super anesthesiologist

Chapter 27 Top Level Anesthesia Effect (Thanks!!!)

Lin Xiaobei was taken aback by her surprise, thinking that something unexpected happened again.

But everything was fine in the operating room.

"Grandpa, he, he almost sat up just now." Li Jufang stammered.

"Oh, I thought there was something wrong, I think it scared you." Lin Xiaobei said dissatisfied.Not only him, Wang Peng also looked at her with the same eyes.

Liu Xu comforted her and said, "It's okay, Sister Li. This means that Grandpa is awake well."

Lin Xiaobei asked the old man to lie down on his back, and used a No. 5 needle to test his chest wall.

"Grandpa, does it hurt here?"

Maybe he didn't hear clearly, the old man didn't respond.

Lin Xiaobei waved the needle in front of his eyes, then guided it to his chest, and poked it lightly a few times.

"Does this needle prick hurt?" He shouted loudly in the grandfather's ear.

"It doesn't hurt! My chest is so hot that I don't feel it." Like a circus performing on the mountain of knives, the old man didn't panic at all.

"What about below? Down." Lin Xiaobei said while poking the needle down along the chest wall.

"It doesn't hurt."

"It doesn't hurt."

……

"Appointment, appointment, I have a feeling."

"Oh, why does it hurt down there?"

Great, the plane below terminates at T8-9.

Lin Xiaobei tested from the manubrium level up to T1-2.

Great!
"Doctor, I want to sit up!" the old man begged.

"Okay, then you slow down."

In everyone's astonishment, Lin Xiaobei slowly supported the old man to sit on the operating bed.

"how do you feel?"

"Good, I haven't been active for a long time."

"You can sit on the bed and move around, be careful not to fall off."

……

"Can I help you walk a few steps?" After sitting for about 10 minutes, the old man felt refreshed and asked further.

"Yes!" Lin Xiaobei was as calm as water, but his heart was turbulent.

It worked!He succeeded!

Recently, the most authoritative anesthesia magazine published an article about a case of funnel chest patient who walked out of the operating room after surgery, which caused a sensation.

The so-called funnel chest, in simple terms, is that congenital factors or acquired dysplasia lead to uncoordinated growth of the patient's ribs or sternum, which are pulled inward and form a funnel-shaped depression on the front chest wall.

Due to the continuous development of medicine, pectus excavatum correction has been greatly improved, especially the minimally invasive surgery carried out in recent years: the Nuss method.

The most basic principle of the Nuss method is to customize an elastic steel plate according to the patient's body shape, and then insert it through the intercostal space on one side of the patient when the surgical conditions are fully prepared, and then pass it out symmetrically from the other side against the chest wall.The plate is then turned over and its arcuate feature is used to forcibly support the sunken chest wall.

Nuss surgery has two historical improvements compared with previous surgical methods: the first is to use a special steel plate to directly shape the chest wall depression at one time; the second is not to remove or destroy the structure of the chest wall.

The first point is the basic working principle of Nuss surgery, that is, the principle of leverage; the second point reflects the operational characteristics of Nuss surgery, which only pursues overall shaping, so it is impossible to take into account local details.

Another characteristic of patients with pectus excavatum is that the clinical symptoms caused by chest wall stretching occur earlier and are easy to be discovered. Therefore, they are relatively young when they go to the doctor, most of them are children, with good physique (compared to other patients), and no underlying diseases such as High blood pressure, diabetes, pneumonia, etc.

Such patients have strong postoperative recovery ability, not to mention the absence of severe surgical trauma.

The anesthesia of Lin Xiaobei's case was far more complicated than that of the pectus excavatum patient.From the patient's own conditions, surgical trauma, and surgical anesthesia requirements, the anesthesia requirements for funnel chest patients are all incomparable.

Liu Xu also came to help.Lin Xiaobei and her supported the old man on the left and right, and walked slowly around the operating table.

"It's been a long time since I walked this way." The old man sighed.

"Go slowly, it doesn't matter." Lin Xiaobei encouraged.

“叮”！【精准靶点阻滞+10；气管插管术+1；基础知识理论运用+5；奖励：能量药水2支，金手环2只。】

"Wow, the harvest is not small!"

At this time, the door of the operating room was opened.

"Grandpa wake up---" Director Yu Zhendong was stunned after asking halfway!
"You. What are you doing?" He was surprised.

"Director Yu, this old man is in better condition than before the operation." Wang Peng said excitedly.

