Lift the pregnant woman onto the bed and adjust the angle of the operating table to the left 15 degrees.
This is to move the pregnant uterus to the left, making it easier to find the appendix. At the same time, it can also reduce excessive stimulation of the uterus during surgery, which may lead to complications such as aggravation of threatened abortion.
The pre-operative preparations were quick, and the Xie people were already in place.
Zheng Ren brushed his hands, put on clothes, laid out sterile drape, and stood in the surgeon's position.
"0.5% lidocaine, add half a bottle of milk." Zheng Ren said.
Milk is the nickname of propofol, an anesthesia induction agent. It is generally used in the induction process of general anesthesia and continuous epidural anesthesia. The effect of local anesthesia is not strong.
The anesthesiologist was stunned for a moment and wanted to argue something, but saw Zheng Ren's concentration on the matter and held it back.
Even appendicitis during pregnancy dares not to require anesthesia, what else does he dare not do
"Change the 5ml syringe to the 1ml syringe needle." Zheng Ren stood under the shadowless lamp, his figure slightly taller. Every word is extremely firm and cannot be questioned.
The thinner the syringe needle, the less painful stimulation it will cause to the patient, but it will also be more difficult to push the anesthetic.
The anesthesia started, and the skilled and rhythmic infiltration anesthesia movements made the anesthesiologist feel relaxed and happy.
After each injection, there will be a pause for a few seconds, waiting for the lidocaine mixed with propofol to take effect before proceeding to the next step. The technique is gentle but accurate. Judging from the patient's vital signs, there is basically no acupuncture-like pain caused by the syringe.
So awesome, no wonder he dares to perform appendectomy under local anesthesia.
Anesthesiologists are knowledgeable people, and the more they watch, the more fascinated they become.
Show the exchange of expressions between Director Pan and Director Liu in the classroom.
When he saw that the patient had appendicitis during pregnancy, Director Pan put down the old copy of "Tube and Cone".
When he saw Zheng Ren preparing for local anesthesia, Director Pan became anxious.
"Old Director Pan, you have really good vision." Director Liu thought he was sure of victory. Zheng Ren was looking for death and couldn't blame himself. He was in a relaxed mood and began to use trash talk to attack his opponent who was overestimating his abilities. "Appendectomy under local anesthesia" I haven’t done this technique for many years. Director Pan, you must have done it often when you were in the county and township hospitals and the army. I guess Zheng Ren learned it from you, so I will also learn it today to improve my skills."
After saying that, Director Liu changed into a more comfortable position and smiled as he looked at the projection where Zheng Ren had started to undergo local anesthesia.
Old Director Pan wanted to spray him back, but where was he in the mood now
It was already midnight, and suddenly hundreds of accounts logged in to the Xinglinyuan website at the same time, rushing in and squeezing into a live video broadcast.
Oh my god, what did I see? Appendicitis during pregnancy! Even local anesthesia was required! Is this a live broadcast trick by a master to commit suicide
What do you know? Sit down, you are blocking my view.
I have never done local anesthesia for appendicitis, and I really need to learn more about it this time. I hope the master will slow down and I will quickly notify others to take a look.
Have you ever had an appendectomy under local anesthesia? I have never done this before. I moved a small bench and had a good discussion with the big theology professor.
Never done it +1.
Never done it +2.
…
Never done it +10086.
Behind every account in Xinglin Garden is a doctor. This is a professional website that requires real-name authentication and a medical practitioner certificate as the review standard.
The basic form of anesthesia for appendectomy is continuous epidural anesthesia, which is commonplace. The people who had stayed up until this point were all young doctors in their thirties, and not one of them had ever performed an appendectomy under local anesthesia, even if they were professional doctors.
Why is the anesthetic in his syringe cloudy
I just heard that propofol should be added. Are there any colleagues in the anesthesiology department? Let’s talk about the principle of this outrageous operation.
I am the deputy chief physician of the anesthesiology department of a tertiary-level hospital. I looked confused and didn’t understand it at all.
As soon as the operation began, a group of professional doctors began to enter confusion mode.
