super anesthesiologist

Chapter 3 Peak experience of anesthesiologists
3 The peak experience of anesthesiologists
The patient was transferred back to the ward smoothly, and after the handover, Lin Xiaobei prepared to evacuate back to the anesthesiology department.At this time, the woman held him at the corner of the corridor: "Doctor Lin, is my husband really okay?"

"Didn't you see it all?" Lin Xiaobei asked back.

"But why did Director Jiang talk to us, saying that his aneurysm had ruptured and he needed an emergency craniotomy. He also told us to prepare... mentally." Mrs. Li still had lingering fears when she said it.

Lin Xiaobei proudly said: "Director Jiang is in charge. As doctors, even if we are 99% sure, we must emphasize the 1% accident that is almost impossible to happen. This is not irresponsible for doctors to blame. The performance, on the contrary, proves that our doctors have attached great importance to it."

"That is, that is."

"Doctors are not omnipotent, and it is difficult to completely prevent various accidents. Although the possibility of some complications is only one in ten thousand or less, once it occurs, it is 100% for the individual. At this time, our doctors have Hard to say."

Lin Xiaobei saw that Mrs. Li seemed to understand, and continued to explain: "A simple analogy: most people can walk on a road without any problem, but if a small number of people fall down, they will blame the road repairers. You Tell me, is the road repairer doing anything wrong?"

Mrs. Li said with a sneer: "Well, we are wrong, we are too impulsive, please forgive me. Especially Director Jiang, I have offended you, I hope you can help us and say something good."

As she was talking, she secretly handed over a thick envelope.

Lin Xiaobei pushed back calmly, as if getting an electric shock.

"Mrs. Li, don't be so polite. Our greatest comfort is that Director Li is safe and sound. As for Director Jiang, he will be very happy to see that his operation is so perfect. He is open-minded and doesn't care about these things. It's just You guys, just calm down."

A scene appeared in his mind like a movie: Director Jiang rushed to talk to Li Changgeng's closest family members, and told the patient that his condition was very critical, his life was at stake, and he urgently needed to be transferred to the brain surgery room of the Department of Anesthesiology for emergency rescue.At the same time, he tactfully informed the family members that the operation effect may not be good, and the patient is very likely to...

Where did those family members have the patience to listen to him, they lost control of their emotions in an instant.

So the poor Director Jiang was instantly torn apart and cowarded by a group of lunatics, and someone stepped forward and slapped him in the face...

Lin Xiaobei looked at Mrs. Li in front of her. She was dressed elegantly and dignifiedly, with light makeup on, looking graceful and luxurious.It is hard to imagine that such a lady is the same person as the mad woman in the cath lab.

"Of course, of course, we will pay attention to it in the future." Mrs. Li was flattering, but she still kept the envelope secretly in Lin Xiaobei's arms.

Lin Xiaobei took a step back and said sternly, "Mrs. Li, I think you have this kind of heart, so you might as well apologize to Director Jiang sincerely."

After he finished speaking, he walked away with a positive step.

The panel in my mind suddenly appeared, and it displayed: [Medical ethics +5].

Lin Xiaobei returned home, what happened today was too mysterious for him.He was afraid when he thought about it, what a terrible situation it would be if he didn't fill in the tumor cavity?Why was he so confident then?
For Lin Xiaobei, it's not his specialty to show off his bravery and force his way, otherwise in his early thirties he would still be an unknown person in the department, let alone in the whole hospital.

He was just being forcibly guided by a mysterious force to execute it.

He remembered that the specific situation at that time was sudden blindness, and then a super perspective that could see everything appeared between the eyebrows.

Lin Xiaobeidong frowns, closes his eyes tightly, and focuses all his attention on the area between his eyebrows.

Slowly, he actually felt a reaction!
The panel in my mind became extremely clear as if it emerged from the water
Suddenly, there was a mechanical and cold electronic voice in my mind: "Congratulations on having [Super Anesthesiologist Training System]. This system comes from a foreign space civilization. It has been detected that the planet where the host is located is currently at a low medical level..."

