super anesthesiologist

Chapter 66 Precise Target Injection (Please bookmark, please recommend, thank you!!!)

After the patient was transferred away, the physician said to Lin Xiaobei: "Thank you, Dr. Lin."

"No thanks, it should be."

"My name is Xie Yongjie."

"Hello."

Back in the surgical office area, Chen Sheng followed Lin Xiaobei, still holding the pennant in his hand.

"Okay, I accept your wishes. There is no need to be so polite." Lin Xiaobei said.

"Hey, how can this work?" Chen Sheng said while handing him the pennant, "I thought you were in the anesthesiology department, but I didn't expect you to come to the emergency department. That's right, the emergency department needs you most. doctor."

"I still mainly do anesthesia work in the emergency department." Lin Xiaobei said, "Okay, you can leave if you have nothing to do. I still have to work."

He politely issued an order to evict the guest.

Chen Sheng handed over a business card, "Dr. Lin, although I am not a celebrity, I can still hang out in S City. You saved my life and I don't know how to repay you. If you need anything in the future, please give me a call. , go through fire and water without hesitation. We will be friends from now on."

This is the second person from society to give Lin Xiaobei a business card, and he can't even remember who the first one was.

Chen Sheng also asked someone to bring a lot of fruits, and he left after being polite.

It is very rare for patients in the emergency department to be given fruit.

As soon as he left, a group of people came over to snatch food from the hungry dogs. There were more monks than porridge.Watermelons, apples, bananas, mangosteens, and a basket of fruits were snatched up in an instant.

Lin Xiaobei only ate one banana.

Xu Zhenzhen grabbed a mangosteen and happily said to Lin Xiaobei: "Dr. Lin, thank you."

She is the person Lin Xiaobei knows best in the emergency department.

"It's a good day!"

"It's not that I'm idle, it's Director Li who told me that there will be no surgery in the emergency department today."

Lin Xiaobei was very surprised, "Why?"

"Director Li and Director Bian went to the university today. There is no person in charge in the department, so I am worried, so all the surgical patients received are diverted to various departments." Xu Zhenzhen said.

"Oh!"

No wonder the pesticide drinker from the internal medicine department didn't see the director on the scene.

Since it's fine, hide in the office to see if you can use the system to train yourself.

In the end, training is the most taboo to be disturbed. Lin Xiaobei always turns his mobile phone to silent at home.

He closed the office door, sat at the desk, closed his eyes and meditated.

[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

Surgical skills training

...]

"Surgical skills training?"

Lin Xiaobei was a careful person. When he noticed this, he suddenly had doubts.

[You are now a general practitioner and must master the necessary clinical skills. 】

"Thank you!"

[Need to receive surgical skills training? 】

"Yes!"

[Please prepare to enter the secret room immediately! 】

A burst of white light flashed in Lin Xiaobei's mind, and then he found himself standing in front of the operating table wearing a standard surgical gown.

Lin Xiaobei was puzzled, the system didn't provide anything except a model specimen, so should he use his hand as a knife?
【How can you operate without anesthesia for the patient? 】

"I am a surgeon now, do I still need to do anesthesia myself?" he asked the system.

【Your job is anesthesia, so you have to do it yourself. 】

Lin Xiaobei burst into laughter and walked off the stage.

[You are not familiar with medical records? 】

ah!This is an unforgivable mistake.

Lin Xiaobei smiled awkwardly, clicked on the electronic screen on the anesthesia table, and soon the model specimen information was displayed.

The case provided to him by the system was a "patient" with acute intestinal obstruction, a 268-year-old male.Electrocardiogram sinus arrhythmia, X-ray chest emphysema signs...

Lin Xiaobei took a general look and felt that the patient should be given general anesthesia.

As soon as the idea came to his mind, the system immediately corrected him.

[General anesthesia is not the first choice for this patient. 】

"What about the epidural?" The human limit is almost 100 years old. This is the first time Lin Xiaobei has encountered such an elderly patient. Imagine what his spine will be fused to!

[Neuraxial anesthesia is not considered for now. 】The system prompts that his concerns are correct.

"Could it be that surgery is under local anesthesia?"

Intestinal obstruction surgery is no more traumatic than other abdominal visceral surgery.Moreover, the cause of intestinal obstruction is checked during intestinal obstruction surgery, which will move the intestines.

This is very uncomfortable for the patient.Because the author mentioned before, the abdominal organs are very sensitive to the unclear sense of cutting and the stretch reflex.

We usually hear a word called "abdominal pain like twisting", not "abdominal pain like cutting", which is probably the reason.

The system prompt is: [Precise Target Injection].

Lin Xiaobei suddenly became embarrassed again, "Precise target injection?" How many targets do you need to inject?
He has never used this method to perform operations on intestinal obstruction, unlike appendicitis, and he does not know which target injections to perform.

[Injection site: celiac ganglion, transverse fascia, sympathetic ganglion, ...]

The system prompts are even more frustrating. These are extremely deep areas, and it is difficult to accurately inject local anesthetic into the exact place. Even with ultrasound assistance, the block is incomplete.

But the system prompts that it must be possible.

This is already the unchanging creed in Lin Xiaobei's heart.

Under the system prompt, Lin Xiaobei set the target on the model's body, sterilized it, and then prepared to inject it. This is the system prompting again: 【No ultrasound? 】

"Ultrasound?" Lin Xiaobei muttered to himself, does a highly skilled system also need the guidance of ultrasound?

But since it reminds me, then just use ultrasound.

Just as he had this idea, a robotic arm suddenly stretched out in the air and handed over a cross-sectional ultrasound probe, which was similar to that used by the anesthesiology department.

But when he actually used it, Lin Xiaobei couldn't help but sigh that the system's technology was really awesome, and it was more than a little bit better than humans.

When using ultrasound in the anesthesiology department, you must also learn to look at ultrasound, and understand what structures each bright area and dark area represent.

But once the ultrasound of the system is posted, all dark areas and bright areas will go to hell.Like live television, it directly displays the real anatomical structure, muscles, fascia, nerves, and even capillaries can be clearly seen.

This is simply ultrasound for fools!

Lin Xiaobei picked up the puncture needle handed over by the robotic arm. It was so thin!It doesn't feel at all in your hand, it's much thinner than a hair, and it can cut your hand if you press it horizontally.

But such a thin needle still has a hand feeling, because it has hardness, and it obviously feels like holding a slender stick when it is bent.

[This is an advanced material, which cannot be produced by human material technology at present. 】

"Oh oh, that's it."

Lin Xiaobei cherished this hard-won opportunity very much, and slowly inserted the needle with the end of the needle according to the prompt of the ultrasound probe.It was the first time he was holding such a thin needle, and his movements were awkward, mainly because he didn't know how to exert force.

The system really had the foresight. If Lin Xiaobei was allowed to poke blindly with such a needle, it would be like poking an iron wall with a thin copper wire, which would have been bent long ago.

Although the movement was clumsy, the injection was finally completed.

Lin Xiaobei packed up the anesthesia garbage, handed it to the robotic arm, and was about to start the operation. The book system sent another serious warning: [Please test the anesthesia effect! 】

Lin Xiaobei was embarrassed again. Although this is a laboratory, the requirements are by no means lower than those of a clinic.

In clinical testing of anesthesia effects, acupuncture is usually used to ask patients: "Does it hurt?"

But, how does he communicate with this model from a foreign space?
　Continue to have a great day everyone!

　　
　
(End of this chapter)