super anesthesiologist

Chapter 122 Intermediate Skill Experience (please subscribe, please recommend, thank you!)

121 Intermediate skills experience

"Friend, don't you continue to buy?"

This kind of lottery is very interesting. You can redeem the bonus immediately without going to the provincial welfare lottery center.

Lin Xiaobei was about to use Baidu to check where the Provincial Welfare Lottery Center was, when the fat boss waved a wad of banknotes and handed it to him: "Here, your bonus is 1140, ​​count it."

Lin Xiaobei took it and counted them one by one in front of the fat boss.

Zhang Baoguo looked disdainful.

"Negative value from Zhang Baoguo, +30."

After counting, Lin Xiaobei happily packed up the money and prepared to leave.

"Hey, handsome guy, if you win the lottery, keep playing, and you can earn more bonuses." Zhang Baoguo tempted.

"No, come back and earn money tomorrow." Lin Xiaobei smiled and walked out of the store. He would not be fooled by the fat boss.In fact, many people have the opportunity to make a fortune, but they do not cherish it.To put it bluntly, it was because of greed.

In this lottery shop, there was a young guy who won the first four direct elections for the first time, with a bonus of 11400. He still stayed in the shop and was fooled by Zhang Baoguo. A bet number chased and cried, but it didn't come out, and the profit of 11400 turned into a loss of more than 25000.The difference between profit and loss in one thought is more than 35000. Isn't this a fortune?

"La, la, la," Lin Xiaobei left the lottery shop humming a happy little tune.

"Negative value from Zhang Baoguo, +50."

"Negative value from Yelin, +100."

"Negative value from He Yuan, +20."

"Come on..."

"Come on..."

"Come on..."

I didn't expect to receive a wave of negative values ​​after leaving.

Isn't that just winning a prize?Lin Xiaobei sighed, why are these people so jealous?
"Taxi!" He hailed a taxi, and of course he wanted to spend some extra money after earning a windfall.

Back home, Lin Xiaobei hastily called out the system.

After checking the points, Lin Xiaobei was taken aback.

In the lottery shop, he felt like he was constantly swiping points in his mind, but he didn't expect to get so many points, 3800!

How jealous these people are of him!In fact, the bonus is only 1140 yuan!
Lin Xiaobei didn't care about this little bonus at all, but found a way to earn negative value.The lottery shop is overcrowded every day, and you don't have to worry about not earning points there.

Moreover, there is no burden on earning points there, which is completely different from the feeling in the hospital.

Consuming 3000 points, Lin Xiaobei finally got his wish and entered the "orthopedic" operating room.

To his surprise, the operating room seemed to be full of people from the outside.But after entering, he found that the huge operating room was empty, without a single shadow.

The condition of this mid-level standard operating room is still good. Lin Xiaobei can't recognize the brand of all the equipment, but judging from the feeling alone, it is very high.

A very intuitive feeling.

Lin Xiaobei stood in front of the operating bed, when the system prompted: [Please prepare to start the experience, the time limit is 60 minutes. 】

With many first-time experiences, Lin Xiaobei knows how to carry out training operations without systematic prompts.

Although the system provides only a model, it requires him to treat it with the mentality of facing the real patient.

Lin Xiaobei first carefully checked the medical records of Dianzi. It was a case of multiple fractures. The system simulated the mannequin to undergo surgery on the tibia and fibula of both lower extremities, the bilateral late radius, and the left clavicle. Lin Xiaobei was required to use nerve block surgery. To meet the needs of surgical anesthesia.

The local anesthetics provided by the system are the same as those used by Lin Xiaobei and his anesthesiology department. They are 2% ropiphenone, 0.75% ropiphenone, and a 10ml normal saline.

Sensory system training is designed according to the current level of technological civilization on the earth.

Lin Xiaobei didn't believe that with the level of their extraterrestrial planets, they would never still be using erythroxin, ropi*ine, and there might be more advanced local anesthetics.

But the system did not provide medicines from their planet, otherwise Lin Xiaobei might sneak out one.

Maybe the system has long guarded against Lin Xiaobei's move.Because of many times of training, Lin Xiaobei discovered that the equipment that is easy to hide are all the same models as their real ones, while the ones that cannot be held are the new products provided by the system.

Back when Lin Xiaobei was training puncture skills, the system would automatically clean up after he was done, and he didn't even "check" the trash.

This system is really treacherous.

