super anesthesiologist

Chapter 92
Nine o'clock on Friday morning.

The tense and exciting operation is about to begin.Because Li Xiumei personally hand-picked it, Li Aiguo did not stop him and allowed Lin Xiaobei to be "seconded" once.

The relevant personnel in the anesthesiology department include director Lin Chaobing and several other deputy directors, and Wen Xin is also there.To Lin Xiaobei's surprise, Liu Xu also followed in.

Probably Director Lin Chaobing's acquiescence, who told her to be the Director's graduate student?

This is the first case of intrauterine fetal surgery in the Affiliated Hospital of S University, and also the first case in S City, and it is also leading in the whole country.

For a large-scale hospital like S University, there is no shortage of patients and technology, but reputation.

If the operation is successful, then this will be a great opportunity for the Affiliated Hospital of S University to become famous.Therefore, leaders at all levels of the hospital attach great importance to it, and even the medical school of S University has sent propaganda personnel.

Lin Xiaobei recognized the head of the publicity department, Yu Juan.

The operation was very carefully arranged. The anesthesia was led by Lin Chaobing and Lin Xiaobei, while the operation team was performed by Li Xiumei and Li Haishan, director of the orthopedics department.

The director of the orthopedics department is very picky about the nurses, and specially appointed nurses from the orthopedics surgery group to take the stage.

There are a total of 15 operating rooms in the orthopedic operating room of the Affiliated Hospital of S University. Today, this operation is arranged in No. 8, the favorite room of Su Jian, director of cardiac surgery.

No. 8 operating room has the largest area and the most sophisticated equipment, and the cleanliness of the vertical laminar flow workbench is 100.

Generally, extremely complicated orthopedic surgeries are arranged in this room.

Today's operation is not very complicated. To put it bluntly, it is a spina bifida repair, but the difficulty of this operation is in the uterus, requiring extremely delicate operations.Another point is that the requirements for anesthesia are very high.

It was only after Lin Xiaobei visited the patient that he found out why Li Xiumei went to the emergency department to find him.

The surgical scar on the spine area on the back of the pregnant woman is very fresh, like a centipede in its prime.This is not very important, the fatal thing is her mouth.

According to the pregnant woman and her family members, she suffered burns on her face when she was a child.The scars on her face are mainly concentrated from the bottom of her nose to the corners of her mouth.

Li Xiumei said that her mouth opening was very small, Lin Xiaobei tried it, and barely managed to pass through an ID5.0 endotracheal tube, which was about the thickness of a chopstick.

No wonder Director Lin Chaobing said that it is either local anesthesia or local scar release first before surgery.

But this kind of surgery is like a tumor patient, who can't wait.The further the delay, the more difficult the operation will be due to the continuous abnormal development of the fetal heart.And this fetus is extremely important to the pregnant woman.

Not only did she have facial scars from the burns, but she also had other serious complications, gestational diabetes and gestational hypertension.

Even if the fetus is aborted, the possibility of continued pregnancy and disability is still very high, and it is not easy to conceive.

This is also the main reason why the pregnant woman would rather lose her own life than save this poor fetus.

All love in the world is inferior to maternal love, even if she is humble.

After the pregnant woman enters the operating room, the itinerant nurse quickly establishes the infusion channel.Lin Xiaobei and the others started to work.

Due to the high requirements for sterility, the number of relevant personnel is also limited.Only three people are allowed in the anesthesiology department: Lin Chaobing, Lin Xiaobei, and Wenxin.

Liu Xu failed to break into the next level and could only watch it through the closed-circuit television outside.Lin Xiaobei glanced at her innocently, "I can't help it either."

Seeing Wen Xin inside, Li Xiumei just frowned, and then smiled, because she saw Lin Xiaobei preparing for epidural outsourcing.

Lin Chaobing said that general anesthesia is not enough, and she also knows that epidural anesthesia is not enough, so it can only be local anesthesia.At first she was still a little apprehensive, but Colin Xiaobei performed a perfect "local anesthesia" for her in the emergency department, which made her very happy.

"Local anesthesia" is the best anesthesia method for Sun Ruolan. It can not only ensure painlessness, but also avoid affecting the uterine contractions, and the impact on the circulatory and respiratory systems is also minimal.

Wenxin is preparing general anesthesia supplies.

Women are more careful.Although Lin Xiaobei heard that her skills are not high enough, her work style is still worth learning.

She arranged all the general anesthetics in order, and the emergency medicines were specially marked with a red marker.

Lin Xiaobei often teaches this habit to trainee doctors or trainees, but when it's their turn to do it themselves, they often ignore it because they are lazy and want to save trouble.

It is very rare for Wenxin to be able to be so self-disciplined with her own hands.

When she was ready, she asked director Lin Chaobing to preside over the general anesthesia.

In Li Xiumei's eyes, the protagonist of anesthesia today is Lin Xiaobei, who is in charge of the whole process of anesthesia, and director Lin Chaobing only needs to show his face. After all, he is still the director of the anesthesiology department.

So when she saw Director Lin Chaobing standing next to the pregnant woman's head and preparing for general anesthesia, she was secretly anxious and kept looking at Lin Xiaobei, why didn't you come on?

