Lift the pregnant woman to the bed and adjust the angle of the operating bed to 15 degrees left.

This is to move the uterus to the left to facilitate searching for the appendix. At the same time, it can also reduce excessive stimulation of the uterus during the operation to avoid complications such as aggravation of threatened miscarriage.

The preoperative preparation was quick, and Xie Yiren was already in place.

Zheng Ren brushed his hands, put on clothes, laid a sterile sheet, and stood at the operator's position.

"0.5% lidocaine, plus half a piece of milk." Zheng Ren said.

Milk is nickname for propofol and is an anesthesia inducer. It is generally used in general anesthesia. During the induction of continuous epidural anesthesia, the effect of local anesthesia is not strong.

The anesthesiologist was stunned for a moment and wanted to argue something, but when he saw Zheng Ren's concentration, he still held back.

Even if he dares not to have anesthesia during pregnancy, what else can he not do?

"5ml syringe, change to 1ml syringe needle." Zheng Ren stood under the shadowless lamp, his figure was a little tall. Every sentence was extremely firm and could not be questioned.

The thinner the needle of the syringe, the less painful it will cause to the patient, but it will be more difficult to push anesthesia.

Begin anesthesia, proficient and rhythmic infiltration anesthesia movements, which makes the anesthesiologist feel refreshed.

After each injection, it will slow down for a few seconds, waiting for lidocaine mixed with propofol to take effect before performing 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.

It's so awesome, no wonder I dared to have a local anesthesia appendectomy.

An anesthesiologist is a person who knows things, and the more he sees it, the more he becomes more and more attentive.

In the classroom, Director Pan and Director Liu exchanged expressions.

When he saw that the patient had appendicitis during pregnancy, Director Pan put down the old Guan Zhu.

When he saw Zheng Ren preparing for the slaughter, Director Pan began to get anxious.

"Director Pan, your vision is really great." Director Liu thought he was sure to win, and Zheng Ren was looking for death himself and couldn't blame himself. At this time, he was in a relaxed mood and began to attack his opponents who were overestimating his abilities. "I haven't done the appendectomy in the local anesthesia for many years. Director Pan, you often did it when you were in county and township hospitals and troops. I guess Zheng Ren learned it from you. Today I will also learn it well and increase my skills."

After saying that, Director Liu changed into a more comfortable position and looked at the projection of Zheng Ren.

Director Pan wants to criticize him back, but where is the mood now?

It was already midnight, and hundreds of accounts suddenly logged in on the Xinglin Garden website at the same time, whistling in, squeezing into a live video broadcast.

[Oh my God, what did I see? Appendicitis during pregnancy! Is it necessary to do some anesthesia! Is this a great god trying to die by making a living?]

[What do you know? Sit down well, you block my sight.]

[I have never done it before. I really need to study it carefully this time. I hope the master will do it slowly, so I will notify others to see it immediately.]

[Have you ever had an appendectomy in the local anesthesia? I have never done it. I can move a small stool and do a good job in the great theology.]

【Never done +1.】

【Never done +2.】

【…】

【Never done +10086.】

Behind every account in Xinglin Garden is a doctor. This is a professional website that requires real-name authentication and requires a practicing physician certificate to serve as a review standard.

The basic anesthesia method for appendectomy is continuous epidural anesthesia, which is common. People who stay up late until this time are young doctors in their thirties. No one present had an appendectomy, even if they were professional doctors.

【Why is the anesthetic in his syringe turbid?】

[I just heard that I wanted to add propofol. Are there any colleagues in the anesthesiology department? Tell me what the principle of this stingy operation is.]

[I am the deputy chief physician of the Department of Anesthesiology in a Grade A hospital. I said I was confused and didn't understand at all.]

At the beginning of the operation, a group of professional doctors began to enter a confused mode.

Local anesthesia appendectomy is an unfamiliar procedure, and there is no doubt that this is not even clear about the anesthetic drugs injected by the surgeon? This is a bit too much.

