I'm really an intern

Chapter 434 Take all precautions, something happened! (It's Dazhang! Humph!)

Sun Yu was stuffed with a big bag of surgical instruments, and was sent to the operating room before the morning shift started.

It's pure errand work.

Because the anesthesiologists in the operating room need to check the number of patients and the number of units, and refuse anesthesia when no surgeon is present.

Therefore, the chief surgeons of the surgical system usually send an intern to act as a tool before the operation.

Wait until the patient's numbness has recovered, the body position has been adjusted, and the towels are ready to be disinfected, or the towels have been sterilized, and the towels have been spread before going.

Zhang Tianyang should also belong to this "tool man" class.

But today, his status has jumped two levels in a row, and he directly climbed to Senior Brother Meng's head.

After listening to the early shift, Brother Meng, who honestly went to prepare for a dressing change, represented the penultimate class.

It is no different from the tool people at the bottom, they are all dispensable characters.

Going early won't have any effect, and going late won't affect anything, so I just stay in the ward and deal with things like changing the dressing before going there.

Zhang Tianyang's position today is the third-to-last class that Senior Brother Meng originally held.

He needs to go to the operating room immediately after the early shift.

And take the imaging data of the next operation patient with you.

He needs to be responsible for verifying the anesthesia effect of the anesthesiologist, leading the tools and staff to help the patient position himself, notifying the superior doctor that he can come to the operating room now, and at the same time, doing a good job of disinfecting and laying the drape before the superior doctor arrives.

It seems to be more complicated.

But more fulfilling and useful.

The operating room is still Room 21, which is the special operating room for the chief director of the Department of Urology.

The anesthesiologist is still impressive Pan Anesthesia.

"Hello, anesthesiologist."

Zhang Tianyang smiled and nodded.

I heard that the anesthesiologists in the anesthesiology department are randomly assigned to the operating room, but I don’t know why, it seems that Mr. Pan is responsible for anesthesia every time an operation is performed.

What kind of fate is this?

"hiss!"

The small anesthesiologist, who was originally in a good mood and humming, gasped instantly when he saw Zhang Tianyang's familiar figure.

"why is it you again!"

Zhang Tianyang was deeply impressed by Pan's anesthesia, so why didn't Zhang Tianyang impress Pan's anesthesia as well?

After realizing that Zhang Tianyang participated in this operation again, Pan Anesthesia's heart was filled with continuous "beep beep beep——"

He was a little restless, then turned around and walked around the patient who had started anesthesia.

Check whether the various deep and shallow veins are unobstructed, look at the labels on the liquid being infused, turn over the patient's pupils, and the depth of the endotracheal tube, and carefully look at the various items on the monitor for a while. number.

Finally, he got to the ventilator and squinted his eyes to confirm the light-colored data on the screen.

The intern that Pan Anesthesia took today was a girl, a face that Zhang Tianyang had never seen before. At this time, she was at a loss next to the anesthesia computer, showing doubts.

"Teacher, didn't you just say you were going to visit the next door?"

"not going!"

Doctor Pan anesthetized decisively, and waved his arm at the intern girl.

"Go and take a look for me! There is a senior brother of yours over there, you two will watch over there together, and call me if you need anything."

While talking, Doctor Pan anesthetized after confirming all the data went around to the big iron cabinet at the end of the operating table, tumbling for a while, and came back holding a small bag of liquid.

Zhang Tianyang glanced subconsciously, and found that it turned out to be a small bag of glucose!

The loud "duang" sound when Pan anesthesia collapsed due to hypoglycemia instantly appeared in his mind.

The anesthetist Pan is worried about any unexpected situation and is preparing for hypoglycemia!

Zhang Tianyang was surprised for a moment, then shook his head and smiled wryly.

As for?

As if seeing Zhang Tianyang's subtext, Doctor Pan's eyes were determined.

As for!

That's too much!

He sat down firmly on the round stool in front of the anesthesia computer, and sent the intern girl away again.

But his eyes kept fixed on Zhang Tianyang, and he paused every word.

"I'm here to see it myself!"

All he had to do was push Zhang Tianyang to the corner of the wall, pointing at his head, and gnashed his teeth to warn, "Boy, you'd better give me luck today, and don't make any more fools!".

Zhang Tianyang felt the terrifying gaze of Doctor Pan's anesthesiologist, so he could only blink innocently.

