Doctor: I picked up attributes in the hospital
Chapter 108 Reappearance of Blind Piercing!
Chapter 108 Reappearing the Miraculous Technique - Blind Piercing!
While moving the ultrasound probe, Zhao Heng looked at the images on the screen of the B-ultrasound machine beside the bed, and kept restoring and reconstructing the patient's anatomical three-dimensional structure in his mind.
This ability slowly emerged after he picked up the skills and experience of many surgeons and integrated them all.
As a surgeon, you have high requirements for space and distance.
You must know that in many cases, there is not enough vision for surgery. In this case, the surgeon must rely on the spatial perception.
To become an excellent surgeon, one can more or less possess some of these abilities.
The experience and understanding of spatial cognition and perception are naturally included in the surgical experience of surgeons.
And Zhao Heng, who has integrated the experience of so many surgeons, has outstanding ability in space perception.
Looking at Zhao Heng's operation, everyone present was a little confused, not knowing exactly what Zhao Heng was doing.
Soon, the [-]D modeling in Zhao Heng's mind was completed.
"Okay, the B-ultrasound machine can be pushed through."
Zhao Heng felt that the three-dimensional anatomical modeling in his mind had been basically completed, so he said to the nurse Xiaoli.
"Well, yes, Dr. Zhao."
Xiaoli quickly took the B-ultrasound probe from Zhao Heng's hand, put it on the B-ultrasound instrument, and pushed the B-ultrasound instrument aside.
"Zhanpeng, Wang Chao, next, fix the patient's position, especially without any shaking."
Zhao Heng said to Zhan Peng and Wang Chao, who were standing on both sides of the operating table, supporting the super pregnant woman, who were already struggling and exhausted.
"it is good."
Zhanpeng and Wang Chao answered in unison.
No matter what their intentions were, it was impossible for them to confront Zhao Heng at this time.
"Ready to puncture the trocar."
Zhao Heng said to nurse Xiaohong again.
"what?!"
He Wei couldn't help but exclaimed when Zhao Heng asked the nurse to prepare the puncture needle.
You know, the biggest problem with anesthesia for this heavyweight parturient is that the current puncture needle cannot penetrate after the fat layer on the back of the parturient. Since the distance is not enough, it is naturally impossible to reach the epidural space and inject anesthesia Drugs gone.
"Doctor Zhao, do you want to get another one? The length of this puncture needle seems not enough."
He Wei asked suspiciously.
"I went to the instrument room of the operating room yesterday. This 8.5cm puncture needle is already the longest."
Zhao Heng shook his head slightly and said.
"The patient's fat layer is as high as 10cm. If the puncture needle is only 8.5cm, this distance is not enough. How did you puncture?"
He Wei asked out the doubts in the hearts of everyone present at this time.
"The fat layer of the patient is indeed 10cm. However, through this lateral position, the skin on the patient's back is tightened, which reduces the position by at least 1cm. Moreover, the fat layer of the patient is relatively loose. By squeezing, it can also Shorten it a bit, and it will be enough after all.”
Zhao Heng explained slowly.
When he said this, He Wei and everyone present suddenly realized.
Fine, this operation is really fine!
Everyone looked at Zhao Heng and couldn't help sighing.
"And what about body signs?"
He Wei asked suspiciously again.
In the face of this super fat man, the body surface signs that ordinary people would appear on, can hardly be seen on this patient's body.
Without the guidance of body surface marks, it is impossible to determine the exact puncture location.
"Through the B-ultrasound test just now, I have basically established the patient's local anatomical model, and this position can still be found."
Zhao Heng explained briefly.
"This.."
He Wei was shocked by Zhao Heng's words.
Just now the resident doctor Xiao Huang was still saying that the human brain is not a computer, and it is impossible to build a three-dimensional model in the human brain.
I didn't expect that these words would be slapped in the face so quickly.
Who is this Zhao Heng? !
At this moment, He Wei couldn't help sighing in her heart.
Soon, nurse Xiaohong pushed the workbench with the puncture trocar over.
Zhao Heng put on gloves and picked up the puncture needle from the workbench. The nurse Xiaohong Xiaoli disinfected the skin and spread the drapes.
The most critical puncture was about to begin. Everyone in the operating room stared at Zhao Heng closely, not daring to blink.
In the eyes of others, this patient is like a mountain of meat. Not to mention finding the exact puncture position, it is already very laborious to be able to basically distinguish the anatomical position and structure.
But Zhao Heng wanted to perform blind penetration in this very difficult situation.
To puncture in this situation, one must have a special feeling that can pierce the fog.
This feeling is spatial perception.
Everyone has spatial awareness, but to different degrees.