The barrage began to flood the screen.

[Why do you need to stop for a few seconds after injection? What is the principle?]

[It is estimated that it is for the purpose of local anesthetic drugs to take effect and avoid irritating patients. The 0.5% lidocaine infiltration anesthesia time is generally around 12 seconds. Why is the interval between each injection of anesthetic drugs at about 3 seconds?]

【Is this the effect of propofol?】

【Already kneeling down, please accept my knees.】

【It’s all so bad that I’m watching the operation, watch the operation!】

Finally, the barrage sent by those who called for quiet observation of the operation was covered up by a dense barrage and disappeared into the vast sea of ​​people.

[I remember the appendectomy during pregnancy. The incision next to the rectus abdominis muscle written in the textbook. Why do I feel a little high in the incision position of the master? Could it be that I remembered it wrong?]

[Maybe it was a physical examination dialectic and determined the appendix position.]

【5cm small incision, how confident is it to do appendicitis in the middle stage of pregnancy!】

Although it was just an appendectomy, everyone was interested in watching it. As the surgery began to open, the barrage gradually decreased.

...

...

Zheng Ren used a knife to cut the skin, bluntly separate the subcutaneous tissue and muscles, and open the peritoneum.

Each step of the operation requires local anesthesia. The operation is not fast but very stable.

The anesthesiologist looked at the operation, checked the electrocardiogram monitoring, and then turned his head to see the operation. It had reached the peritoneum, and the patient's blood pressure, heart rate, and breathing were very stable.

This means that Zheng Ren's local anesthesia effect is particularly good, and the patient does not feel the pain of the surgery.

It's such a monster, the anesthesiologist thought to himself.

Zheng Ren has reached the limit. If someone specializes in anesthesia will not have such a perfect performance. Could it be that it is the effect of propofol? Should I try it in the next operation?

The anesthesiologist quickly shook his head and drove this unrealistic idea out of his mind. He should do it in a normal manner. If there is any accident, he can't afford it.

After the peritoneum was incised, Zheng Ren used the middle bend to directly clamp the appendix.

The middle bent forceps are in vain and do not give the swollen, fragile appendix a trace of extra strength.

He held the middle bend with one hand and reached the other hand in front of Xie Yiren.

Xiaowan was photographed in Zheng Ren's hands.

"Don't Xiaowan." Zheng Ren patted Xiaowan back and said, "Syringe."

Xie Yiren realized that this was not an appendectomy that he was used to doing, but an appendectomy under local anesthesia. He could not directly clamp the ligaments and arteries around the appendix, and local anesthesia was also needed.

Already following the appendectomy, the bored Xie Yiren had little stars flashing in his eyes, as if he had found a new toy, staring at Zheng Ren's movements with all his concentration.

After lightly injecting anesthetic, Zheng Ren picked up a small bend and began to separate the ligaments.

Zheng Ren felt unfortunate. When life and death were at stake, he actually encountered a patient with appendicitis during pregnancy, and he had to undergo local anesthesia.

Although he has specially practiced the operation of local anesthesia in the system space, he will try not to do this kind of erotic operation without doing it, and there are too many accidents.

Fortunately, this case of pregnancy appendicitis is a relatively simple appendicitis.

Due to pregnancy, the uterine bloating is pushed away by the large omentum that should have covered the appendix. If the appendix is ​​perforated, without the protection of the omentum, the patient will have serious complications and the intraoperative treatment will be very troublesome.

The patient in front of me was not sure whether it was because of the clear diagnosis or the timely treatment, or because she was too young, in good health, and had high immunity. The appendix swelled to its limit but had no perforation.

The inflammatory exudation around the appendix is ​​not severe.

What a blessing.

Zheng Ren began to remove the appendix and stitch the appendix artery. After suturing the remaining roots of the appendix, he strengthened the suture.

The operation was clean and beautifully finished.
Chapter completed!