Auto chess in the operating room

Chapter 82 Genius idea, the magical use of lidocaine
Ten minutes later, Linga pushed the second patient into the dressing room and prepared the dressing items.

Of course, during the preparation stage, she was a little puzzled by Monk Zhang Er, but after Du Xue changed her dressing, she still recognized Tang Lou somewhat.

After all, every doctor has some unique experience and techniques.

It's just that Linga still couldn't hold back his inner doubts, and asked in Tang Lou's ear: "Doctor Tang, lidocaine is used for anesthesia in clinical practice, can it really be used to change the dressing? In addition, you also borrowed a tablet Come to the patient, what are you doing?"

Tang Lou smiled mysteriously: "Naturally, it is to relieve the patient's pain and reduce the pain when changing the dressing."

The patient is an uncle in his 40s with a perianal abscess. After the operation, the dressing has been changed twice, but the wound recovery is not as good as expected.

Moreover, due to the release of pain-causing substances such as H+, K+, prostaglandins, histamine, 5-hydroxytryptamine, and bradykinin after traumatic surgery,

Constantly stimulate the anal sphincter, causing it to contract and spasm continuously, resulting in persistent pain.

Changing dressings is also painful for patients.

Moreover, the special location of the wound, the stimulation of feces and the influence of intestinal bacteria prolong the healing time of the wound. Every time the dressing is changed and disinfected, it is a heart-rending one.

Lying on the hospital bed, the patient was naturally in a very unhappy mood. Seeing a newcomer change his dressing, he was even more conflicted:

"Little doctor, can you do it well? If you can't do it well, I will scold you!"

After perianal abscess surgery, the pain of dressing change is an important contradiction that causes tension in the relationship between doctors and patients. Obviously, the previous two dressing changes and the speed of wound healing have already made the patient extremely dissatisfied.

When Tang Lou and Ling Jia were preparing for the dressing change, Ma En was worried and rushed to the dressing changing room, but because of Doctor Qing's order, he would not stop Tang Lou and would watch from the sidelines.

Seeing the patient muttering, Ma En was a little worried. After all, Tang Lou was still an intern, so he wondered if he could handle such a complicated situation.

Under Ma En's puzzled gaze, Tang Lou took a tablet from Lin Ga's hand.

"???"

Ma En didn't quite understand it, and the same patient was also somewhat unexpected.

Tang Lou thrust the tablet into his hand. The patient was lying on his stomach, holding the tablet, and turned his head slightly to look at Tang Lou, with a puzzled look on his face.

"Next, I will use a brand-new method to change your dressing. A very important part of it is the distraction method. Experiments have been done in clinical treatment. Distraction can effectively reduce the pain when changing the dressing, so You can watch some interesting videos and divert your attention."

Tang Lou explained patiently to patients with confidence.

"Is it really useful?"

The patient was skeptical. After all, during the previous dressing change, the quiet needle drop could be heard in the dressing room. The doctor was so focused that he didn't even speak. Although he felt very painful, at least the doctor seemed serious and serious.

Naturally, he was in a state of distress, and he couldn't help but hold back when he wanted to scold his mother. This time, the little doctor is new, how to divert attention?
"Trust me, you can choose some interesting videos to watch. Of course, the kind of FBI warning is not allowed!"

The patient chuckled and thought to himself, "You think I'm stupid? Seeing the swelling of certain parts and affecting the wound, I don't think the pain is enough."

Turn on the tablet, and soon the patient clicked on his favorite program. The clear and interesting storytelling voice of Guo Degang's "The King of the Pit" resounded through the pharmacy:

The general is born with courage

Goose Ling knife with waist and autumn water
The wind blows the drum, the mountains and the rivers move

Lightning flag sun and moon high

The original species of Kylin in the sky

How can the ants in the den escape?

Taiping waits for the return of the edict

Me and my husband
The moment Guo Degang paused, the patient blurted out: Take off the shirt!

On the screen, the audience jumped at the same time: "Take off the jersey. One more!"

The patient smiled knowingly, and the whole person began to be silly. These days in the ward, he was really overwhelmed, and it was fun to watch.
"Shut up!"

While the patient was immersed in Guo Degang's gags, Tang Lou also started changing his dressing.

在换药开始前，唐楼用0℃2%利多卡因注射液浸透一块7cm×8cm×8cm的无菌纱布湿敷于患者的创面上。

"This is?"

Ma En on the side couldn't understand, but seeing Tang Lou's decent steps, he didn't stop:
"What the hell is this kid doing?"

"Dr. Tang is using sterile gauze soaked in lidocaine to generate anesthesia on the patient's wound surface through cold compresses."

Seeing that Ma En looked like he had never seen the world, Ling Jia was very proud to start explaining, although when Tang Lou explained to her, she suddenly realized that she could still change medicine like this.

"Lidocaine is a common local anesthetic drug, which has the advantages of fast action, wide diffusion, strong penetrating power, and long maintenance time. It can also block the noxious stimulus from reaching the central nervous system and prevent the central nervous system from overreacting."

As an anesthetic commonly used in surgery, Ma En is naturally very familiar with its medicinal properties, but generally speaking, it is used in surgery. Tang Lou's unexpected usage is naturally easy to understand, but the real use is to change the dressing. It can only be said that it is too creative.

"sharp."

Ma En suddenly felt a little impressed. Although he was already a resident doctor, he was extremely cautious in his daily work and used conventional methods. He learned how to teach the doctor.

Such a powerful and unconstrained style, he would not dare to kill him.

"I want to write down this method. If it is really effective, dressing changes for perianal abscesses will become popular in the future."

Ma En completely forgot the purpose of his visit and began to carefully observe the steps of the tenement building.

"Hahaha, Lao Guo is so funny, this young lady is really hooked and lost"

The patient was engrossed in watching "The King of the Pit" and would hold his nostrils from time to time, rubbing a small booger ball with all his attention.

Ma En looked at the patient's hand movements and rolled his eyes: "."

It's just that he was also very surprised. Usually at this time, the patient would have started screaming. Today, instead of crying out for pain, he was also very excited.

"It seems that the effect is better than expected!"

In his heart, Ma En added a little more points to Tang Lou's combination of lidocaine and distraction.

After half an hour.

The patient was booing with relish, a beautiful hand descended from the sky, and took the tablet away.

"Hey, what are you doing!"

"The dressing change is over."

Through the mask, Tang Lou said coldly, then pressed the tablet, turned around and ignored the patient.

"Okay? You said, I've changed my medicine? Huh?"

Only then did the patient come to his senses, hey, what about the agreed pain?

Under the anesthesia of lidocaine plus distraction, and the 30% pain reduction of Tang Lou's surgical master level two, the patient naturally did not feel much pain.

"Hello, little doctor."

The patient shouted at the top of his voice to stop the tenement building that was about to be cleaned.

Tang Lou turned his head and looked at the patient.

The patient blushed and fidgeted with his hands a little awkwardly. Then, seeing the booger ball on his fingertips, he flicked it aside in embarrassment.

Weakly: "Thank you, Dr. Tang, can you change my medicine next time?"

Ma En watched helplessly as the booger ball bounced onto his white coat:
"."

Tang Lou nodded, and turned around handsomely:

"it is good!"

(End of this chapter)