Although appendectomy is only a small operation, no matter how small the operation is still surgery, need anesthesia!

Anesthesia for this kind of operation is usually combined spinal epidural anesthesia. The anesthesia area is between the chest and thigh. Besides this area, pain is still felt in other places.

This kind of combined spinal and epidural anesthesia is not complicated, but anesthesia is an independent discipline, and plays a key role in surgery, must be professional anesthesiologist can not!

However, when Ren Junqi entered the emergency operating room, the anesthesiologist was still not present.

After waiting for a while, Zhu Zeming asked impatiently, "where's the anesthesiologist? Why haven't you come yet? "

Peng Xiaojie said: "the five doctors on duty in the Department of Anesthesiology have been called away by other departments. Now only director Ma is left. I have urged him twice. If you urge me again I'm afraid it's not very good. "

Zhu Zeming was still full of complaints, but when he heard that it was director Ma, he stopped saying anything.

Ma Yongde, director of the Department of Anesthesiology, is the head of the Department of anesthesiology. He is aloof and aloof. He is very difficult to get along with. Even if it is the Dean Peng Dahai, he does not give any face.

For Ma Yongde, if not necessary, the whole hospital should keep a distance from him!

Ren Junqi had no choice but to say, "in this case, let's wait."

Lin Hao looked at the patient and found that his condition was getting worse and worse. He waved his hand and said, "wait a minute!"

Zhu Zeming is annoyed to see Lin Hao at once, and even more annoyed to hear him speak. What's more, what's more, what's more, what's more, what's more, what's he saying? Wait? Who's going to do it without waiting for anesthesia? Can you do surgery without anesthesia? Really, I don't have any medical knowledge. I don't know where your qualification comes from! "

Lin Hao said, "of course, I will do it."

"You?" Zhu Zeming sneered and sneered: "depend on you?"

Lin Hao didn't pay any attention to him. He took out his needle box, pulled out a silver needle from it, put his hand on the patient's chest for a few times, and then swam away with a breath of imperial Scripture. He felt the patient's main muscles and collaterals, recognized the acupoints, and then stabbed it without hesitation!

Acupuncture anesthesia and acupuncture treatment are different. During treatment, the silver needle can be inserted into one-third of the depth at most. However, during anesthesia, the depth of the needle is more than two-thirds, and only a section of the needle handle is exposed. Therefore, it looks quite terrifying and frightening.

Zhu Zeming, who had never seen such a formation before, immediately cried out, "Lin Hao, you are crazy! Are you really insane? What are you doing with needles? "

"I'm anesthetized!" Lin Hao responded and continued to look for the position to put the needle.

"Anesthesia I'm killing you Seeing that he was still reckless, Zhu Zeming didn't dare to step forward to stop him, for fear that he would prick himself with a needle when he got mad, so he rushed to Ren Junqi and said, "director, look at him, look at him, I say don't let him in, but you have to call him in. Now it's OK, he's again..."

Ren Junqi didn't believe that there was acupuncture anesthesia in the world, but Lin Hao proved its existence with facts. She couldn't believe it. So he said in a slow voice, "doctor Zhu, be calm and don't be impatient! Lin Hao is really doing anesthesia! "

Zhu Zeming was shocked and said: "is he anesthetized? Director, why do you follow him around? "

"Shh!" Ren Junqi made a silent gesture, "don't ask, don't say, as long as you watch carefully and study hard!"

Study hard? Zhu Zeming looks confused and learns that he pricks the patient with a needle?

My goddess, is there nothing wrong with you?

As he spoke, Lin Hao had already fixed another point on the patient's upper abdomen. He moved the needle with his right hand and slowly stabbed it in. When the tip of the needle reached the concave point, his right hand pressed down, instead of straight needling, and inclined through it. He pricked the silver needle into the patient's upper abdomen. Finally, only a short needle handle was exposed on the skin.

After finishing the two stitches, Lin Hao made three stitches on the important muscles of the patient's chest and abdomen. When he finished the last stitch, he pinched the exposed handle of the needle in his left and right hands and twisted it slightly. Miraculous things happened. The other three needles trembled like dancing, and then the patient's body trembled slightly, but he was no longer sad Howling.

Lin Hao picked up a syringe, scratched the patient's abdomen and asked, "is it still painful?"

