medical simulator

It can't be said that because Luo Sangen is a suspect, so many arrangements were made because Luo Sangen was going to be sent in. Now that he is innocent, he doesn't want to pay so much.

Although you can think so in your heart, you can't do it.

……

After Luo Sangen was sent to the operating room, outside the operating room, Luo Sangen's wife called her children, and the family prayed for Luo Sangen at the door together.

After about half an hour, Min Shi thought more and more about it, and asked his sister Min Zhu, "Min Zhu, how did you know? Luo Sangen cleared the suspicion?"

"I saw the real murderer. He pleaded guilty. He was arrested, and the director personally ordered me to be released and sent me back to the hospital." Min Zhu said.

"Brother, you don't know, I, Luo Sangen, are very confused. Sometimes he loses his mind when he is so frightened. Maybe he doesn't know what's going on, so he just thinks he killed someone."

"Anyone who pours dirty water on him will be sure to do so." Min Zhu replied with a smile, his chubby face was full of joy and happiness.

My husband is no longer a murderer, and the treatment doesn't cost so much money, and the 80 has been credited to the account, so it's natural to hurry up for treatment!

Today is really a happy day.

Luo Sangen's son and daughter held Min Zhu's hand very tightly, as if they were praying for their father...

But hearing Min Zhu's words, Min Shi's expression changed slightly, and suspicion flashed across his face.I always feel that there is something strange in it.

However, when Min Shi came to his senses, the doctors and ambulances in the prison had already arrived at the parking lot under the operating room of No. [-] Hospital, and were ready to take their positions—

……

At the same time, not long after Ding Meng left the hospital!

In the operating room, Cai Dongfan was still a little listless, looking a bit like a smoked bamboo shoot, not too interested.

However, when Cai Dongfan received a call from Bu Chaodong, Luo Yun suddenly remembered, and said to Cai Dongfan: "Director Cai, Director Cai! I remembered that one of Director Bu's nephews was injured a while ago, and it was Xiao Zhou. The patient who did the limb salvage surgery, but he is under the care of Director Li."

"Director Bu, as his only family member, probably didn't go back at all, but he stayed in our second orthopedic department as a family member."

"Ding Meng and the others went back, but Director Bu is still guarding here. In fact, there is no such thing as the so-called director seeing the patient's wife."

Cai Dongfan just connected the phone, and a voice came from inside: "Director Cai, I'm Bu Chaodong. Maybe you don't know me, but I still want to tell you two very important things."

"First thing, I want to thank you, thank you doctors in your group, for saving our nephew."

"The second thing is, I beg you, do your best to complete Luo Sangen's operation, and then immediately transfer him to the prison hospital for follow-up treatment. Such a notorious murderer must not be allowed to go unpunished."

"As long as it is out of the life-threatening period, as long as it can meet the requirements of limb salvage, in the follow-up treatment process, its transfer must be controlled and it must be punished by law!"

Bu Chaodong said swearingly.

When Cai Dongfan heard this, he immediately replied with a smile, without finishing his words: "Okay, I will try my best."

Although he didn't know what kind of tricks Bu Chaodong and the others were playing, it was not something he was willing to take care of.

However, Cai Dongfan regained his energy immediately, and after passing the news to Luo Yun and others, Yang Yifeng became more energetic during the anesthesia, and began to concentrate on it. After this set of procedures, it can be seen that he was invited from the Affiliated Hospital of Shonan University Director of the anesthesiology department, Professor Qin Dingmoqin.

They couldn't help but licked their tongues and asked Zeng Yi: "Director Zeng, where did the anesthesiologist in your department graduate? How did you pick up this treasure?"

Qin Dingmo's words made Zeng Yi amused, and Zeng Yi said, "He's from Professor Qin's hospital, doctor."

Qin Dingmo's face froze immediately, full of disbelief.

Only then did Cai Dongfan say: "Professor Qin, Director Zeng was joking with you. This is Yang Yifeng, a student of Professor Ding Changle of the Department of Orthopedics in your hospital!"

