super anesthesiologist

Chapter 94
"Let's try it first." Lin Xiaobei said with a smile, according to the requirements of the super system, this dosage is not only enough, but also exceeded.

Only Li Xiumei was full of confidence, and soon stood on the operating table with Director Li Haishan.

First, she cuts the belly of the pregnant woman, about 5cm long.

The anesthesia worked very well, and the skin of the pregnant woman did not have the slightest contraction reaction.She smiled approvingly at Lin Xiaobei, and then gave Director Lin Chaobing a meaningful look.

There have been reports of this kind of operation abroad, which exposes the entire uterus of pregnant women to the outside of the body.However, the surgical incision of this operation is too large, and the trauma is even greater than cesarean section.

When Lin Xiaobei visited the patient yesterday, he and Li Xiumei made serious preoperative preparations.Let the fetus be placed in a prone position in the pregnant woman's stomach, that is, the buttocks of the fetus are close to the front wall of the uterus.

This eliminates the need to extract the entire uterus out of the body.

Li Xiumei used ultrasound to locate the baby's buttocks exactly at the site of the surgical incision.She asked her assistant Liu Lu to hold the uterus with both hands to immobilize it, and then she made a 3cm incision on the uterine wall herself.

This length is only a little smaller than the belly incision, but just enough to fully expose the fetal spinal lesion.

"Director Li, I'm going to watch your performance now." She stepped back.

In fact, simple spina bifida repair is not considered a high-end surgery in orthopedics. It is to suture several separate layers of tissue (myofascia, dura mater and skin) to cover the defect area.

But this is a fetus of more than 20 weeks, and it is still in the womb, so Director Li Haishan is very careful.

He is so precise, the speed naturally slows down.But it was hard for Li Xiumei and Liu Lu.

In order to prevent the fetus from slipping in the uterus and to ensure that the amniotic fluid does not flow out, the two of them supported and fixed the fetus' buttocks from both sides.But then the two had to bend over and sideways.

This is an extremely uncomfortable passive position.

After less than ten minutes, Lin Xiaobei found that Liu Lu's face was flushed and her legs were trembling.Director Li Xiumei doesn't look much better, but she is very strong, and she can still hold on without changing her face.

This is also the characteristic of Director Li Xiumei. No matter how hard or tiring she is, she can shoulder it quietly.As Director Li Aiguo said, she seems carefree and a bit competitive, but her seriousness and responsibility in work are unmatched.

Lin Xiaobei moved two stools and gave them to them. Even if they couldn't sit down, they could still support them and relieve the strain on their lumbar muscles.

After adapting to the environment, Director Li Haishan's operation gradually became smoother, and the operation progressed much faster.I thought it would take several hours or even longer, but it took less than an hour for them to sew up the defect area.

The next step is to close the uterus. This part of the work is done by Director Li Xiumei, so Director Li Haishan automatically stepped back from the operating table.

The follow-up surgery was very simple, and the entire surgical process was broadcast live for one hour and eight minutes.This is less than the time it takes to prepare for surgery.

After the operation, the next step is the stage for the anesthesiologist to perform.

Since only propanol was given before, the pregnant woman kept breathing spontaneously.After the operation, Lin Xiaobei used a suction tube for children to suck once. There was a small amount of secretion in Sun Ruolan's airway and mouth, but it was not purulent.

He quickly removed the endotracheal tube, which was supposed to reduce the pregnant woman's coughing response.Unexpectedly, this inadvertent operation caused a great disturbance in the live broadcast room.

"Fuck! How did he pull out the endotracheal tube so quickly?"

"What are the indications for extubation of a particularly difficult airway?"

"This doctor is awesome, but he's gone a little too far."

……

People outside were talking like this because they didn't know that Lin Xiaobei didn't give any muscle relaxants, not even analgesics that affect breathing.

Propylene glycol is an ultra-short-acting sedative drug, and it will be metabolized within a few minutes of stopping the drug.

What really remained in the pregnant woman's body were the two local anesthetics, so Director Lin Chaobing and Wen Xin didn't express any objection.

They were just secretly surprised that the pregnant woman's vital signs did not fluctuate during the entire operation.This kid played beautifully this time, and the "local anesthesia" effect was really great.

After a while, the patient Sun Ruolan was fully awake.Because the pregnant woman is used to lying on her side, it is very uncomfortable to lie flat like this. She struggles to turn over.