The patient obviously had no pain, but because of the pain before, he was in a state of collapse, so he was unable to answer. He just shook his head slightly and then slowly closed his eyes and fell asleep.

Lin Hao breathed a sigh of relief and said to Ren Junqi, "anesthesia has been done. Start the operation!"

Ren Junqi has not answered, Zhu Zeming has a strange smile, "so casually prick a few needles on anesthesia, you can so, why not God?"

This man has no status in Lin Hao's heart, so Lin's official doesn't pay any attention to him at all!

Ren Junqi knew that Lin Hao said that after anesthesia, there would be no more problems, but acupuncture anesthesia was too mysterious after all, so she was ready to go up for examination.Just did not wait for her to start the examination, the late anesthesiologist finally arrived!

As Peng Xiaojie said, the person coming was ma Yongde, director of the Department of anesthesiology. However, he didn't look like he was here for surgery. On the contrary, he was a bit like collecting debts. His face was as black as Bao Gong.

He came in and didn't say hello to them or even look at them. He went straight to the patient, ready to have a check and start anesthesia.

But when he saw the patient's ECG monitor and the pupil shape of the patient, his face suddenly changed. He drank and asked, "how could this happen? What have you done to the patient?"

Zhu Zeming immediately got excited and pointed to Lin Hao and said, "director Ma, he did it, and he did all of it!"

Ma Yongde looked at Lin Hao, then looked back at Zhu Zeming and said, "what did he do?"

"He pricked the patient's body with needles. Mumbling, he made the five needles!" Zhu Zeming was like pouring beans from a bamboo tube, without reservation or even adding details: "he said that he didn't have to wait for you. He could do the anesthesia himself. It seemed that he was more powerful than director Ma. You see, if you just prick a few needles in a random way, you say that the anesthesia has been completed, and you say that he can do it. "

Ma Yongde did not speak any more. He just gave the patient a pain test.

Zhu Zeming was eloquent: "director Ma, you said this is funny or not funny, a few broken needles can do anesthesia, then your anesthesiologists are all laid off, those specialized in the production of narcotic drugs can not be closed down?"

Dr. Ma didn't smile. Instead, he looked dignified and continued to test the patient's pain. After several times, he had to admit what he had seen. The patient's pain reflex disappeared!

In other words, it was Lin Hao's seemingly random needles, which really played the role of anesthesia, and it was so perfect that people couldn't pick out any problems.

Ma Yongde has been engaged in the anesthesia industry. Naturally, he will not be so ignorant as Zhu Zeming. He murmured to himself, "this is acupuncture anesthesia. I always thought that this kind of anesthesia is just a legend. I didn't expect to meet it today! A few small silver needles have achieved the effect of anesthetics without side effects of anesthetics. It's really incredible and incredible! "

Lin Hao's insipid response: "in fact, it's nothing special. It just blocks the nerve conduction and makes the patient lose pain."

Ma Yongde asked in a hurry: "what kind of side effects will that have on patients?"

Lin Hao shook his head and said, "no! However, the time should not be too long. If it is too long, it will damage the patient's needle. "

Ma Yongde asks again: "this time cannot be too long, how long?"

"In ten hours," Lin Hao said

Ma Yongde looked bright and excited: "with these ten hours, what operation can't be done! That's great, it's so good! "

Lin Hao is a little confused. I can't teach you. What's your fun?

Ma Yongde said again, "what do you call this doctor?"

"My name is Lin Hao!" Lin Hao said

Ma Yongde said, "Hello, Dr. Lin. are you a new doctor in the emergency department?"

Lin Hao shook his head and said, "no, I'm just here to study."

Ma Yongde, who is usually silent and can't make a dull fart with three sticks, is not only talkative, but also extremely enthusiastic. He asks, "Dr. Lin, did you study in school before you came to study, or did you work in which unit?"

Lin Hao said, "I am a doctor in a clinic."

Ma Yongde repeatedly nodded: "good, good!"

Listen to their conversation, Ren Junqi and Zhu Zeming have two big eyes. Is this really Ma Yongde, director of anesthesia department? He has always been arrogant and arrogant. Even the Dean doesn't dump him. He even talks to a doctor for further study. Moreover Still so polite?