He didn't want this kind of thing either!

You may not believe it when you say it, but it is really not his fault.

If you want to blame, blame this thief!

The first operation was unilateral adrenalectomy, which is relatively less difficult among the four operations performed today.

Such an operation could not be better to refresh the surgeon.

On the operating table was a middle-aged female patient who had already fallen into a deep sleep under the influence of anesthesia.

Zhang Tianyang greeted Sun Yu, and together with the nurses in the audience, prepared to move the patient into position.

"Slow down and don't move!"

Pan anesthesia jumped up from the round stool with a "crash", and rushed to the side of the patient's head in an instant, protecting the patient's endotracheal tube as firmly as food.

"Okay, let's put it on."

Zhang Tianyang felt angry and funny.

But Pan Narcotic obviously doesn't care about image anymore.

He firmly protected the patient's head throughout the whole process, and only after the nurse under the stage fixed the patient firmly with a support and a bed sheet did he leave carefully, and sat down on the round stool again, on the anesthesia operation table. Stirring about something.

"Teacher, do you need additional anesthesia?"

Zhang Tianyang thought that Dr. Pan's anesthesiologist had not injected some anesthetic drugs, so he probed over to have a look.

I found that he was holding a large syringe, drawing the liquid from a small bag of glucose, and then labeling it, carefully placed the syringe at the hand closest to him.

"I'm getting myself emergency glucose, is there a problem?"

Zhang Tianyang met Doctor Pan's resentful eyes, and walked away in embarrassment.

"Old Pan, your glucose has to be deducted from your salary! I'll record it for you!"

The nurses in the audience shouted from a distance, and also met Pan's anesthesia's resentful eyes.

"understood"

Ten minutes later, the chief director hurried into the operating room.

At this time, Zhang Tianyang had finished disinfecting and spreading the towels, and was in the second round of washing his hands.

The chief director was in a good mood, and he was full of praise when he came up.

"Not bad, Xiao Zhang, you are very efficient!"

Zhang Tianyang hangs his washed hands in vain, and secretly glances at the electronic clock at the back of the operating room.

In fact, preoperative anesthesia and draping are not much faster, and the current points are no different from the usual points that Brother Meng calls the chief director after finishing his work.

Maybe the director just wants to boast about himself

Just listen, don't take it seriously.

So Zhang Tianyang frowned, showing a smile that met social expectations.

"Xiao Zhang, you just told me that the bleeding in the gastroenterology emergency department on weekends was not the stomach, but the esophagus?"

"Yes, yes, the esophagus was ruptured, and the arterioles were also ruptured, and it took a long time, so it was a bit troublesome."

"So, your endoscopic hemostasis technique without field of view doesn't have to be used for bleeding from esophageal and gastric varices, but it can also be used for other bleeding?"

"Theoretically it is."

The chief director showed great interest in Zhang Tianyang's technique of hemostasis without vision, and he kept asking about it when he was wearing the surgical gown and putting the protective film on the laparoscope together with the supplies.

Zhang Tianyang responded one by one in cooperation, and finally waited for the ultimate goal of the chief director.

"Xiao Zhang, look at our urology department. We all do laparoscopic surgery. There are many blood vessels in the stomach. Sometimes the electric knife touches the artery, and the vision disappears instantly when the blood is rushing. Can you do this kind of surgery? ?”

The chief director clamped the wire of the electric knife with a small piece of the shop towel, and added another sentence.

"In fact, there are quite a few cases like this. Sometimes the arteries are relatively small, or the ones that are not seriously touched, we quickly ligate them, but there is no other way."

"This one might be a little difficult."

Zhang Tianyang thought carefully for a while, shook his head slightly, and came to a conclusion.

"To determine the direction of blood flow, the contour of the entire container needs to be modeled, so that the bleeding point can be reversed based on the contour and the direction of blood flow.

In the stomach, various tissues and organs are too soft, easy to deform, and difficult to model, so I can only say try. "

But he hesitated for a while, and also added a sentence.

"If it's me, well, when the blood loss is not so much, I may be more confident."

"Well, that's it"

The head director nodded thoughtfully, reached out and asked the equipment nurse for a knife.

"Then let's get started now"

The tip of the knife slowly approached the skin——

"what!!!"

Outside the operating room, there was a sudden scream.

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Today is also trying to update security!

(End of this chapter)