medical simulator

Chapter 68 The donkeys in the production team need to rest too!

Luo Yun went out with the spirit of a strong man who never returns!

An Ruo's eyes straightened at that moment.

Heart scurrying——

Ah this?

The mouth covered by the mask opened and closed slightly, really wanting to curse.

Then he turned his head to look at Zeng Yi, his eyes were extremely wronged...

What happened was like this——

In the last operation, she had just finished anesthesia and was about to take a rest.

Isn't the time when the anesthetist can rest, the time when the surgeon is performing the operation?

As soon as the phone was warmed up in the palm of his hand, Cai Dongfan told him that he needed a C-arm X-ray, and everyone walked out of the operating room.

An Ruo naturally didn't dare to take the ray by himself and walked out.

Immediately afterward, Cai Dongfan said that the operation was over, maybe within 2 minutes, at most 3 minutes...

An Ruo, an anesthesiologist, had to arrange the patient properly, so he and the itinerant nurse sent the patient back to the ward.

I just returned to the operating room, and I still haven't stopped breathing after running back and forth!

Well, just now this patient has been obediently waiting for anesthesia in the operating room, and his teacher has already finished the preparatory work for anesthesia.

Was that done by Zeng Yi or by himself?

Then you don't have to think about it.

An Ruo once again went through the epidural anesthesia procedure step by step, which took about 20 minutes.

When I turned around, I saw a group of "cattle" in the orthopedics department, and they clicked again!

Now?

I just had two anesthesias in a row!I have to pull out the tube again, send the patient, pick up the patient, give anesthesia——

The donkeys in the production team also need to rest!

Are you trying to exhaust me?

An Ruo was indeed a little tired, because she hadn't stopped for an hour.

It is foreseeable that this time will have to be extended again.

Ears perked up, he listened carefully to what Cai Dongfan was saying. Cai Dongfan gently scratched his hair at this moment, looked at Du Yanjun and Zhang Zhengquan, and said, "Yan Jun, Zhang Zhengquan, you two, go put the patient in a plaster cast and send him back to the ward." !"

Fractures of the tibia can be fixed with a plaster cast.

Du Yanjun and Zhang Zhengquan nodded and said:

"Okay, Master."

"Okay, Teacher Cai."

After the two finished speaking, they turned and walked towards the operating room, their scalps a little numb.

Du Yanjun was very bitter in his heart, thinking: Master, didn't we agree that I would do the important operation of the operation?

What about the operation?

Cai Dongfan immediately smiled and apologized to Zeng Yi: "Director Zeng, I still have to trouble you to send this patient away."

Zeng Yi said blankly, "Director Cai, this is what we should do."

No way, this is what the anesthesiologist eats...

Then Zeng Yi took his students, turned around and walked to the operating room!

An Ruo squeezed her hands again. She had never felt that anesthesia was such a painful thing. It was foreseeable that the next patient would be picked up soon. She had to repeat it again, but if What about the next operation?

When An Ruo walked in, she whispered beside Zeng Yi: "Teacher, did the orthopedic surgeon do this on purpose?"

An Ruo has every reason to think that the orthopedics department is playing tricks on her!

Zeng Yi sighed and explained to his students: "Naturally, it wasn't intentional. Orthopedic fracture rehabilitation positions are performed under spinal anesthesia or spinal anesthesia. This is a conventional anesthesia method!"

"It used to be an internal problem in the orthopedics department, so after you came to the department, you basically had no contact with anesthesia for fracture reduction. So you don't know."

Zeng Yi had to explain to his students that because of Director Yan of the Department of Orthopedics, the Department of Orthopedics hadn't done manipulative reduction for a long time, and his students had no such experience, so naturally they didn't have enough experience.

And Zeng Yi also understood An Ruo's mood at the moment, whoever received two anesthesias in a row and was about to receive a third anesthesia immediately, with an interval of no more than 5 minutes, would feel pain in the egg.

Zeng Yi also said: "The most ideal situation for manual reduction of fractures is to do it under nerve block anesthesia, but the nerve block is more troublesome."

"It's a pity that you didn't come this morning. Otherwise, you can also look at the cutaneous nerve branch block anesthesia that requires more delicate operations than nerve blocks."

An Ruo curled her lips under the mask, I didn't bother to look at it!

But he said on his mouth: "Teacher, next time you have a chance, you must come earlier."

To add, I was wrong.

He just sat down and waited for Du Yanjun and Zhang Zhengquan to finish putting on the plaster and remove the continuous epidural anesthesia tube...

She really hoped that the two little ones could only slow down and let her breathe more.

Zeng Yi recalled it, touched his head like Cai Dongfan, and said: "It's just that Director Hu of the Second Department of Orthopedics was the only one who performed manual reduction in the orthopedics department, and when Director Hu performed manual reduction, an average of one It will take at least 20 minutes, and it must be adjusted slowly, and the C-arm will continue to see through."

"Only dare to step down."

"It was a one-time success like this, and two consecutive sets were reset so quickly. I have never seen or heard of it."

The manual reduction of fractures is not an assembly line operation. The fracture displacement of each patient is different, and the battle can be resolved in 2 minutes or even half a minute.

"So, it's not that the orthopedic department is trying to anesthetize us on purpose, but the young man doing the manual reduction is a little bit wrong."

Speaking of this, Zeng Yi took a light breath.

"hiss!"

"Thinking about it this way, it seems that this young doctor was also controlling the whole process of the very complicated fracture patient's manipulation on the first set."

"Interesting? Interesting!"

An Ruo looked up at Zeng Yi in a little confusion, blinked his eyes, and asked, "Teacher, you mean, who did the manipulations for the first three fracture patients?"

"Didn't you say that the fracture patient on the first TV was a professor from the Affiliated Hospital of Hunan University of Traditional Chinese Medicine?"