"Wait, wait, you said our level is low?" Lin Xiaobei was a little dissatisfied. He studied (985+5+3) in the 2 key medical school for ten years to get a doctorate degree, and then received three years of training. The knowledge learned for so long is not worth mentioning in the eyes of the system?
"It's not low, it's very low."

"Then, can you let me see your level? See what the so-called high-end knowledge looks like?" Lin Xiaobei asked sarcastically.

The system did not answer, and a prompt appeared on the panel: 【"Do you want to enable the peak anesthesiologist experience mode?】

Ha, and peak experience?Is it as thrilling as a roller coaster?

His blood boils, yes!

Panel prompt: [OK!The peak experience mode for anesthesiologists is open, please select specific related items:
Neuraxial anesthesia puncture
nerve block

endotracheal intubation

central venipuncture

arterial catheterization

special airway management

Precise target injection of local anesthetic

Vital Signs Monitoring

...]

Lin Xiaobei's scalp felt numb. He thought he was a qualified anesthesiologist, but he really couldn't tell the whole story when he was asked to list so many anesthesia-related operations.

After thinking about it, he chose the technology he was best at, and let the system see that not all people on Earth are vegetarians.

Lin Xiaobei is recognized as a skillful hand in the anesthesiology department. From a few months old to a hundred-year-old man, he has performed countless cases, and he has never failed.

Lin Xiaobei confidently clicked on "Intraspinal anesthesia puncture", and the panel immediately displayed a string of characters: 【"Please select the puncture segment:】

C1-2
C2-3
……

C6-7
C7-T1
T1-2
……

L1-2
……

S4-5”

It turns out that their body structure is the same as that of people on Earth!

Human spinal nerves, also known as spinal nerves, are paired nerves emanating from the spinal cord. There are 31 pairs in total, including 8 pairs of cervical nerves (C), 12 pairs of thoracic nerves (T), 5 pairs of lumbar nerves (L), and 5 pairs of sacral nerves ( S), 1 pair of coccygeal nerves.

Each pair of spinal nerves is synthesized by the front root and the back root at the intervertebral foramen, and the two adjacent spines are connected by ligaments, joints and intervertebral discs, leaving a gap (intervertebral space) between them.

Intraspinal anesthesia (divided into spinal anesthesia and epidural anesthesia) is to enter the narrow intervertebral space through a puncture needle, and then inject local anesthetics to perform regional anesthesia on the surface of the spinal cord.

This method of anesthesia has little interference to the human body and has an accurate anesthesia effect. It is very popular in clinic, especially for operations below the abdomen, such as cesarean section and orthopedic lower limb surgery.

Lin Xiaobei was secretly startled, it seems that this super system is really not simple, even the method of spinal anesthesia is so detailed.He only performs neuraxial anesthesia on the lower thoracic segment (T4-5), thoracolumbar segment (TL) and sacral canal (S). Segments above T2 are not dared at all because of their high position, difficult puncture and many complications. bump.

He chooses the most familiar L2-3 puncture point.

The system continues to prompt:

[You will receive the skill operation experience of the super anesthesiologist peak mode, L2-3 puncture technique, please choose the experience time:

30min; 60min; 90min;

……

1day; 3days; 7days. 】

Why is it so complicated?Lin Xiaobei murmured to himself.There is still a 7-day trial mode?Doesn't that drive people crazy?Choose the easiest one for your first experience.

Lin Xiaobei pressed the button for 30 minutes.

Just 30 minutes.

【OK, please get ready】

Lin Xiaobei suddenly felt his body spinning, dazzling for a while.

When he calmed down, he found that he was in a secret room.

This is the place he is most familiar with, the operating bed, anesthesia machine, monitor, pendant system, anesthesia cart, small flat cart, closet...

This is a standard operating room with complete equipment.