"Oh, Director Yu, you are a miracle doctor! I don't feel any pain at all now, and I can still walk on the ground. Look, I'm walking. Director Yu, you are amazing!" The grandfather saw Yu Zhendong and turned to him. Thumbs up again and again praise.

Liu Xu looked at Lin Xiaobei and smiled helplessly.

It is because the surgeon did a good job that the patient does not feel pain after the operation, but no one would have thought that this is actually entirely due to the anesthesiologist.

Only then did Yu Zhendong believe that the patient was safe and sound, and he was overjoyed.

He just went out to talk to the patient's family.The operation was successful, and the removed lung specimens were shown to the family for inspection.

He negotiated with his family members that the grandfather is old and has many underlying diseases. He may not be able to recover from anesthesia after surgery. It may not be safe to stay in the ward. He may have to be transferred to the ICU for observation for a few days.

Now it seems that it is not necessary at all.

The grandfather not only recovered quickly, but also saved a lot of medical expenses.

"Doctor Lin, your anesthesia is very good today." Yu Zhendong praised sincerely.

"That's not because Director Yu is high-level." Lin Xiaobei felt sorry for each other.

"This case can be reported to the publicity department of the hospital, which is a good publicity material." Wang Peng suggested.

I don't know who was talking too much, but when Lin Xiaobei and Liu Xu were about to transfer the old man back to the ward, the door of the operating room was suddenly crowded with anesthesiologists.

Including Director Lin Chaobing and Liu Min.

"Come, come, come! Doctor Lin, Liu Xu, stand still. Director Lin, you stand here, Director Yu stands there, and Teacher Li..."

Liu Min arranged everyone in the corresponding position, adjusted the camera, and clicked to take pictures.

"Lin Xiaobei, prepare this case carefully, and do a special report on business study next Wednesday morning." Director Lin urged.

"Okay, thank you, Director Lin."

"Liu Xu, today you follow Mrs. Lin and write an article about your learning experience."

Liu Xu immediately made a bitter face.

"Ms. Lin, you can figure it out, you have to guide me to write." After work, she blocked Lin Xiaobei in the shoe changing room.

The shoe changing room is a separate isolation room leading to changing rooms for male and female medical staff.There are special masters guarding it, and all medical staff entering the operating room are required to change into specially equipped shoes here to prevent contamination from foreign bacteria.

"Hehe, I want to write it myself? How about we change it?" Lin Xiaobei teased.

"I'm completely in the fog today, like a dream, how can I write?" She frowned.

"Then write down what you saw in your dream." He continued joking.

"Don't be joking!" Liu Xu said seriously with a pretty face, "You have to tell me about the paravertebral block. I didn't get any vaccinations today, and I'm still confused."

"I also did it on a whim. Go back and look up relevant information on this. It's a new technology." Lin Xiaobei suggested.

"Are you okay tonight?"

"It's okay, what's the matter?"

LiuXu said happily: "Okay, I'll treat you to dinner."

"What are you doing?" Lin Xiaobei looked at her vigilantly, showing courtesy to her for nothing, rape or robbery.

There must be something wrong with her, she wanted to use a meal to trick him into writing some ghost study experience, but there was no way.

"It's just treating you to dinner, why are you so nervous?" Liu Xu glared at him dissatisfied.

"You have to give me a reason to accept it." Lin Xiaobei didn't point it out directly.

"I just want to chat with you, tell me. I have a lot of problems hoarding here!" Liu Xu pointed to her little head.

"So it's like this. If you want to invite me, I have to invite you. You are still a student." Lin Xiaobei suddenly realized.

He knows Liu Xu's temper very well, and he will not stop until he understands something he doesn't understand.

"That's okay, I owe you first, and I will pay you back later."

"You look down on people too much, it's just a meal. Tell me, where to eat."

"Well, I have to think about it," she tilted her head and considered, "let's go to Fuhe Garden."

Fuheyuan is just behind the hospital, and it is very close from the back door.

Just as Lin Xiaobei and Liu Xu walked out of the gate of the inpatient department, they suddenly heard a gentle cry.

"Doctor Lin!"

　Thanks to 2020***3185 book friends for the reward again!I wish you all the best, health and happiness!
　　Thanks to Endless Medical Road and Nocturne Ecstasy for their recommendation tickets. It is the first time I have received so many votes. I am very touched and grateful!

　　thank you all!

　　
　
(End of this chapter)