An Ruo was a little speechless, didn't she just avoid Yang Yifeng, whom she hated?

How do I feel like I'm missing out on the whole world.

Now I have encountered a tormenting 'catastrophe'!

"Professor Zhong didn't reset it at the beginning, so he added a cutaneous nerve block halfway through." Zeng Yi replied naturally.

"Oh? Is that so?" An Ruo raised his head curiously, and looked at the door of the operating room, but he didn't find that Cai Dongfan and the 'culprit' who made him unable to rest came in.

"Let's not talk about it, their plaster cast is almost ready, you go and see the patient, I'll talk to Director Cai, it's always like this, that's not the way." Zeng Yi thought about it, and decided to talk to Cai Dongfan a bit.

Cai Dongfan can save his own surgery for the patient, but he can't be treated as a cow and exhausted to death by following his own anesthesiologist.

And just as Zeng Yi was walking out, Cai Dongfan walked in from the door of the operating room.

Before Zeng Yi could speak, Cai Dongfan took the initiative and said, "Director Zeng, Liu Yan. Let's adjust the number of surgeries today. We will take the patient with the intertrochanteric fracture first, which requires surgery."

Liu Yan is the itinerant nurse in this operating room.

Zeng Yi held back what he was going to say.

After hearing this, An Ruo finally let out a long sigh of relief—can he finally take a rest?

……

Chapter 69 tour, push the C-arm machine!

An Ruo and the itinerant nurse quickly sent the patient back to the ward, and then walked slowly to the operating room.

Liu Yan was shaking her arms, looking exhausted.

An Ruo then asked Liu Yan: "Sister Yan, is the usual pace of orthopedics so fast today?"

"Where is the rhythm of today? Cai Dongfan didn't know why he went crazy today."

"The Department of Orthopedics hasn't done manual reduction for several years. In the past, only director Hu Ming did it occasionally, and it was always in the middle of two operations."

"It's not like today either."

After Liu Yan finished answering, she smiled and said, "Ruoruo, you usually follow Director Zeng's class, and most of them are in neurosurgery, so you're not used to this kind of rhythm, are you?"

An Ruo nodded honestly: "Neurosurgery anesthesia generally lasts at least four hours, and it takes seven or eight hours to turn around."

"Today, my teacher was invited to the orthopedics department, and I'm really not used to it."

Liu Yan explained: "In fact, our orthopedics department is quite good, and the operation time is not very long. Compared with neurosurgery, it is common to leave work early, and the fast pace also has the advantage of a fast pace. Several operations have been completed. If you are not on duty, you can close the operating room and go home."

Start giving Anjoanli orthopedic benefits.

"Is that so?" An Ruo asked, blinking her eyes.

An Ruo is actually a bit busy recently, and writing articles takes time, but she is a professional graduate student, and clinical tasks are the top priority.

"Yup."

"Hey, although I don't know why Director Cai suddenly reset the fracture today, but the operation and operation of two patients were completed in one fell swoop, which greatly saved the operation time." After finishing speaking, Liu Yan looked at the time.

"If the following stations are also running smoothly, we can get off work after six o'clock." Liu Yan replied happily.

"And this is a day with a lot of orthopedic surgery arrangements."

"I thought it would be at least eight or nine o'clock in the evening. I didn't expect Zhou Cheng to hide such a trick, which saved us a lot of time." Liu Yan had planned to fight the tug-of-war today. When I went to work, I told my husband that I would go back very late.

According to the normal operation rhythm, five operations, including the turnover, will take about twelve hours.

"Zhou Cheng? Is that the teacher who did the operation today?" An Ruo asked curiously.

She didn't come to the operating room before, so she didn't know what happened in the front. She was completely a tool person in the back two, as if she existed just to delay the operation and treatment rhythm.

It made An Ruo feel very guilty.

Two 10 minutes of anesthesia, two 3 minutes of treatment, which made...

"Pfft." Liu Yan laughed.

"Where is the teacher? He is a regular trainer of orthopedics. This year is the third year of regular training. He is older than you. You can call him senior brother."

"Huh?" An Ruo pondered.

Not an orthopedic doctor yet?

……

After returning to the operating room, An Ruo completed the continuous epidural anesthesia again, and then breathed a sigh of relief, then carefully checked the patient's vital signs, and then checked that the ECG monitoring was fixed in place, and the continuous venous The infusion was also maintained well.

After asking about the patient's condition, and there was no problem, An Ruo honestly played with the phone.

I learned this habit from Zeng Yi, and An Ruo didn't think there was anything wrong with it. When the patient is in good health, he naturally doesn't have to stare at mosquitoes for 24 hours. If the anesthetist is busy during the operation, then this Patients who have undergone surgery are in danger.

After confirming that the patient in this operation was a fracture of the right intertrochanteric femur, An Ruo secretly laughed inwardly and said:

You guys are still doing manual reset for this patient?

Don't you dare this time?

She deliberately checked it when she came down to the operating room, and she hadn't heard of the manual reduction of the intertrochanteric fracture.

So if you want to go for surgical treatment, you have entered the surgical process after all.

And as long as it is an operation, the general time will not be too short.

Indeed, even Zhou Cheng never told Cai Dongfan that this patient needs to perform manual reset, which is definitely not possible.

For patients with intertrochanteric fractures, even if Zhou Cheng has a redefined level of fracture reduction, he can’t do it. This is determined by the disease itself, because it is too unstable. If the patient is the same as the first patient, If you can't tolerate surgery at all, that's all.

Otherwise, this is an absolute indication for surgery.

After the anesthesia took effect, the patient was taken to the supine position by everyone in the operating room!

Because the surgical field is at the hip, disinfection only needs to be done at the middle of the calf.