Spatial perception refers to the perception of spatial characteristics such as object distance, shape, size, and orientation.
The most common and intuitive one is the sense of direction.
Just like applying for a pilot, you must take a space perception test. In this test, the testee is first fixed on the centrifuge, and then rotated at a high speed. After stopping, the testee must accurately say the four directions of east, west, north and south .
In real life, some people can't even tell left and right, let alone this level of spatial perception.
It can be said that this is a rare ability that very few talents have!
"Hold both sides of this position."
The [-]D model in Zhao Heng's mind continued to operate, allowing him to determine the exact location of the puncture. After confirming, Zhao Heng said to the nurses Xiaoli and Xiaohong.
"Well, yes, Dr. Zhao."
Nurses Xiaoli and Xiaohong hurried forward, stood on either side of Zhao Heng, and squeezed hard on both sides of the position Zhao Heng said.
Think about it, a big fat man is lying on the operating table, two people are supporting him on both sides, and two nurses have to squeeze the thick fat to perform the final puncture.
This is a lot of effort!
Zhao Heng took a deep breath, picked up the puncture needle, pointed it at the position, and stabbed it in without any pause, which was the essence of stability and ruthlessness.
Being a doctor is like this, the time for preparation may be far longer than the time for actual operation.
It can be said that success or failure lies in such an instant.
Life and death can be determined in an instant, this is something that doctors often encounter in this profession.
Seeing that Zhao Heng did not pause or hesitate at all, he inserted the needle directly, and everyone present stopped breathing nervously.
Fearing that making a little noise would affect Zhao Heng, Zhao Heng only needs to shake his hand a little, and the anesthesia can be said to have failed this time!
laugh!
When the puncture needle entered a place, Zhao Heng seemed to hear the sound of the puncture needle piercing the periosteum.
He was very sure at this moment that the puncture needle had entered the epidural space.
Thinking of this, he pulled out the long puncture needle in the trocar, turned to He Wei and said, "Doctor He, please take the anesthetic."
Obviously, nurses Xiaoli and Xiaohong must squeeze the patient's fat at all times, otherwise, the thick fat will push out the needle that has entered the cavity in an instant.
"Ok."
He Wei nodded immediately when she heard Zhao Heng's call, put on her gloves, picked up the syringe, took a tube of anesthetic, and handed it to Zhao Heng.
"Thank you."
Zhao Heng said casually, and then injected the anesthetic into the cavity along the trocar tube.
(End of this chapter)
While moving the ultrasound probe, Zhao Heng looked at the images on the screen of the B-ultrasound machine beside the bed, and kept restoring and reconstructing the patient's anatomical three-dimensional structure in his mind.
This ability slowly emerged after he picked up the skills and experience of many surgeons and integrated them all.
As a surgeon, you have high requirements for space and distance.
You must know that in many cases, there is not enough vision for surgery. In this case, the surgeon must rely on the spatial perception.
To become an excellent surgeon, one can more or less possess some of these abilities.
The experience and understanding of spatial cognition and perception are naturally included in the surgical experience of surgeons.
And Zhao Heng, who has integrated the experience of so many surgeons, has outstanding ability in space perception.
Looking at Zhao Heng's operation, everyone present was a little confused, not knowing exactly what Zhao Heng was doing.
Soon, the [-]D modeling in Zhao Heng's mind was completed.
"Okay, the B-ultrasound machine can be pushed through."
Zhao Heng felt that the three-dimensional anatomical modeling in his mind had been basically completed, so he said to the nurse Xiaoli.
"Well, yes, Dr. Zhao."
Xiaoli quickly took the B-ultrasound probe from Zhao Heng's hand, put it on the B-ultrasound instrument, and pushed the B-ultrasound instrument aside.
"Zhanpeng, Wang Chao, next, fix the patient's position, especially without any shaking."
Zhao Heng said to Zhan Peng and Wang Chao, who were standing on both sides of the operating table, supporting the super pregnant woman, who were already struggling and exhausted.
"it is good."
Zhanpeng and Wang Chao answered in unison.
No matter what their intentions were, it was impossible for them to confront Zhao Heng at this time.
"Ready to puncture the trocar."
Zhao Heng said to nurse Xiaohong again.
"what?!"
He Wei couldn't help but exclaimed when Zhao Heng asked the nurse to prepare the puncture needle.
You know, the biggest problem with anesthesia for this heavyweight parturient is that the current puncture needle cannot penetrate after the fat layer on the back of the parturient. Since the distance is not enough, it is naturally impossible to reach the epidural space and inject anesthesia Drugs gone.
"Doctor Zhao, do you want to get another one? The length of this puncture needle seems not enough."
He Wei asked suspiciously.