There is no doubt that appendectomy under local anesthesia is an unfamiliar procedure. Can’t you even understand the anesthetic drugs injected by the surgeon? This is a bit much.
The barrage started to flood the screen.
Why do we need to pause for a few seconds after an injection? What is the principle
It is probably to allow the local anesthetic to take effect and avoid irritating the patient. The onset time of 0.5% lidocaine infiltration anesthesia is generally about 12 seconds. Why is the interval between each injection of anesthetic drugs always about 3 seconds
Could this be the effect of propofol
I have fallen to my knees, please God, please accept my knees.
Stop scrolling, watch the surgery, watch the surgery!
The final barrage from those who called for quietness while watching the surgery was covered up by a dense barrage and disappeared into the sea of people.
I remember that during the appendectomy during pregnancy, the incision on the right side of the right side of the rectus abdominis was written in the textbook. Why did I feel that the position of the incision was a bit high? Did I remember it wrong
It may be that the location of the appendix was determined through physical examination and dialectical examination.
A small incision of 5cm is used to treat appendicitis in the second trimester. How confident is this
Although it was just a case of appendectomy, everyone watched it with gusto. As the surgery began to open the skin, the barrage gradually decreased.
…
…
Zheng Ren used a knife to incise the skin, bluntly separate the subcutaneous tissue and muscles, and open the peritoneum.
Every step of the operation requires local anesthesia. The operation is not fast, but it is very stable.
The anesthesiologist looked at the operation, looked at the ECG monitoring, and then turned to look at the operation. It had reached the peritoneum, and the patient's blood pressure, heart rate, and breathing were all stable.
This means that Zheng Ren’s local anesthesia is particularly effective and the patient does not feel the pain of the operation.
What a monster, the anesthesiologist thought to himself.
Zheng Ren had already done it to the limit. If it had been done by someone professional in anesthesia, his performance would not have been so perfect. Could it be the effect of propofol? Should I try it during my next surgery
The anesthesiologist quickly shook his head and pushed this unrealistic thought out of his mind. I'd better go for anesthesia as usual. If anything happens, my little shoulders won't be able to bear it.
After incising the peritoneum, Zheng Ren used the middle curve to explore and clip out the appendix directly.
The middle-curved forceps held it weakly, not giving any extra strength to the enlarged and fragile appendix.
One hand is holding the middle bend, and the other hand is stretched out in front of the Shay person.
Xiao Wan was photographed in Zheng Ren's hands.
"No Xiaowan." Zheng Ren patted Xiaowan back and said, "Syringe."
Xie Yiren realized that this was not the appendectomy he was used to, but an appendectomy under local anesthesia. The ligaments and arteries around the appendix cannot be clamped directly, and local anesthesia is required.
Xie Yiren, who was tired of following the appendectomy, had little stars in his eyes, as if he had found a new toy, and he was staring at Zheng Ren's movements with all his attention.
After lightly injecting anesthesia, Zheng Ren picked up the small bend and began to separate the ligaments.
Zheng Ren felt that he was unlucky. At the critical moment of life and death, he encountered a patient with appendicitis during pregnancy, and he had to be treated under local anesthesia.
Although in the system space, he had specially practiced the operation of local anesthesia for appendicitis, he would try his best not to do this kind of irritating operation because there were too many accidents.
Fortunately, this case of appendicitis during pregnancy was relatively simple appendicitis.
Because of pregnancy, the uterus swells, and the omentum that should originally cover the appendix is pushed away. If the appendix is perforated and there is no omentum protection, the patient will have serious complications and the intraoperative treatment will be very troublesome.
The patient in front of me didn't know whether it was because of a clear diagnosis and timely treatment or because she was too young, in good health, and had a high immunity. Her appendix was swollen to the limit, but there was no perforation.
The inflammatory exudation around the appendix is not severe either.
What a blessing.
Zheng Ren began to remove the appendix, suture the appendix artery, suture the appendix stump with purse strings, and then strengthen the suturing with one more stitch.
The operation was completed neatly and beautifully.
It went smoothly, beyond everyone's expectation. Both the classroom and the Xinglin Garden fell into silence.