Beep

The monitor in the operating room screamed monotonously, like a duck that was strangled to ask for debt.

Su Jiafu sat obediently on the round stool, looking at the values ​​on the monitor, and then looking at the operations of his director, as if a duck who was only strangled to his neck was hiding his debts.

"With the combination of propofol and remifentanil, the dosage of propofol can be reduced, which can also shorten the patient's recovery time after surgery..." The director of the Department of Anesthesiology also said a few words to Su Jiafu.

Ling Ran is used to using Su Jiafu as an anesthesiologist. The two of them cooperate well, but it is very important to improve the prognosis of the surgery in all aspects, especially to reduce recovery time. A good anesthesiologist is very important.

Su Jiafu is a good anesthesiologist, but his skill tree is too low. When he is striving for excellence, he can only ask senior doctors in the anesthesiology department to come forward.

After consultation in the anesthesia department, they also came up with the most suitable anesthesia plan and adopted entirely based on intravenous anesthesia.

Compared with sevoflurane commonly used in inhalation anesthesia, remifentanil, which is commonly used in intravenous anesthesia, recovers faster, has a shorter effect time, and has no accumulation. Compared with the two, the probability of postoperative cognitive impairment is also lower when using intravenous anesthesia.

Postoperative cognitive impairment is a common complication after general anesthesia. Once it occurs, short-term disorders may occur in patients' thinking ability, attention and speech ability, and a few people may even have long-term disorders.

Of course, the probability of long-term disorders is very low, and postoperative cognitive impairment mainly occurs among older patients. In addition, the higher the education level, the lower the probability of postoperative cognitive impairment.

As for the working status of the patient Chen Xiaowang, even if he had a short period of cognitive impairment, he might not be able to bear it. The department of anesthesia was named by Huo Congjun. Although the department director was not worthy of Huo Congjun, he could not be criticized. The plan he chose was considered in many aspects.

Those who are looked down upon by Huo Congjun will be criticized by him if they are not good, and they will be criticized by them in a despicable manner. As the director of the department of anesthesiology, naturally they cannot bear this kind of crime.

The director kept watching the data on the monitor stable, then watched Su Jiafu fill out the form on the computer, then pointed to the dosage of various drugs, and said: "Next time, you should have a count in your mind, don't just calculate it stupidly. If you use this sunarcocuronium, if you use it during induction, you have to control the dosage. For example, dexmedetomidine, you should pay more attention to it. If you use it too much, you will be hypotension and bradycardia..."

Su Jiafu listened obediently, like a training puppy.

For Su Jiafu, who is still a resident, it is a rare opportunity to get the director's training.

Anesthesiology is a place that is more busy than ordinary professional departments. If doctors from other departments reach the level of directors and have a little more relaxed space, the directors of the anesthesiology department often have to go to the front line to work.

As the saying goes, there are only minor operations, no minor anesthesia. Once the department director of the anesthesia department takes action, he has to do things seriously and not relax. However, the department collects new people every year, unless someone asks for help, the director will ignore them easily.

It can be said that the growth of a doctor is inevitable. It is also a very metaphysical thing to get the level of doctor teaching for two newcomers. In many cases, it is not the performance of the newcomer, but the attitude of the superior doctor and the degree of busyness.

Su Jiafu didn’t have the chance to listen to the director’s lecture before, but now he has taken advantage of the opportunity, so he naturally cherishes it.

Similarly, Lu Wenbin and Ma Yanlin in front of the operating table also had serious surgery.

They could all see that Ling Ran’s technique today was very different.

Surgeons often have surgery, and the more professional the doctor is, the more difficult it is. This is like taking care of children. Parents who take care of the first child are really patient and worried about the children. They will be nervous about whether they will press their arms when they turn over. However, the attitudes of parents with second and third children are absolutely different.

Ordinary surgeons are absolutely trembling when they have their first appendic surgery or their first cholecystectomy, fearing that they will make mistakes. Of course, they will definitely make mistakes.

However, when the 10th and 20th cases of the surgery, some habitual rough operations and illegal operations will begin to appear. By the 100th case of the surgery, the surgeon not only formed his own routines, but also formed his own unique rough methods. It was like a semi-new driver who had been driving for two years, and he had a fierce operation as if he was a tiger.

In contrast, Ling Ran has always been a strict manner, but it is not as picky as it is.

After all, the human body is different, and it is meaningless to emphasize a unified value or to stick a specific red line.

But Ling Ran’s requirements today are extremely high.

Even the output frequency of the ultrasonic knife, etc., are adjusted and constantly changing, making Lv Wenbin and Ma Yanlin unaware of it.

Ling Ran is still in a state of being in a state of being muffled. To be honest, I have said that it was all during the preoperative consultation. His current operation was completely tried.

Ultrasonic knives are medical devices that rely on high-frequency vibration to complete cutting and solidification. To a certain extent, this cutting head with a maximum frequency of more than 50,000 hz is already a very dark technology.

The greater its energy output, the stronger its cutting ability. When the energy output is low, the cutting ability is weak, but the ability to solidify and stop bleeding is strong.

The same doctor will have more than one-third faster surgery than an electric knife, and the effect will be better.

Not to mention anything else, it is also a bleeding stop. It can be done with an ultrasonic knife in 1 second, while the electric knife takes 5 seconds.

And for these extra 4 seconds, the electric knife has been relying on the organization, and the damage will definitely be more.

Ultrasonic knife will also be damaged, so Ling Ran has to choose the right frequency and time, which can not only complete cutting and solidification, but also not damage the tissue.

Even the angle of the titanium clip has been specially adjusted and tested.

When the abdomen is closed, the bile ducts and other tissues are squeezed together. Coupled with the natural peristalsis of the body, the titanium clamp is not properly placed, so complications are easily caused.

However, these are all low-probability events. If it were not for the patient Chen Xiaowang's request, there would have been no need to be so meticulous.

But from another perspective, it was his request that gave Ling Ran a template and goal.

In many ways, clinical medicine has no specific data. Lower the energy of the ultrasonic knife, how low should it be? Pay attention to the titanium clip, and what angle should it be? There is no formula.

The value of surgeons is often reflected in this.

The experience of a surgeon is accumulated through countless operations and countless thoughts. Following the correct steps and doing the correct operation will increase over time.

In contrast, evidence-based medicine has developed to this day and is still a baby. Every step is evidence-based and cannot be done.

But it is possible for a surgeon to do a good job in a patient and follow the model of a patient to do more and better.

Perhaps it will not cause earth-shaking changes in the world.

But it will make the world more hopeful and better.

...
Chapter completed!