Since 1981 Health School

  Chapter 107 Anesthesia and Chief Surgeon

  Looking at the patient who was just moaning and screaming, Nurse Liu also went all out:

   "Okay, I believe you once, NND, if you are punished, I will never end with you!"

  Chen Qi smiled: "I promise that Sister Liu will not be punished, and tomorrow I can eat all kinds of snacks and fruits sent by the patient's family. Lijuan, what are you doing standing there, hurry up and prepare the equipment."

   "Oh, oh", Lan Lijuan is about to go crazy. She directly served as the first assistant in the operating room for the first time, and she was also the first assistant for her classmates. She was anxious and worried.

  Could it be that Chen Qi told her that he was already a veteran driver, so he wasn't afraid?

   It was also fortunate that the patient was patronizing and screaming for pain. He didn't hear the three people muttering in the corner. If he knew that it was an intern doctor who came to perform the operation on him, he would rather die of pain than scared to death.

  The first step in surgery is anesthesia.

   Applicable anesthesia methods for appendicitis surgery include general anesthesia, epidural anesthesia, combined spinal-epidural anesthesia, combined intravenous anesthesia, local infiltration anesthesia, etc.

  But now Chen Qi doesn’t have an anesthesiologist on hand, so he can only do it by himself.

  So what he prepared was epidural anesthesia, which was also the most commonly used anesthesia method for appendicitis surgery in the 1980s.

   Later doctors would choose general anesthesia no matter what the disease was to make the operation easier.

Chen Qi asked the patient to lie on his side first, hugging his knees to expose the spine as much as possible, then selected a puncture point between the 12th thoracic vertebra and the 1st lumbar vertebra, picked up lidocaine after disinfection and started anesthesia layer by layer, and finally pulled out a puncture needle .

  Under the nervous eyes of Nurse Liu and Lan Lijuan, Chen Qi successfully stuck the needle in place, injected the anesthetic, and the anesthesia was successful.

  Nurse Liu and Lan Lijuan breathed a sigh of relief at the same time,

  The two of them discovered that when Chen Qi was under anesthesia, he was positioning and preparing, and when he was puncturing, he succeeded at the first time, and his hands didn't even shake.

   After making all the preparations, Chen Qi once again stood at the chief surgeon's position. Even though it was only a small appendicitis, it also made him feel excited.

  The familiarity of past life muscles is back.

   "Chess knife" in hand, who in the world has it? One knife, one person seems to have telepathy, some people are born to be surgeons, not to be second-hand dealers.

   "Lijuan, are you ready?"

  Lan Lijuan stood opposite and nodded firmly.

   "Sister Liu, are you ready?"

  The little nurse took a deep breath: "Get ready, get ready to die."

   "Hey, let's get started."

  Chen Qi took a deep breath, and made an incision on the patient's Mai's point, the incision was only about 2cm.

  Lan Lijuan couldn't tell that Nurse Liu was experienced, so she immediately called softly: "Chen Qi, isn't the incision too small?"

  Generally, the incision of appendicitis is about 3~6cm. Sometimes the incision is enlarged under special circumstances. For example, the last time Yi Zewen could not find the appendix, the incision was enlarged to 10cm.

  Chen Qi snorted softly: "Is it small? Not too small, enough."

  With the incision, bleeding began. These days it is not popular to use electric knife to stop the bleeding. Lan Lijuan kept passing over the hemostatic forceps, while Chen Qi was skilled at stopping the bleeding while separating the fat and cutting open the omentum.

  The whole process was smooth and flowing without any pause.

  Finally, with a hook of the finger, I touched the top of the cecum without the three colon belts, and found the appendix at once, and quickly lifted it out of the incision with appendix forceps.

  Lan Lijuan and Nurse Liu exclaimed at the same time.

  Lan Lijuan exclaimed when she saw a living appendix for the first time, while Nurse Liu lamented that Chen Qi moved so quickly, much faster than other doctors.

  Chen Qi looked at this swollen appendix and felt very lucky, because the white "purulent moss" could already be seen.

  If it was later, it would be perforation or suppuration, and the patient would be really dangerous by then. This was 1982, an era when there were no advanced antibiotics, and it was easy to cause systemic toxic shock and death.

  While feeling emotional in my heart, I did not forget to introduce Lan Lijuan, including the operation steps just now, and the possible development trend of this appendix.

   This is also a hand-in-hand teaching. This is a boyfriend and girlfriend, so Chen Qi doesn't want to say more.

  When he was a teacher in his previous life, he would answer the students' questions, and he would not open his mouth if the students didn't ask, and just kept his head on the surgery.

  After successfully cutting off the appendix, Chen Qi hurriedly said to Nurse Liu:

   "Sister Liu, please help me take out the appendix and show it to the family members. After reading it, I will freeze it immediately. If someone finds out about it tomorrow, I can let everyone have a look. I cut it off completely."

  Nurse Liu has completely relaxed at this time:

   "My good boy, you have a sense of proportion in doing things, and it's not in vain to waste your sister's help. Oh my god, my legs are still weak now."

  Hehehe, all three of them laughed.

  The appendix is ​​cut off, the mesoappendix is ​​treated, ligated and then buried in the cecum wall with a purse-string suture, and the abdomen begins to be closed.

  Lan Lijuan looked at the clock in the operating room. From the start of anesthesia to the completion of stitches, the whole process took less than an hour. The key is that the surgical incision is very small and the bleeding is less.

  For the small 2cm incision, Chen Qi only sewed one stitch. In the end, Nurse Liu counted the surgical instruments, and the operation was very successful.

  Nurse Liu is still a little unbelievable:

   "Hey, Chen Qi, you are the first intern surgeon I have encountered in all these years of work. You are too good. It would be a pity if you don't do surgery in the future."

  Lan Lijuan also looked at Chen Qi with admiration: "Squad Leader Chen, I really didn't expect you to bring so many surprises to people."

  The patient was no longer in pain due to anesthesia. Seeing the joyful doctors in the operating room, he couldn't help asking:

   "Doctor, is my appendicitis cured?"

   "Okay, okay, the operation was successful. Your family members have seen the appendix just now, and now you are going to be pushed to the ward. Remember not to eat or drink, and wait until you have farted."

  The patient breathed a sigh of relief: "My God, I finally saved a life. I thought I was going to die just now. The technology of the People's Hospital is really good."

   Nurse Liu and Lan Lijuan glanced at each other, almost didn't laugh out loud, thinking that if you knew that it was an intern doctor who performed the operation on you, would you still be grateful?

  The patient was about to be pushed out, and Chen Qi was about to take off the surgical gown, when suddenly another nurse on duty came in outside the door:

   "Your appendicitis is ready? So fast? Hurry up, there is another appendicitis just delivered here that needs to be operated on immediately. Who is the chief surgeon?"

  Chen Qi was wearing a surgical gown, a mask and a hat, so his appearance couldn't be discerned at once.

   Before waiting for an answer, the little nurse was also in a hurry: "No matter who it is, you take over immediately, and I will push the patient over."

  Yes, or not to do it, once it is done, it will be a series of surgeries.

  (end of this chapter)