super anesthesiologist

Chapter 93 Can such a dose meet the requirements of surgery?

"Mr. Wen, help me listen to the breathing sound."

Lin Xiaobei continued to pretend to be acting, he had to act "very lucky", he could not only take care of Director Lin Chaobing's face, but also successfully completed the tracheal intubation.

Lin Chaobing is still skeptical.

But Wenxin looked at Lin Xiaobei mysteriously after listening for a few times, he actually inserted the endotracheal tube just like that!

Director Lin Chaobing also picked up a stethoscope to auscultate, and the breath sounds on both sides were indeed symmetrical, because the pregnant woman's lungs were not very good, and wet rales could still be heard.

Perhaps focusing all their attention on the suspicion, they forgot to test whether the endotracheal tube is in the airway. The most direct evidence is the continuous CO2 gate waveform on the monitor.

There is also an indirect proof that when the trachea enters the glottis, it will cause coughing due to stimulation, but Lin Xiaobei performed cricothyroid puncture and superficial anesthesia in advance, so Sun Ruolan's coughing reaction did not appear.

This is one of the reasons why Lin Chaobing is skeptical.

Now that it is confirmed that the endotracheal tube has entered the airway, it doesn't matter whether Lin Xiaobei is really good or just got lucky. The important thing is that he has successfully solved the big problem he is currently facing and avoided everyone's embarrassment.

Moreover, in the eyes of outside broadcasters, Lin Xiaobei's operations were directed by Lin Chaobing.

At the provincial hospital and the Second Affiliated Hospital more than ten kilometers away, the other two anesthesiologists were staring at the display screen in displeasure.

It's already plugged in before I can see it clearly.

In order to confirm that the tracheal tube was in the airway, Lin Chaobing deliberately broadcast the end-tidal CO2 waveform on the monitor live, undoubtedly announcing to the national audience: Their tracheal intubation was successful!

But how it was inserted, no one saw clearly, only a young doctor turned the endotracheal tube there and then went in.

Laymen may think that it is a very simple matter, isn't it just taking a tube to send it in?But the anesthesiologists are different, staring closely at the live broadcast room, with constant doubts.

In the live broadcast room, Lin Chaobing ostentatiously took a lot of close-ups of Sun Ruolan's face, especially her mouth and nasal cavity, telling colleagues how difficult this anesthesia and tracheal intubation was.

After successful tracheal intubation, Lin Xiaobei gave 2mg of miren, and Sun Ruolan soon fell asleep.

Wen Xin smiled and signaled Lin Xiaobei to step aside, she was about to go numb.

Lin Chaobing didn't make a sound, that was tacit consent.After solving the biggest problem, the subsequent anesthesia work will be much smoother, and his expression is very relaxed.

Although it was Lin Xiaobei who had the endotracheal tube inserted, Wen Xin is the newcomer that the department focuses on training. In this nationwide live broadcast, it is definitely more appropriate to give her the opportunity to show her face than Lin Xiaobei.

Lin Xiaobei retreated to the side knowingly, standing and watching.

"what are you doing?"

Li Xiumei stopped Wenxin in time.

"Medicine!"

"Don't give it yet, let Dr. Lin Xiaobei come."

Everyone looked at each other in blank dismay.

Lin Chaobing thought that director Li Xiumei drank the ecstasy soup today, and fell in love with Lin Xiaobei for everything.

Wenxin wonders if you made a mistake, Director Lin is here today, so it's Lin Xiaobei's turn.

Even though Lin Xiaobei was successfully intubated just now, she always thought it was just luck.And in her opinion, Lin Xiaobei's operation just now was extremely ill-considered.

When the condition of the oral cavity is completely unknown, blind endotracheal intubation will cause great damage to the internal soft tissues.

Lin Xiaobei actually performed such a rough operation in front of the national audience. I don't know how bad it will be to the Department of Anesthesiology of the Affiliated Hospital of S University.

Wen Xin felt that the anesthetist who entered the live broadcast room today would not be able to reach Lin Xiaobei in terms of qualifications.He was lucky enough to come in, so he should honestly stand aside and study, watching her and director Lin Chaobing's performance.

She frowned at Li Xiumei's almost reprimanding tone. Is it time to quarrel again?But there is a live broadcast here, and I don't know how many people outside are watching and studying!
Wen Xin forced a smile, "Director Li, today's anesthesia is directed by Director Lin."

Li Xiumei didn't show any face at all: "No, I specially asked Dr. Lin Xiaobei to preside over today's anesthesia, and it's enough for Director Lin to be in charge of supervision."

She even ignored Wenxin, which means: why are you here?
Wen Xin's face turned blue and white.

Seeing that the two were about to meet again in the live broadcast room, Lin Chaobing quickly acted as a peacemaker, "Xiaobei, since Director Li is so optimistic about you, then you come."

Lin Xiaobei was very embarrassed at this moment.

Don't take Lin Chaobing's face off. How can he say that he is also the director of the anesthesiology department. In S city, director Pan Yang and director Gao Hong of the Second Affiliated Hospital are nicknamed "Three Kingdoms" by colleagues. Even in the whole country, he is also an expert with certain influence. .