After Cai Dongfan finished speaking, Qin Dingmo was taken aback: "Fuck, are you that lunatic?"

"Good guy, so you are hiding here. I said why Professor Liu from the neurosurgery department searched all over the hospital but couldn't find you."

"Tsk tsk tsk. Awesome." Qin Dingmo immediately gave a thumbs up when he heard Yang Yifeng's reputation.

When Zeng Yi heard this, his face immediately turned aside, and even Cai Dongfan and the others took a break from cooking and looked over.

"Professor Qin, who is this Yi Feng and Professor Liu from Neurosurgery?" Zeng Yi continued to ask.

Yang Yifeng was still under anesthesia with a calm expression.

Qin Dingmo scratched his head when he heard the words, hesitating and hesitating: "This, this..."

Yang Yifeng turned his head at this moment, with his usual expression, and said in a flat tone: "Professor Qin, my anesthesia is ready, why don't you come over and confirm the depth of anesthesia to see if it's suitable?"

Only then did Qin Dingmo take the opportunity to get rid of Zeng Yi's gossip.

Then the others turned their heads to look at Yang Yifeng, they were all curious about what Yang Yifeng did to provoke such a big enmity that a professor shouted at him...

Then Yang Yifeng said to everyone calmly: "Actually, it's nothing, it's just that Professor Liu's daughter misunderstood me."

Everyone rolled their eyes slightly at that time.

You are enough to destroy the wolf!

The daughter of your hospital professor is scumbag!

Awesome!

Secretly gave Yang Yifeng a thumbs up.

Yang Yifeng noticed the changes in the expressions of everyone else, and added another sentence lightly: "Professor Qin, there is a beautiful woman named Ai He in your anesthesiology department, who also added my WeChat recently."

Qin Dingmo staggered when he heard the words, and his face suddenly became his original color - ink black.

Turning around, he glanced at Yang Yifeng with complicated eyes, and thought to himself, it was rumored that Yang Yifeng must report every penny, and he really deserved his reputation, he has the name of "lunatic", why should I provoke him! ?

Iho was his student, a doctoral student.

Anesthesiology majors with good postgraduate ability can stay in the top three, and there are not many who really study for a doctorate.

just in case?

Forget it, children have their own blessings, and love freely...

Then continue to determine the depth of anesthesia——

Then Qin Dingmo discovered that the patient's sensory function and motor function were separated!

I am O!

……

1Chapter 16 Morality is not good, but justice is fine!

Dissociative motor and sensory disorder, originally a neurological disorder in which there is a loss of movement or impairment of motor function, either as a loss of movement or as a loss of sensation!

But later in the anesthesia process in the anesthesia field, according to this feature, it can be used to judge whether an anesthesia is good or not.

It is also a reflection of the professional level of a top anesthesiologist.

If I only want your motor function to be lost, then you just can't move, you can feel pain, itching and touch!

If I only want your sense of loss, then I just block your pain.

If your operation site is below the knee joint, then I will only get rid of your pain below the knee joint, but if it exceeds the knee joint, I will lose.

There is quite a feeling that the king of Hades wants you to die on the third watch, and dare not keep anyone until the fifth watch.

What is the anesthesia for this patient?

Well, he still has a certain degree of pain in his calf, and he can still move his toes!

But the pain in the thigh has disappeared——

The specific principle is quite complicated, but, as a top professor, Qin Dingmo still roughly knows the basic principle of Yang Yifeng's completion.

As far as the innervation of the lower extremity is concerned, before the lumbosacral nerves such as the left femoral nerve and the femoral nerve are synthesized, the distribution area of ​​sensation and movement has been determined——

L1: The groin (including the uppermost part of the thigh).

L2: Front of upper thigh.

L3: Front of lower thigh.

L4: Anteromedial aspect of the lower leg.

L5: Medial half of the foot.

S1: Lateral half of the foot.

S2: Outside the back of the calf.

S3: Behind the thigh.

The above is the positioning.Dominant positioning means only controlling the target area, which is anatomically determined.

