I really don't want to be a doctor

Chapter 56 To Save Money

The patient is already lying in the operating room.

The wide surgical gown made him look even thinner.

The anesthesiologist has already begun to assess the risks of the operation.

Originally, this matter should have been done the day before, but unfortunately this patient was considered an emergency operation, and the anesthetist did not have much time.

"It should work."

After the anesthetist made an assessment, although his face was cautious, he still thought it could be numb.

"Can you do local anesthesia?"

Yu Wenxing asked suddenly when he was four years old.

"Small numbness?"

The anesthesiologist was taken aback.
"How is it possible to do local anesthesia?!"

Li Xiaojun was dumbfounded at the time.

Local anesthesia, the full name of local infiltration anesthesia, is suitable for small operations or operations,
This type of surgery is usually only done in an outpatient operating room.

For example, small wound suturing, such as closed chest drainage.

But now it's an abdominal probe,
Li Xiaojun couldn't figure it out.

"Could it be that local anesthesia is given at the hole, but even so, the patient may not feel discomfort when the hole is opened, but can the patient bear it when the operating rod handles the mesentery?" Li Xiaojun asked.

Yu Wenxing smiled embarrassedly, "Sorry, I didn't make it clear, can I have an epidural anesthesia?"

"Epidural anesthesia?" The anesthetist repeated, and began to think about it.

Epidurals are now a very common form of anesthesia.

In theory, all operations except head surgery can be performed.

But this is only in theory,

It is generally applicable to operations on the abdomen and below.

"I asked Ling Jiangfeng to come over and take a look. He learned it specially during his advanced training."

The anesthesiologist ran to call Ling Jiangfeng over.

Ling Jiangfeng nodded to everyone first, as a greeting, and then assessed the patient's condition, frowning slightly, "This patient should be put under general anesthesia directly. There is no need to be so troublesome."

Epidural anesthesia is more complicated to manage than general anesthesia.

Except for the really critically ill patients under general anesthesia, after most patients are under general anesthesia, the ventilator takes over the breathing, and the anesthetist sits in front of the ECG monitor and plays with the mobile phone, just checking the situation from time to time.

However, because epidural anesthesia needs to observe the anesthesia plane, and most patients will have some feelings, it is necessary to add anesthesia, sedation or comfort from time to time.

Relatively speaking,

For this patient, Ling Jiangfeng is more willing to give general anesthesia.

Yu Wenxing sighed, "The condition of the patient's family is too poor."

Ling Jiangfeng was taken aback for a moment, and then he also sighed.

The cost of general anesthesia is not low,

A full set of anesthesia will cost at least 1000 more.

But epidural anesthesia costs more than 200 yuan.

"But when the pneumoperitoneum is established later, can the patient bear it?"

Ling Jiangfeng didn't insist and asked.

"I'll ask the patient."

Yu Wenxing turned to look at the little patient.

The little patient was a little nervous, but he was still awake and could hear the conversation between Yu Wenxing and Ling Jiangfeng. Seeing Yu Wenxing looking over, his eyes were full of determination,
"I can take it."

"Heh." Yu Wenxing chuckled, "It will be very uncomfortable later."

"I can hold on."

The little patient gritted his teeth, and his tone became more determined.

Ling Jiangfeng sighed helplessly, "Okay, if you feel uncomfortable later, you should tell me earlier, don't hold on."

The establishment of pneumoperitoneum will make awake patients very uncomfortable, and the use of the diaphragm will reduce the range of motion of the lungs, which will give people a feeling of suffocation; pneumoperitoneum will oppress the abdominal organs, and will give people a feeling of pain.

This has been written in the book, and Ling Jiangfeng reminded him that he was afraid that the patient would hold on.

After the little patient nodded, Ling Jiangfeng took the anesthesia consent form and went out to find the patient's mother to sign.

Soon, Ling Jiangfeng came back. After washing his hands and changing his gloves, he yelled while administering anesthesia:
Are your legs numb?
Are your legs numb?
After Yu Wenxing washed his hands, he changed into a surgical gown and began to arrange things.

"This patient needs to make at least three holes for abdominal cavity exploration. I will ask Director Deng to operate one hole later and help me cooperate."

Deng Liming nodded cautiously,
This was his first real experience with the joystick.

Seeing Deng Liming's cautious face, Yu Wenxing smiled, "Director Deng, don't be nervous, your task later is to help push some mesentery away, it won't be too difficult."

Deng Liming nodded again.

"Ms. Li, you should hold the mirror later."

The three were ready and the operation began.

Open the observation hole under the navel first, it is recommended to pneumoperitoneum.

The CO2 was slowly pressed into the body, and the little patient's expression changed obviously. The corners of his mouth twitched, his brows were furrowed, his teeth were clenched, and he made the sound of gasping for air from time to time.

"Give me some sedative."

Li Xiaojun really can't stand it anymore,

"Given a sedative, in case the breathing is suppressed, he has to be intubated again, the loss outweighs the gain."

Ling Jiangfeng was also quite embarrassed.

This operation is not like a simple open appendectomy, and the operation does not significantly inhibit breathing. Anesthesiologists usually give a little sedative when giving epidural anesthesia.

But this patient needs to establish pneumoperitoneum, which will have a great impact on breathing, and the risk of giving sedatives is not low.

"I can. Persevere"

The little patient spit out every word.

Li Xiaojun wanted to say something else, but Yu Wenxing said coldly, "Be quiet."

Deng Liming also glared at Li Xiaojun, Li Xiaojun shrank his neck and dared not speak.

Because it was a full abdominal examination, Yu Wenxing planned to make an incision under the xiphoid process after two holes were made at the Mai's point and the left Mai's point.

"hiss."

Yu Wenxing's knife had just cut through the skin, and the little patient couldn't help it.

"Add some anesthetic and expand it a little."

Yu Wenxing stopped what he was doing and said softly.

Increasing the amount of anesthetic or increasing the speed of anesthesia injection can increase the plane of anesthesia,
Ling Jiangfeng nodded, and increased the pumping speed of the anesthetic.

After a pause of about half a minute, Yu Wenxing continued to strike.

Although the little patient was still frowning, he could hold back.

After opening the hole, putting in the Trocar, and inserting the joystick, Yu Wenxing began to search.

The order is still upper right, upper left, lower left, pelvic cavity, lower right, but this time, Yu Wenxing turned very slowly.

A little bit of the situation in the abdominal cavity was exposed on the monitor, and in the field of view magnified ten times, any tiny lesion could not escape the eyes of everyone.

Liver, intact.

Gallbladder, intact.

Pancreas, intact.

In the large intestine, no adhesions were seen.

Pelvic cavity, no inflammation was seen.

Even the small intestine that Yu Wenxing thought at first was not abnormal at all.

Before the operation, Yu Wenxing always believed that the patient must have a problem with the small intestine.

Either intestinal adhesions,
Either that or Crohn's disease.

Although the patient had no previous history of abdominal surgery, small intestinal tuberculosis can cause small intestinal adhesions, which can cause chronic abdominal pain,
As for Crohn's disease, it is also a relatively common rare disease.

But after exploring the small intestine, Yu Wenxing frowned, and stopped the movement of his hands.

No exception.

(End of this chapter)