Among all the medical staff present, except for the two surgical nurses, even Lin Xiaobei had the lowest status, and among the three anesthesiologists, his status was also the lowest.

Wen Xin didn't even understand why there is Lin Xiaobei among the anesthesiologists today, there are many people with higher status than him in the department.

Even director Lin Chaobing didn't understand why Li Xiumei liked Lin Xiaobei so much, and repeatedly emphasized that Lin Xiaobei must be in charge of today's anesthesia.

But as the director of the department, he must be the protagonist today, and he must be in charge of the anesthesia.Although there was a quarrel with director Li Xiumei over the anesthesia plan, once he decided to do it, he couldn't refuse.

Lin Chaobing's headache was how to insert the patient's endotracheal tube?Before, he and Li Xiumei discussed to release the scar at the corner of the mouth of the pregnant woman first or directly perform a tracheotomy, but they were all rejected.

Now standing on the stage, the live video is broadcast directly to the Internet through closed-circuit television, and I don’t know how many people watch it online.

Various state-of-the-art tools for dealing with difficult airways, such as video laryngoscope, light stick, and fiberoptic bronchoscope, are prepared on the anesthesia machine table.

But Lin Chaobing still hesitated.

The blood oxygen saturation of the pregnant woman is not bad under spontaneous breathing, reaching 98%.But that doesn't mean it's safe. Her mouth opening is too small, and her nasal cavity has been severely deformed by scar tissue.

Without sufficient certainty, it is not possible to give any sedative and analgesic drugs to pregnant women.

Wenxin first administered local anesthetic and MHJ to the nasal cavity of the pregnant woman to reduce irritation and bleeding.But Lin Chaobing took out the slender mirror once he probed it.

Can't get in at all.

He put a 5.0 endotracheal tube on the fiberoptic bronchoscope, which barely entered the mouth, but the inside was so blurry that he couldn't see anything clearly, and because of the extremely small space, he couldn't turn the direction of the probe at all.

Lin Chaobing tried it a few times without success, and due to the constant stimulation, the pregnant woman couldn't bear it anymore and started coughing.

Coughing can cause a sharp rise in intra-abdominal pressure, which is very dangerous.

"Director Lin, ask Dr. Lin Xiaobei to try it."

Li Xiumei couldn't help but said that she was troubled by the discomfort of the pregnant woman.She spoke very tactfully, but Lin Chaobing's face was very gloomy.

Lin Xiaobei was also riding a tiger at this time. He had to take into account the face of the director of the anesthesiology department, and he couldn't let Li Xiumei be on the side all the time, not to mention the director of the cardiac surgery department was also on the side.

"Director Lin, you guide me."

He first performed cricothyroidotomy on the pregnant woman.Although the scar on the front of Sun Ruolan's neck was contracted, the thyroid cartilage was not clearly visible.But Lin Xiaobei succeeded in stabbing easily.

When pushing in the local anesthetic, Sun Ruolan coughed.

This is the most direct evidence that the drug has entered the trachea.

"Cough again." Lin Xiaobei ordered.

This is to allow the airflow produced by the local anesthetic to fully diffuse when coughing, so as to achieve a better superficial anesthesia effect.

After finishing the superficial numbness, he chose a 5.5mm ID tracheal tube, wiped the lilac mucilage, and asked Lin Chaobing to stand beside him to help the pregnant woman's jaw.

Holding the endotracheal tube, he slowly inserted it through the corner of Sun Ruolan's mouth, which could barely hold a chopstick.

Lin Chaobing frowned, Lin Xiaobei's action was unreasonable.He also does blind intubation of endotracheal tubes, and most of them enter through the nasal cavity.Because many people adjust the angle of the extension line of the nasal cavity to be in line with the glottis.

But Sun Ruolan's mouth is so disabled, and there is too little room for adjustment in the mouth, and the pregnant woman also has a lot of scars on the neck, so the movement of forward and backward is completely limited. Endotracheal intubation is also difficult, let alone blind insertion.

Lin Xiaobei has been an anesthesiologist for so many years, and his actions have become more and more reckless.

Because of the closed-circuit TV live broadcast, Lin Chaobing didn't want to reprimand Lin Xiaobei in public, and only waited for his operation to fail before euphemistically educating him.

Of course Lin Xiaobei understood what the director was thinking, he asked Lin Chaobing to stand by and guide him purely to save his face.

This pregnant woman is a super airway to others, but to him it is a matter of hand.

During the live broadcast on the screen, many doctors from the Second Affiliated Hospital and the Provincial Medical Center were also watching the live broadcast.

"He got involved by messing around!" said Pan Yang, the director of the anesthesiology department of the provincial hospital, a little disappointed.

Attached one is that he has also learned about this case. He is also an anesthesiologist, and his views are the same as those of Lin Chaobing.So when he heard that Lin Chaobing met a prickly head of obstetrics director, he secretly gloated.

Today I deliberately spent precious time watching this live broadcast, not for learning at all, but for...

But Deputy Director He Yunkai next to him said very calmly: "He is not messing around, he really has this level."

Pan Yang looked at him, are you kidding me?
He Yunkai consciously made a slip of the tongue, and joked: "Director Pan, I know this anesthesiologist, he is really good at playing tricks."

Damn, you haven't seen him use a drinking straw as a tracheal tube yet!

(End of this chapter)