Then, when the nerve root comes out, it can be divided into anterior and posterior roots, and the dominance functions of the anterior and posterior roots are different, generally speaking!

The front root belongs to movement, and the back root belongs to sensation!

So, Yang Yifeng, the wolf extinguisher, directly messed up the back roots of L1/L2/L3, but left the other positions untouched.

Moreover, in order to consider that the sensory control of L1/L2/L3 is not enough to block all the sensations in the thighs, he also precisely blocked the cutaneous nerve!

Is this what people do?

Although it can be done in theory, it is a theory. Usually, the intraspinal anesthesia is performed from the L4/L5 gap. At most, one side of the thigh is numb, and the function of the other side is still preserved. He is already a very good anesthesiologist.

And how to determine whether movement and feeling are separated, the best way to confirm it is.

Good anesthesia can be hard, bad anesthesia can be soft! (If you have experienced back anesthesia, you must know the feeling, there is no more below~——~)

Such precise anesthesia?

Qin Dingmo's expression was complicated!

I am sub-Austrian, such a wolf-killing anesthesia?

To actually plan to give such a villain an operation - it's simply God's eyes!

How good would it be if other critically ill patients could have such good nerve block anesthesia?

Some patients, with various complications, are unable to undergo surgery because they cannot go through anesthesia.

As the director of the anesthesiology department, Zeng Yi naturally noticed Qin Dingmo's examination at this moment, his pupils shrank instantly, his eyes stared straight, and he was still thinking about going back one by one, Yang Yifeng finally killed those nerves and sensory nerves Now, which ones haven't been killed yet!

"Is it possible?" Cai Dongfan asked Qin Dingmo.

The corner of Qin Dingmo's mouth twitched, blocked by the mask, and nodded: "It's ok, Director Cai, you can perform the operation now."

Only then did Yang Yifeng say, "Then I'll wash my hands first! Director Cai, I'll insert the venous filter. It won't affect your surgical field. We can do it at the same time."

"But please help me disinfect my right groin."

Naturally, Cai Dongfan, Luo Yun and the others had already washed their hands, put on their clothes, etc., and fully prepared for the surgery.

"Okay, go wash your hands." Cai Dongfan immediately nodded in agreement.

Zhang Zhengquan and Du Yanjun are doing the disinfection.

After Yang Yifeng left the operating room, Cai Dongfan and Luo Yunzhou personally made three people to determine whether the preoperative surgical instruments were ready!

……

Soon, Yang Yifeng walked in again. At this moment, both Zhang Zhengquan and Du Yanjun had just finished disinfection and were spreading towels.

After Yang Yifeng took the initiative to put on his clothes, he took a deep breath to calm down the fluctuations in his heart.

He secretly said to himself, this master is the psychopath of 'drunk driving'——

I just want to send him where he should go.

After thinking this way, Yang Yifeng opened his eyes as if breaking through some obstacles.

Then he spread the drape on his own, because he was going to implant the venous filter from the femoral vein to the inferior vena cava, so Yang Yifeng chose the right femoral vein.

For the implantation of venous filters, the commonly used routes include the right femoral vein, the left femoral vein, and the right jugular vein.

Among them, the right femoral vein is the preferred route.Because the right femoral vein is straighter than the left, and has less anatomical variation.Therefore, choosing the right femoral vein approach will reduce unnecessary troubles in the operation.

After simply spreading the drape, Yang Yifeng took out the graduated puncture needle in the puncture bag.

Immediately afterwards, the itinerant nurse pushed the color Doppler ultrasound over.

The puncture of the femoral vein, under normal circumstances, uses the relatively safe Seidinger puncture under the guidance of color Doppler ultrasound!

However, before the itinerant nurse came to Yang Yifeng's side, Yang Yifeng's hand was already directly pierced with the puncture needle.

Blind wear!

Cai Dongfan, Luo Yun and others were finishing preoperative preparations on the left lower limbs, so they didn't see them, but Qin Dingmo and the others who saw Yang Yifeng's movements were holding their toes on the ground, and they were holding their breath, as if their hearts were racing. Jumped to the throat!

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