Lin Xiaobei hurriedly stepped forward to comfort him: "Don't move, don't move."

Li Xiumei's eyes lit up. She had heard that Lin Xiaobei helped the patient out of the operating room after surgery, and she had witnessed it in the emergency department.So at this moment, can this pregnant woman do it?
Indeed, if Sun Ruolan walked out of the operating room at this moment, it would be the icing on the cake for today's publicity.Because of the live broadcast, colleagues all over the country watched them successfully complete an intrauterine fetal operation, and after the operation, the pregnant woman could wake up quickly and walk out of the operating room.

She tried to ask Sun Ruolan: "Do you want to take a walk?"

Sun Ruolan nodded.

"Then come down and take a walk, walk slowly, don't be afraid."

Li Xiumei supported Sun Ruolan, got up slowly, got off the operating bed, and walked around the operating room.

Lin Xiaobei was as calm as water, he was used to patients being able to walk around immediately after surgery.

Lin Chaobing and Wenxin also took it for granted, because they knew that this pregnant woman had not used any anesthetics at all.

But at this time the door of the operating room was opened, and the head nurse and hospital leaders came in directly.

The following group were stunned, three anesthesiologists stood aside, and Li Xiumei, the director of obstetrics, was supporting the pregnant woman.

"What's going on?" Dean Wang Guoliang asked, his tone quite reproachful.

"Ah? What's the matter? Dean Wang?"

Li Xiumei was in high spirits, and she didn't understand why Wang Guoliang was being blamed.

Lin Xiaobei, Lin Chaobing, and Wenxin are also inexplicable.

This is a 100-level sterile operating room. Dean Wang and the others suddenly rushed in with so many people, which obviously did not meet the requirements of the hospital.

"Who are you?" Wang Guoliang and his group were also at a loss.

"We did a good job!" Li Xiumei said happily.

As the leader who was born as a surgeon, Wang Guoliang soon knew that the operation was very successful, otherwise the people inside couldn't all have relaxed expressions.

"What's going on with the live broadcast outside?" He asked in question.

"..."

The people inside look at me and look at you, they are all inside, who knows what happened to the live broadcast outside?

"The live broadcast was interrupted suddenly, and I'm contacting the information department." A woman's voice came from the crowd. Lin Xiaobei followed the voice and looked for Yu Juan from the Publicity Department of S University.

"Interruption?"

Lin Xiaobei understood that the live broadcast was suddenly interrupted, and the dean must have thought it was an accident during the operation, so he rushed in to check, even ignoring the basic hospital sense requirements.

The result was a false alarm.

After a while, the director of the information department also rushed to the operating room, "President Wang, the server crashed just now."

"The server crashed just now?" Like non-medical staff who are confused about medical terminology, Wang Guoliang is completely clueless about information science.

"That's right, the number of people entering the live broadcast room suddenly increased sharply, the server traffic was not enough, and it collapsed. It's like a room that can only accommodate 100 people suddenly squeezed in more than 200 people, and the house collapsed."

The director of the information department used a vivid metaphor to explain.

"Then increase the traffic quickly!" Dean Wang seemed to understand, and gave instructions following his words.

"It's already increasing, it will be fine in a while."

Seeing that the patient was fine and the surgery effect was excellent, the leaders of the hospital also relaxed.

"Director Li, you are amazing. You have earned honor for the hospital and must be rewarded." Dean Wang promised.

No one thought that the Department of Anesthesiology was the real contributor!

"President Wang, this is thanks to the Department of Anesthesiology. Without their superb skills, it would be difficult for us to carry out such an operation." Li Xiumei still has a conscience and is not greedy for credit.

Wang Guoliang and Lin Chaobing nodded with a smile, "Old Lin, your anesthesiology department is also worthy of praise."

The "reward" and "praise" vividly reflected the status of the operation department and anesthesiology department in his mind.

"Thank you, Dean Wang." Director Lin Chaobing quickly thanked him.

Li Xiumei looked at Lin Xiaobei. She originally wanted to take credit for him, but she didn't make a sound in the end.

All the leaders of the hospital were present, and Director Lin Chaobing was also present. Excessive praise of Lin Xiaobei may not be beneficial to him.

Being able to be the head of the obstetrics department, she has a very good control over the various interpersonal relationships in the system.

(End of this chapter)