"I went to the instrument room of the operating room yesterday. This 8.5cm puncture needle is already the longest."
Zhao Heng shook his head slightly and said.
"The patient's fat layer is as high as 10cm. If the puncture needle is only 8.5cm, this distance is not enough. How did you puncture?"
He Wei asked out the doubts in the hearts of everyone present at this time.
"The fat layer of the patient is indeed 10cm. However, through this lateral position, the skin on the patient's back is tightened, which reduces the position by at least 1cm. Moreover, the fat layer of the patient is relatively loose. By squeezing, it can also Shorten it a bit, and it will be enough after all.”
Zhao Heng explained slowly.
When he said this, He Wei and everyone present suddenly realized.
Fine, this operation is really fine!
Everyone looked at Zhao Heng and couldn't help sighing.
"And what about body signs?"
He Wei asked suspiciously again.
In the face of this super fat man, the body surface signs that ordinary people would appear on, can hardly be seen on this patient's body.
Without the guidance of body surface marks, it is impossible to determine the exact puncture location.
"Through the B-ultrasound test just now, I have basically established the patient's local anatomical model, and this position can still be found."
Zhao Heng explained briefly.
"This.."
He Wei was shocked by Zhao Heng's words.
Just now the resident doctor Xiao Huang was still saying that the human brain is not a computer, and it is impossible to build a three-dimensional model in the human brain.
I didn't expect that these words would be slapped in the face so quickly.
Who is this Zhao Heng? !
At this moment, He Wei couldn't help sighing in her heart.
Soon, nurse Xiaohong pushed the workbench with the puncture trocar over.
Zhao Heng put on gloves and picked up the puncture needle from the workbench. The nurse Xiaohong Xiaoli disinfected the skin and spread the drapes.
The most critical puncture was about to begin. Everyone in the operating room stared at Zhao Heng closely, not daring to blink.
In the eyes of others, this patient is like a mountain of meat. Not to mention finding the exact puncture position, it is already very laborious to be able to basically distinguish the anatomical position and structure.
But Zhao Heng wanted to perform blind penetration in this very difficult situation.
To puncture in this situation, one must have a special feeling that can pierce the fog.
This feeling is spatial perception.
Everyone has spatial awareness, but to different degrees.
Spatial perception refers to the perception of spatial characteristics such as object distance, shape, size, and orientation.
The most common and intuitive one is the sense of direction.
Just like applying for a pilot, you must take a space perception test. In this test, the testee is first fixed on the centrifuge, and then rotated at a high speed. After stopping, the testee must accurately say the four directions of east, west, north and south .
In real life, some people can't even tell left and right, let alone this level of spatial perception.
It can be said that this is a rare ability that very few talents have!
"Hold both sides of this position."
The [-]D model in Zhao Heng's mind continued to operate, allowing him to determine the exact location of the puncture. After confirming, Zhao Heng said to the nurses Xiaoli and Xiaohong.
"Well, yes, Dr. Zhao."
Nurses Xiaoli and Xiaohong hurried forward, stood on either side of Zhao Heng, and squeezed hard on both sides of the position Zhao Heng said.
Think about it, a big fat man is lying on the operating table, two people are supporting him on both sides, and two nurses have to squeeze the thick fat to perform the final puncture.
This is a lot of effort!
Zhao Heng took a deep breath, picked up the puncture needle, pointed it at the position, and stabbed it in without any pause, which was the essence of stability and ruthlessness.
Being a doctor is like this, the time for preparation may be far longer than the time for actual operation.
It can be said that success or failure lies in such an instant.
Life and death can be determined in an instant, this is something that doctors often encounter in this profession.
Seeing that Zhao Heng did not pause or hesitate at all, he inserted the needle directly, and everyone present stopped breathing nervously.
Fearing that making a little noise would affect Zhao Heng, Zhao Heng only needs to shake his hand a little, and the anesthesia can be said to have failed this time!
laugh!
When the puncture needle entered a place, Zhao Heng seemed to hear the sound of the puncture needle piercing the periosteum.
He was very sure at this moment that the puncture needle had entered the epidural space.
Thinking of this, he pulled out the long puncture needle in the trocar, turned to He Wei and said, "Doctor He, please take the anesthetic."
Obviously, nurses Xiaoli and Xiaohong must squeeze the patient's fat at all times, otherwise, the thick fat will push out the needle that has entered the cavity in an instant.
"Ok."
He Wei nodded immediately when she heard Zhao Heng's call, put on her gloves, picked up the syringe, took a tube of anesthetic, and handed it to Zhao Heng.
"Thank you."
Zhao Heng said casually, and then injected the anesthetic into the cavity along the trocar tube.
(End of this chapter)
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