medical simulator

Chapter 70 Tour, push the C-arm machine!

An Ruo and the itinerant nurse quickly sent the patient back to the ward, and then walked slowly to the operating room.

Liu Yan was shaking her arms, looking exhausted.

An Ruo then asked Liu Yan: "Sister Yan, is the usual pace of orthopedics so fast today?"

"Where is the rhythm of today? Cai Dongfan didn't know why he went crazy today."

"The Department of Orthopedics hasn't done manual reduction for several years. In the past, only director Hu Ming did it occasionally, and it was always in the middle of two operations."

"It's not like today either."

After Liu Yan finished answering, she smiled and said, "Ruoruo, you usually follow Director Zeng's class, and most of them are in neurosurgery, so you're not used to this kind of rhythm, are you?"

An Ruo nodded honestly: "Neurosurgery anesthesia generally lasts at least four hours, and it takes seven or eight hours to turn around."

"Today, my teacher was invited to the orthopedics department, and I'm really not used to it."

Liu Yan explained: "In fact, our orthopedics department is quite good, and the operation time is not very long. Compared with neurosurgery, it is common to leave work early, and the fast pace also has the advantage of a fast pace. Several operations have been completed. If you are not on duty, you can close the operating room and go home."

Start giving Anjoanli orthopedic benefits.

"Is that so?" An Ruo asked, blinking her eyes.

An Ruo is actually a bit busy recently, and writing articles takes time, but she is a professional graduate student, and clinical tasks are the top priority.

"Yup."

"Hey, although I don't know why Director Cai suddenly reset the fracture today, but the operation and operation of two patients were completed in one fell swoop, which greatly saved the operation time." After finishing speaking, Liu Yan looked at the time.

"If the following stations are also running smoothly, we can get off work after six o'clock." Liu Yan replied happily.

"And this is a day with a lot of orthopedic surgery arrangements."

"I thought it would be at least eight or nine o'clock in the evening. I didn't expect Zhou Cheng to hide such a trick, which saved us a lot of time." Liu Yan had planned to fight the tug-of-war today. When I came to work, I told my husband that I would go back very late.

According to the normal operation rhythm, five operations, including the turnover, will take about twelve hours.

"Zhou Cheng? Is that the teacher who did the operation today?" An Ruo asked curiously.

She didn't come to the operating room before, so she didn't know what happened in the front. She was completely a tool person in the back two, as if she existed just to delay the operation and treatment rhythm.

It made An Ruo feel very guilty.

Two 10 minutes of anesthesia, two 3 minutes of treatment, which made...

"Pfft." Liu Yan laughed.

"Where is the teacher? He is a regular trainer of orthopedics. This year is the third year of regular training. He is older than you. You can call him senior brother."

"Huh?" An Ruo pondered.

Not an orthopedic doctor yet?
……

After returning to the operating room, An Ruo completed the continuous epidural anesthesia again, and then breathed a sigh of relief, then carefully checked the patient's vital signs, and then checked that the ECG monitoring was fixed in place, and the continuous venous The infusion was also maintained well.

After asking about the patient's condition, and there was no problem, An Ruo honestly played with the phone.

I learned this habit from Zeng Yi, and An Ruo didn't think there was anything wrong with it. When the patient is in good health, he naturally doesn't have to stare at mosquitoes for 24 hours. If the anesthetist is busy during the operation, then this Patients who have undergone surgery are in danger.

After confirming that the patient in this operation was a fracture of the right intertrochanteric femur, An Ruo secretly laughed inwardly and said:
You guys are still doing manual reset for this patient?

Don't you dare this time?
She deliberately checked it when she came down to the operating room, and she hadn't heard of the manual reduction of the intertrochanteric fracture.

So if you want to go for surgical treatment, you have entered the surgical process after all.

And as long as it is an operation, the general time will not be too short.

Indeed, even Zhou Cheng never told Cai Dongfan that this patient needs to perform manual reset, which is definitely not possible.

For patients with intertrochanteric fractures, even if Zhou Cheng has a redefined level of fracture reduction, he can’t do it. This is determined by the disease itself, because it is too unstable. If the patient is the same as the first patient, If you can't tolerate surgery at all, that's all.

Otherwise, this is an absolute indication for surgery.

After the anesthesia took effect, the patient was taken to the supine position by everyone in the operating room!

Because the surgical field is at the hip, disinfection only needs to be done at the middle of the calf.

Immediately, Zhou Cheng, Du Yanjun and others placed the patient's affected limb on the traction bed, fixed it for a while, and then began to disinfect and spread the drape.

An Ruo saw that Zhou Cheng and the others were also busy, patted her belly happily, and didn't care about playing with her mobile phone anymore, just like a landlady supervising the work of her long-term workers, sitting on a stool, looking around .

Cai Dongfan went to wash his hands, Luo Yun went to wash his hands, hey, I told you to be lazy.

Hey, isn't this who?
He also washed his hands.

An Ruo seemed to recognize Du Yanjun, but she didn't seem to recognize him, because she didn't remember Du Yanjun at all...

After watching it for a while, An Ruo felt that it was boring, and instead felt that his thinking just now was a bit funny.

What are you comparing yourself with them?They are just busy with their own work, and they take advantage of this time to check out the professional knowledge push on the official account, isn't it good?
Um?This official account pushes the cutaneous nerve branch block.

Is it difficult?
Go and have a look, and then An Ruo frowned fiercely, because the whole push article is too hard-core, although I know the techniques myself, but it involves relatively high-end anatomical knowledge and the use of color Doppler ultrasound, plus Above, the picture is not very clear.

An Ruo struggled to read, basically reading word for word.

After seeing the blockage of a branch of a cutaneous nerve, An Ruo raised his head in a daze. What did he see just now?
How could Yang Yifeng know such a perverted thing?

Sure enough, he is not a normal person, a person with a serious illness, perverted!
He is ugly and has a bad temper.

Forget it, if you only talk about technology, he is indeed remarkable, a billion points better than himself, but.

Anesthesia is not simply a skillful operation, it also depends on the anesthesiologist's overall control over the surgical patient.

Look at the time again, 23 minutes have passed.

The basic condition of the surgical patient was stable, with stable blood pressure and heart rate.

The surgeons were busy and huddled together, not knowing what to talk about.

Whatever they say, it feels good to rest.

An Ruo stretched her waist.

Comfortable!

It feels so good to learn too!

The white wrists were exposed, and the horizontal lines of the hands protruded from the sleeves quite delicately...

suddenly!

One of the many "animals" on the operating table straightened its back and yelled: "Tour, push the C-arm machine, let it see through!"

At that time, An Ruo's whole body was numb.

As if it was a conditioned reflex, the heart muscle twitched.

Ga?
what?
Seeing the person who spoke, it seemed to be that Zhou Cheng——

Devil?
PS: Please collect, recommend, and follow up!
(End of this chapter)