observing her from the side, had a flash of light in his eyes, and his eyes were pointedly pointed at her: This guy, his judgment is so accurate? Who can do this who has just entered clinical practice?
Nie Jiamin put his hands in the pockets of his white coat, tilting his head as if his attention was only on Xie Wanying's hands.
Zhu Huicang stood up, as if he wanted to take a closer look.
Dai Nanhui, Geng Lingfei and Fan Yunyun were not quite sure what happened.
Determine the depth of the abscess. If it is shallow, there is no need to apply anesthesia. The doctor can gently use the tip of a needle or knife to break the abscess skin twice and drain the pus. There is no need for the patient to receive another injection. However, the situation of the child in front of him is
It's more serious, and the family members have been told that the disease has been delayed. The infection has reached the fascia, and it won't work without anesthesia.
Anesthesia is about to be administered, and there is no anesthesiologist accompanying him. However, this kind of minor surgical operation has never been accompanied by an anesthesiologist. The number of anesthesiologists in the country is small, and this kind of local anesthesia is very simple. It is performed when the patient is conscious and does not require
The anesthesiologist is under the full care of the patient, and usually only the doctor himself performs local anesthesia on the patient. Local anesthesia can be said to be a technical threshold that tests the independent operation of the surgeon.
Specifically, local anesthesia is divided into several types, including topical anesthesia, local infiltration anesthesia area, nerve block anesthesia and nerve plexus block anesthesia.
For example, before a common gastroscopy, the patient is asked to swallow a mouthful of anesthetic, and the throat feels numb. This is topical anesthesia, which mainly works on the mucous membrane. For minor outpatient surgeries, such as common hemorrhoid surgeries, the doctor injects a ring of anesthetic into the nerves around the patient's anus.
It is a regional block of the perianal nerves. Plexus block is divided into several parts, such as upper limb plexus block for orthopedic hand and forearm surgery. This is not done in an outpatient clinic, but is performed by an anesthesiologist in the operating room.
And if it is a child patient, it must be combined with general anesthesia.
Compared with adults, children are very uncooperative and easy to move around. Only general anesthesia can allow children to sleep without affecting the doctor's operation. Therefore, as long as it is a relatively large operation, the younger the child, the younger the child will undergo local anesthesia alone.
Less, usually more with general anesthesia.
Fortunately, this patient is ten years old and there is no general anesthesia available at the scene, so we can give it a try.
After comprehensive judgment, Xie Wanying made a prompt decision and stretched out her hand to the nurse: "Syringe, lidocaine, normal saline."
Senior Sister Xie is so majestic. Fan Yunyun secretly wants to imitate the actions of her idol.
Dai Nanhui and Geng Lingfei felt that Xie Wanying was extremely brave. It was incredible that she was not afraid at all in front of so many people.
Yao Jie handed her open ampoules of anesthesia and physiological saline and asked her to inhale the medicine herself.
She pulled the plunger of the syringe and inserted the needle into the ampoule steadily to inhale the medicine. The others were surprised when they saw that her hand was as steady as a mountain without shaking at all.
After preparing the local anesthetic herself, Xie Wanying moved the needle toward the patient's infected skin and inserted it.
The onlookers were breathing heavily.
Expert doctors know that local infiltration anesthesia is not only anesthesia, but also a preliminary exploration for the upcoming surgery. With this needle, the depth of the patient's bones can be explored, and the depth of the abscess can be explored. Therefore, local infiltration anesthesia
It requires one injection to anesthetize the nerves within the scope of the operation. Therefore, if the scope of the operation is large, more than one injection will be needed, and additional anesthesia must be given to other areas around the wound to ensure that the general anesthesia is in place in the front, back, left, and right.
