Start as an Emergency Physician

Zhou Yuan almost laughed out loud and said, "Don't worry, so many doctors are watching, how can they forget anesthesia." "

"It's because there are so many people! Everyone thinks that they won't forget anesthesia, maybe they will forget?"

Zhou Yuan explained helplessly: "Now this operation is before anesthesia, and it needs to be completed with the help of the strength of your vocal muscle groups, and the operation has not been opened yet, why are you anesthetized so quickly?"

"It's done. Wei Lili took out the palace expansion stick and said.

Zhou Yuan nodded and looked at the anesthesiologist.

The anesthesiologist walked up with three needles in his hand.

He Lili, who was lying on the operating table, was actually a little excited.

"Aren't you afraid?" the anesthesiologist was stunned for a moment.

It was the first time he had met a patient who was so excited to see him come with a needle.

He Lili smiled reluctantly: "Don't be afraid, my stomach hurts now, if you anesthetize me, I won't hurt." "

This sentence made everyone in the operating room feel a little distressed.

Pregnancy itself is painful, plus a huge fibroid... Here's how to get through it!

It is no wonder that Wei Lili lamented that He Lili's uterus had such a large tumor, but it had not affected the fetus.

The anesthesiologist put the sling needle X into Wei Lili's blood vessel, and then used three thin needles to inject liquid into the drip tube above.

He Lili was stunned: "Just like this, can you numb me, will it be too painful in the middle for me to wake up suddenly?"

The anesthesiologist smiled confidently: "Don't worry, it's absolutely no problem! If you wake up halfway, you will have a medical accident, and I won't even have to eat at that time!"

He has done many times of anesthesia for pregnant women, and the dose of anesthetic is accurate to 0.01ml, and he has absolute confidence in his technique.

"Remember to add me an analgesic pump!" He Lili suddenly remembered something and said.

An analgesic pump is a liquid infusion device that can keep a stable concentration of drugs in the blood, which can help achieve better analgesia with less drugs, which can be used for postoperative analgesia, cancer pain, labor analgesia, etc.

During surgery, patients are often allowed to apply self-compressions to add an additional infusion dose to the continuous infusion, which can make the treatment more personalized and appropriate to the different levels of pain sensitivity in different people.

Therefore, it is nothing for He Lili to take the initiative to ask for an analgesic pump.

The anesthesiologist was a little surprised: "You still know about analgesic pumps." "

"I heard my sister say that after giving birth, it will be painful to die, and adding an analgesic pump can make the postpartum pain a lot less!" He Lili said with a smile.

"I'm a little dizzy when it's over. "

He Lili hurriedly finished saying this, and directly rolled her eyes and was fainted by numbness.

"So fast?" the anesthesiologist was stunned for a moment.

He hasn't done gas-assisted anesthesia yet...

After breaking He Lili's face, the anesthesiologist put the mask on her face, and then stepped back.

"The anesthesia is done. "

Zhou Yuan nodded, "The operation begins!"

"Venipuncture and arterial puncture first!"

He Jianyi immediately came up for venous puncture.

Zhou Yuan punctured the more difficult arteries.

When the surgical plan was discussed, the two punctures really amazed everyone.

Normal myomectomy or cesarean section does not require puncture at all, so everyone didn't understand what Zhou Yuan wanted to do.

In fact, Zhou Yuan was worried about accidents during the operation, such as endometrial hemorrhage and so on.

So, prepare well in advance.

Deep venipuncture is aimed at intraoperative hemorrhage, and the venous access is opened in advance, and fluids can be given immediately in case of heavy bleeding. Arterial puncture is mainly used to detect arterial pressure and determine the patient's heart function, physical condition, etc.

The venipuncture went well, but Zhou Yuan's arterial puncture was in trouble.

Because of the impact of the tumor, the blood vessel where the arterial puncture was performed was deflated.

The anterior and posterior walls of the blood vessels are in a state of negative pressure, not flattened due to lack of blood flow, but are squeezed together, and the needle cannot enter the lumen of the blood vessel at all, nor can the arterial pressure be detected according to the blood flow...

Zhou Yuan tried twice without success - this is not a technical problem, who can put a needle X between two pieces of paper that are completely glued together?

Zhou Yuan frowned and glanced at the instrument.

"I can't wait any longer, just disinfect the table. Zhou Yuan said quickly.

"Scalpel. "

Zhou Yuan took the scalpel and skillfully cut open the skin of his abdomen.

Previously, He Jing and Wei Lili had explored the approximate location of the tumor from He Lili's yin, and combined with the results of angiography, CT and other images, Zhou Yuan drew several lines on He Lili's abdomen.

It's the incision.

It is perfect to avoid tumors and babies and complete the exposure of the abdominal cavity.

Soon, fine beads of blood emerged from He Lili's slashed skin.

Then, Zhou Yuan carefully dissected the uterus.

After a while, the uterus was opened, revealing the fetus inside and the huge fibroids next to it.

This step is the most dangerous, and if you are not careful, the tumor may rupture and enter the fetus.

"Teacher, help me fix the tumor. "

As he spoke, Zhou Yuan made another opening in the internal iliac artery.

"Vascular clamps. "

After blocking blood flow to the internal iliac artery, the tumor loses its blood supply.

Zhou Yuan quickly revealed the broad ligament area on the left and right sides of the uterine isthmus, found the part without blood vessels, and made a small incision.

"Hose tourniquet. "

Zhou Yuan passed the hose tourniquet into the incision, ligated the uterine arteries and veins in the uterine isthmus, and temporarily blocked the blood supply to the uterus.

The time frame for cesarean delivery is tight, and the fetus must be removed within five minutes due to the blockage of the blood supply to the uterus and the blood supply to the internal iliac artery, otherwise it will be dangerous.

If there were uterotonics, everything would be much easier, but now He Lili's situation cannot be administered.

"Uterine tamponade!" Wei Lili said quickly.

He Jianyi carefully immobilized the tumor so that it was separated from the fetus so as not to affect the work of cesarean section.

He Jing filled the cavity with gauze and carefully pressed the uterus to promote contractions.

After a while, the fetal head came out first.

Wei Lili dragged her head in surprise and carefully pulled outside.

When the fetus's shoulders came out, Wei Lili quickly cleaned up the mucus and foreign bodies in the fetal's mouth and nasal cavity.

The cesarean section went smoothly and Wei Lili was also very skilled, and the fetus was separated from the womb soon after, leaving only an umbilical cord connected to the mother.

"Cut the umbilical cord!" Wei Lili's tone was a little relaxed.

Being able to complete such a cesarean section is also a proud thing for her.

The scissors clicked, and the newborn came into the world completely.

A loud cry rang out.

This fetus has been developing for nearly nine months, and although it is considered premature, it is much better than Sun Lele's situation.

There is no problem with the fetus at all.

Before everyone in the operating room had time to rejoice, He Jing's face suddenly turned pale, who was dealing with the placenta!_

Feilu reminds you: there are three things to read - collection, recommendation, and points