"Director Lin, I'm here to study with you." He said with a smile on his face.

Lin Chaobing's face suddenly softened, this Lin Xiaobei is not so stupid, he also knows a little bit of human sophistication, unlike some young people in the department who don't know the heights of the sky and the earth.

"You come, you come, I will also observe and learn." He smiled and stepped aside.

On the one hand, it is to encourage Lin Xiaobei, on the other hand, there are some dissatisfaction.He watched coldly, wanting to see what kind of high-level moth Lin Xiaobei could come up with.It's only been a long time since this young man went to the emergency department, and he's jumping so fast that he's about to fly.Lin Xiaobei knew what Director Li Xiumei wanted him to do.

But he didn't immediately start to perform his unique skills, but first pumped propanol to pregnant women in a clichéd way.

This operation is very delicate, so the requirements for sedation and analgesia are very high.There are many solutions to analgesia, and sedation can only rely on drugs.

Prop*phenol cannot pass through the placental barrier, so it can be safely used in pregnant women in appropriate amounts.Inhaled anesthetics can also sedate, but it is still unclear whether they will affect the fetus in the belly of pregnant women. The most authoritative research in the world has not confirmed that inhaled anesthetics will affect the growth and development of the fetus.

But try not to use it if you can, everyone knows the truth that medicine is three-point poison.

After adjusting the infusion speed of the target-controlled pump, Lin Xiaobei began to spread out the epidural bag.

Lin Chaobing: "..."

Warm: "..."

Only Li Xiumei was smiling, and the "local anesthesia" she was looking forward to was finally about to begin.

Lin Chaobing couldn't stop him, so Wen Xin asked with a smile on his behalf: "Doctor Lin, what are you doing?"

Lin Xiaobei replied: "Give the patient a target injection to reduce the amount of general anesthesia."

Lin Chaobing: "..."

Wen Xin: "It doesn't seem necessary, does it?"

"Need, need, who said no need! I specially invited Dr. Lin Xiaobei here so that he can administer local anesthesia."

Li Xiumei subconsciously thinks that "target injection" is local anesthesia, and those words are awkward to pronounce, so she always uses "local anesthesia" instead.

Lin Chaobing: "..."

There are many doctors in the anesthesiology department who know how to perform targeted injections. Why do you have to hire Lin Xiaobei, and he is still in the emergency department.

Warm: "..."

Thinking that Lin Xiaobei really did something astonishing, making such a big noise turned out to be just a performance of targeted injections.This is live broadcast nationwide!
Lin Xiaobei ignored their expressions and dragged past the ultrasound.

His current level doesn't need any visual guidance at all, but because of the live broadcast, he has to make a decent appearance.

Lin Chaobing and Wenxin looked at Lin Xiaobei's positioning and needle insertion with disapproval at first, and then their pupils gradually shrank.

This Lin Xiaobei's operation...

He used lumbar puncture needles instead of nerve stimulation needles and directly inserted them into pregnant women!
The lumbar puncture needle is thin and long, the strength is extremely difficult to control, and it cannot be visualized under ultrasound.He is equivalent to a blind puncture.

This is a pregnant woman, what if the piercing is so deep and the internal organs are injured?
Is he audacious and reckless, or is Hua Tuo reborn?
Lin Chaobing was secretly worried, and even regretted it. If Lin Xiaobei made a mess in front of the national audience, he, the director, would be held accountable in the end.

Wen Wen asked in surprise: "Doctor Lin, you—"

However, Lin Xiaobei didn't pay attention to her.

At this time, I suddenly missed Liu Xu very much. If she was here, she would definitely cooperate with him in silence.

Did Liu Xu stand outside and watch her "fucking around"?
With no one to help, Lin Xiaobei made enough food and clothing by himself.He stops the needle and withdraws, then begins to slowly push in the local anesthetic.

No need to explain too much, the theoretical knowledge of Lin Chaobing and Wenxin is still there.Although I couldn't see the trace of the lumbar needle, and I didn't know where Lin Xiaobei sent it, but after pushing the medicine, the neurodevelopmental area quickly swelled up a "mushroom cloud", surrounded by a layer of liquid dark area.

This is the classic visualization of ultrasound-guided nerve blocks.

This time he "fucked" was right again!
Lin Xiaobei gave six targeted injections in a row, including injections into the fascia sheath, and celiac ganglion block.

"Okay, you're ready for surgery," he said.

"Is that all right?" Wen Xin asked in disbelief.

She carefully observed that Lin Xiaobei had only used a total of 75mg and 200mg of allergen, which is not a lot even for brachial plexus block.

Such a dose can meet the surgical requirements?

Even director Lin Chaobing showed a nervous expression.

So far, he has not taken any action to stop Lin Xiaobei, and watched him "fucking around" silently.I can't help being dissatisfied, you say this young man is messing around, and he has indeed made some tricks.

First, the tracheal intubation just now, before he could react, he just inserted it in so naturally; then he watched him take such a thin needle and perform precise target injection on pregnant women with ease.

"Xiao Bei, do you want to add some muscle relaxant and S***?" He reminded.

(End of this chapter)