"What did you say?" Chang Yue asked in surprise.
"Uh..." Lao He scratched his head. He knew that Chang Yue would not perform the surgery and was only responsible for writing medical records. "In the appendicitis surgery, the epidural catheter was broken during the continuous epidural anesthesia. It is said that it should remain in it for about 6cm. Some."
Just when Zheng Ren was about to speak, a sound of "ding dong~" suddenly came from his ears.
This voice has been missing for a long time. Since winning the Nobel Prize, Big Pig Hoof has not issued any more tasks. Zheng Ren can only rely on the continuous task of being the best surgeon to obtain negligible skill points and experience points.
Urgent mission: Pick one out of ten thousand.
Task content: Remove 1 broken epidural catheter.
Task rewards: In system data calculation, different rewards can be obtained by taking out in different ways.
Mission time: 24 hours.
Is Zheng Ren really slandering the big pig's hooves? He issued the mission while the mission reward was still being calculated? This is a bit too loose.
And the focus is on extracting these six characters in different ways.
Zheng Ren's first thought was to surgically remove the broken epidural catheter, but after seeing the words 6, Zheng Ren hesitated. Since Big Pig Hoof has given the hint, it is not impossible to try interventional surgery.
Zheng Ren entered the system operating room without hesitation and clicked to purchase surgical training. The system operating room rose from the ground, and he strode in. To be honest, Zheng Ren is also a little interested in anesthesia accidents. After experiencing this kind of thing, he will not be numb if he encounters it.
"Anesthesia catheter? Can it be broken? Is it made of paper?" Chang Yue was particularly surprised.
Not only for ordinary people, but also for a physician, it is unimaginable that the epidural anesthesia catheter will break.
What on earth is this thing and why is it so weak! It's just magical.
"Xiao Chang, this catheter rupture is not particularly rare..." Lao He hesitated, and finally told the truth: "According to domestic statistics, the incidence rate is 0.06% to 0.2%, and the overseas incidence rate is 0.0017% to 0.04%. "
"Why is there such a big difference?" Chang Yue asked in surprise.
"Look at your ignorant look." Su Yun said scornfully, as if he had forgotten that he had just drunk the fragment and was carried home not long ago, "different materials and different ways of avoiding certain positions during anesthesia can cause similar things. "
"Well, I recently encountered a case that I heard from others. A trainee extubated the tube, but he didn't use the right force, and the catheter broke inside." Lao He said seriously: "If you look into it carefully, there are many possibilities. .”
As he said that, he put down the phone and started counting his fingers.
"The reasons for epidural catheter breakage during surgical anesthesia are complex, and most of them are related to the anesthesiologist's operation, pathological or physiological changes in the puncture area, and catheter factors."
"For example, the main reason for catheter breakage during catheter placement is that the catheter is inserted too deep. Generally speaking, if the catheter is deeper than 5 cm, it may break."
As he spoke, he pressed down the thumb of his left hand with his right hand, indicating that this was the first possibility.
"Furthermore, when encountering resistance when inserting the catheter, the anesthesiologist panicked and used excessive force to withdraw and adjust the catheter. However, the Tuohy needle did not move in coordination during the operation, causing the angle to twist and the catheter to break."
As he said that, he pressed the second finger again.
Su Yun suddenly said: "Brother Yang, you know why the boss and I have been praising you."
Professor Yang has a black streak, and he can really relate to anything. Speaking of which, I just opened Wushuang that day, and it seemed to be correct... I hope I can open Wushuang anytime and anywhere in the future.
"Well, what Professor Yang did that day was right. Whether it was surgery or anesthesia, violence is really not suitable." Lao He said, "Furthermore, the Tuohy needle was improperly positioned in the epidural space, and the catheter was located between the needle tip and the bone surface. Sometimes it may get stuck in the intervertebral joints or bone seams. This requires a lot of anesthesia experience, and it is also an area where mistakes are more likely to be made.”
A third finger pressed down.
"The reasons for catheter breakage during extubation are related to excessive force when extubation encounters resistance and repeated attempts to pull out catheters that are knotted or entangled with surrounding tissues."
“In addition, the patient’s own pathological and physiological factors such as spinal stenosis, bone hyperplasia, pregnancy, epidural connective tissue hyperplasia, and postural changes are also important factors that may cause the epidural catheter to break during the insertion or removal process. reason."
"The consumables are also related." Zheng Ren suddenly said.
"Are you sure? The probability of it happening in China is much higher than abroad. The reason is the quality of the consumables." Su Yundao said.
"The material and model of the epidural catheter... I remember there are reports in the literature that nylon or polyurethane catheters are stronger than Teflon or polyethylene catheters, while 19G catheters have a tendency to break at a fixed location near the tip." Zheng Ren finished speaking and wiped Wiped his mouth and looked at Lao He.
Lao He immediately became serious.
Boss Zheng's meaning was very clear, but Lao He felt that he couldn't guess, so it would be better to listen to Boss Zheng's opinion.
"Lao He, what does that mean?" Zheng Ren asked.
"I looked at the messages on WeChat. The person who caused the accident is the director of the anesthesiology department of a city or county below. Judging from the content, it should be a group message." Lao He said, "There is no head-up greeting, and there is no closing thank you. I guess the person on the other side is already confused. I don’t know how to deal with it.”
With just one sentence and inquiry, Lao He could see a lot of things.
"What does he mean?" Zheng Ren asked.
"Boss Zheng, please check WeChat." Lao He held his mobile phone, bent down and trotted to Zheng Ren's side.
Have you ever experienced a broken epidural catheter? Besides being conservative, what other solutions are there
It was a very simple message, but the person who sent it was really confused and didn’t even express the most basic thanks.
It may seem a bit vulgar, but many people are confused when encountering unexpected situations. It was like the first time I went to the province and encountered Wang Hai pushing the catheter in during cerebral angiography.
At that time, Dr. Wang seemed to be completely stunned. Liu Zewei and Gao Shaojie took turns to get the guide wire, but he didn't say anything after the failure. He took out the guidewire himself, and he held his hand, not knowing what to say.
So Zheng Ren understood and could guess what the person who sent the message meant.
"Lao He, ask him if he needs help." Zheng Ren said, "By the way, let's make it clear where he is."
"Okay." Lao He responded without hesitation.
Although it was a butt-wiping job, Lao He still didn't complain at all and took the time to contact him.
"Boss, you really can do any job." Su Yun had already guessed that his boss would have itchy hands, but when he said those words, he couldn't help but cursed in his heart, and he directly complained.