[Please get ready to work, the timer starts! 】

At the same time, a man lying on his side with the moon in his arms suddenly appeared on the operating bed.Lin Xiaobei examined it carefully, and found that the model's back was smooth and plump, with distinct segments, like a real person.But the man was motionless, and there was no response to touching his back, like a specimen.

He has no time to worry about whether it is true or false, so he has to hurry up.

Positioning, disinfection, draping, and local anesthetics appeared on the small flat car as if airborne in time.

Lin Xiaobei took his time, injected Pichu, pricked the skin, punctured the epidural, inserted the epidural catheter, withdrawn the blood, and fixed it with adhesive tape.

"OK!" He thought it was over, but he didn't expect that the punctured specimen suddenly disappeared, and a spine reappeared in exactly the same posture as before.

Only then did Lin Xiaobei realize that the system was supposed to count.

……

【Experience time is up】

As soon as the system finished prompting, Lin Xiaobei's eyes flashed again. The specimens, the flat car, the operating room, everything suddenly disappeared.

And he is preparing the ninth specimen.

【Super anesthesiologist peak mode experience score table
Operator: Lin Xiaobei

Operation skills: L2-3 piercing technique

Experience time: 30min
Number of completed cases: 8 (normal ≥ 120)

Qualified rate of aseptic operation: the number of cases is too small to be statistically significant

Pichu injection pass rate: 30% (normal 100%)

Needle direction: Deviation ≥ 30°
Angle adjustment ability: Poor
Positioning accuracy: too few cases, no statistical significance

Puncture success rate: too few cases, no statistical significance

Comprehensive experience evaluation: unqualified (not entry level)]

Lin Xiaobei looked at his report card in embarrassment and surprise. He could complete 30 cases of epidural puncture in 8 minutes, which is already quite proficient!

But the system requires at least 120 cases.

120 cases! The difference between 8 and 120!
Lin Xiaobei felt like he was running 100 meters with Bolt, not at the same level at all.

The aseptic operation and Pichu injection techniques are not up to standard!This is the secret book that he has always boasted that he will not pass it on to the outside world.

The evaluation of the ability to adjust the needle direction and angle is even more bloody!

When Lin Xiaobei was in embarrassment, the system panel suddenly flashed, showing the following:

[Anaesthesiologist level experience test results:
Name: Lin Xiaobei
Occupation: Anesthesiologist

Level: LV3 (attending physician)
professional skills:
Intraspinal anesthesia puncture: trainee, experience value 3/10000
Artery puncture: intern, experience value 0/10000
Central Venipuncture: Intern, EXP 0/10000
Partial nerve block: intern, experience value 0/10000
Venous Catheter: Intern, experience value 0/10000
Cricothyroid piercing: trainee, experience value 0/10000
Vital signs monitoring: intern, 0/10000
Mastery level of basic theoretical knowledge: intern, 0/10000
Scientific research level: intern, 0/10000
Interdisciplinary First Aid Ability: Intern, 2/10000
Improving the quality of medical ethics and medical style: interns, 5/10000
……

Evaluation of Test Results: Intern]

Lin Xiaobei stared straight at him.

It's ridiculous, who measured this?

Anyway, I am also an attending physician in a large tertiary hospital. I have academic qualifications and qualifications, and I think my skills are not bad. In the system evaluation, I didn't even step into the threshold of medicine?
This result is really unacceptable!If people like Lin Xiaobei are not considered beginners, how many anesthesiologists in China can do their job?

"Can I do the test again?" Such an achievement made Lin Xiaobei a little ashamed. He thought he was careless just now, and he wanted to prove himself again.

However, the panel did not respond and disappeared, no matter how hard he tried, he could no longer communicate with it.

Lin Xiaobei deserves to give up helplessly.Maybe he had expended too much energy just now, and now he felt very tired. He couldn't think of anything anymore and fell into a deep sleep.

(End of this chapter)