Originally, there were so many fractures, but in reality, just general anesthesia can be used, which saves time and trouble.However, in the evaluation of the system, general anesthesia is not the best anesthesia method for a surgery. The system absolutely does not support Lin Xiaobei's use of general anesthesia for surgery that can be completed with local anesthetic.

Lin Xiaobei recalled carefully, in the primary training room, he had never had a general anesthesia.I don't know if the level is low, and the system does not support it.

Lin Xiaobei felt troubled. The model had so many fractures, and the system required him to use local anesthetics to achieve the anesthesia effect needed for the operation, but they only provided him with a dose of lividin, a dose of roperine, and 10ml of normal saline.

Even with spinal anesthesia, the dose of local anesthesia is far from enough!
This is a prompt from the system: [You can apply for technical guidance, 100 at a time. 】

Lin Xiaobei: "..."

This system talks about "money". Although it is not RMB, it is not easy for Lin Xiaobei to earn.

There was no way, at this moment, even though Lin Xiaobei had reached the elementary level in the training in the primary secret room, he still had no confidence at all in using a roperine to complete the anesthesia of so many parts.

It's hard for a clever woman to cook without rice!

Lin Xiaobei spent 100 negative points, and at this time the system prompted [Which part of the technical guidance do you need? 】

Lin Xiaobei started to go crazy again.

Duang! Duang! Duang!

Isn't the help group a one-off?Are there additional charges for parts?

He chose anesthesia guidance for a left tibia-fibula fracture.

At this time, there was an additional display screen and a wireless ultrasound probe in front of Lin Xiaobei.A video is being broadcast live on the display, which is about the nerve block technique for tibia and fibula fractures.

The video is very clear and very specific about the block technique of the popliteal nerve.Unlike humans, human nerve blocks are usually anesthetized with large nerves of choice.For example, our common lumbar plexus, brachial plexus, sciatic nerve and femoral nerve, but this video shows terminal branch block.

Tibia and fibula fractures only need to block the few peripheral nerves innervating the tibia and fibula.

Lin Xiaobei was stunned. He didn't expect the anesthesia technology of the extraterrestrial planet to be so meticulous. It's simply unimaginable.

These peripheral nerves cannot be explored with ultrasound at the current level of technology on earth, and they cannot be identified even on the operating table.

After the video was played, Lin Xiaobei still felt that he had not watched enough. He applied to watch it again, but the system deducted another 20 points.

peat!

After watching it, Lin Xiaobei began to give the model anesthesia for the fracture of the left tibia and fibula under the guidance of the ultrasound provided by the system according to the video tutorial.

Since the model has fractures in both lower limbs, extra care was taken when swinging the model's body odor.I don't know if I was worried that Lin Xiaobei's rough movements would damage the models. This step was done by the system itself, and Lin Xiaobei just stood aside to observe and learn.

The body positions placed by the system are similar to what Lin Xiaobei saw in the anesthesiology department in reality, but the model's upper and lower limbs are staggered in order to avoid the squeeze pain caused by gravity.

Lin Xiaobei admired secretly, in terms of these details, the system is really meticulous.

Whether it is anesthesia or surgery, the patient's position is very important, and a delicate position can well expose the local anatomy.

According to the body position placed by the system, and then inspected under the ultrasound provided by the system, Lin Xiaobei was able to clearly see the branches of the peripheral nerves that innervate the tibia and fibula.

It just looks easier than it is.In the video played just now, the operator's movements are smooth and smooth, but Lin Xiaobei's operations are clumsy.

The nerve block needles provided by the system are too thin, so thin that Lin Xiaobei can't feel it in his hands at all, and he can't feel the quality at all. It's as awkward as twisting an embroidery needle with a pair of forceps.

Fortunately, under the guidance of ultrasound, although Lin Xiaobei's movements were very clumsy, he still punctured the needle to the nerve endings that needed to be blocked. According to the system prompts, only 6ml of the mixed solution was enough.

The mixture prompted by the system is a 1:1:1 preparation of three potions.

According to this calculation, the local anesthetic provided by the system is really enough.Because for this model specimen, the local anesthetic needed for anesthesia of the tibia and fibula fracture site is the most.

Under the imaging of ultrasound, after the 6ml mixture was pushed out, Lin Xiaobei clearly saw that the nerve endings were surrounded by local anesthetic.

Theoretically the anesthetic effect should be sufficient.

The system repositioned the model, and Lin Xiaobei began the anesthesia operation on the right tibia and fibula.The system prompts if help is needed, Lin Xiaobei wants to cheat points again, but firmly refuses.

　Happy holidays everyone!

　　
　
(End of this chapter)