Lin Hao perfunctorily deal with Ma Yongde, see Ren Junqi and Zhu Zeming still stay there, can not help but urge a way: "you Leng why, do surgery?"

They woke up and were ready to start the operation.

However, when Ren Junqi reached out to get the scalpel, Zhu Zeming got it first. "Director, this is just a small operation. How can I kill a chicken with an ox knife? Don't bother you. I'll come and I'll do it!"

Ren Junqi hesitantly asked, "are you ok?"

"Yes, of course!" Zhu Zeming took a glance at Ren Junqi's chest, and was filled with some indecent words: "how can a man say no!"

Ren Junqi calm face to drink: "don't laugh with me."

Zhu Zeming's heart was awe stricken, and he was busy correcting his face: "director, I didn't know how much I had done when I was practicing and studying. I could do it almost with my eyes closed..."

"Ren Junqi waved his hand to interrupt him," then you start

Zhu Zeming picked up the scalpel and asked Ma Yongde before cutting, "director Ma, are you sure there is no problem with such anesthesia?"

"No!" Ma said

As soon as Zhu Zeming took a bite, he cut the knife directly, and made a cut at the MacPherson's point on his right lower abdomen, which was about six centimeters long.Seeing this incision, Lin Hao shook his head in secret and sighed. Without saying anything else, just this incision can see that this guy is also a limited company! Also said to do a lot of appendicitis surgery, but also closed eyes can do, is a novice!

Appendectomy is just a small operation, not a cesarean section. There is no need to open such a large incision at all. Some surgeons with a little more experience will open a small incision as much as possible, because the smaller the incision is, the better the doctor's operation level can be proved. For example, Lin Hao, who underwent this appendicitis operation, the incision never exceeded two centimeters. Before he left the castle, the incision had even narrowed to about one centimeter.

Six centimeter incision, the operation space is really big, the operation is better done, but in the peer's view, it is a joke, this kind of thing only new talent can do.

Although Ren Junqi does not have many appendicitis operations, she can only open a three centimeter incision at most, so she is stunned to see Zhu Zeming's incision so big. Is this the rhythm of opening a skylight?

After regaining consciousness, she immediately wanted to use the dressing to pressure the blood overflowing from the incision, but before she had any action, Lin Hao had already pressed the dressing on the incision to stop bleeding.

After the incision is opened, the next step is to separate the fat layer.

Seeing Zhu Zeming pick up the tissue scissors, Lin Hao frowned and reminded him: "the patient is older and thinner, and the fat layer is not thick. Separate it with hemostatic forceps, so that the bleeding will be less and it will be good for the patient after operation."

"Shut up!" Zhu Zeming is very displeased way: "when do I do an operation to get you a doctor to instruct?"

Lin Hao left his mouth and didn't make a noise after all. He didn't have the habit of fighting on the operating table.

Zhu Zeming didn't listen to Lin Hao's advice and continued to cut the fat layer with tissue scissors. As a result, there was more bleeding. Although there were no large blood vessels in the fat layer, there were still blood vessels. Moreover, in terms of the current amount of bleeding, it was imperative to ligate and stop bleeding, otherwise the patients would not be able to stand it.

The second step is to stop ligation and stop bleeding, which will undoubtedly delay time.

What Lin Hao can't stand is that Zhu Zeming's ligation speed is not generally slow, like a slow replay in a movie.

At this rate, not to mention half an hour, an hour to complete the operation is very good!

But the first person who couldn't help it was Ren Junqi, not Lin Hao. She said, "doctor Zhu, I'll give Lin Hao the ligation and hemostasis work. You can go on with the next step."

"He?" Zhu Zeming sneered: "is he OK? He's just a doctor! Well, even if he has the qualification to practice, what unit did he work in before? In a small clinic. Can a small clinic do such an operation? Does he have any experience? If you let him come, I'm not responsible for screwing up my operation! "

"Why do you talk so much?" Ren Junqi finally began to annoy this man. He was too lazy to tell him that he had seen Lin Hao's technique of ligation and suture. He directly said to Lin Hao, "Lin Hao, you need to ligate!"

Lin Hao did not set up a model to do the sample. He directly ligated several large bleeding points to stop bleeding. The speed was so fast that people felt dazzled.

Zhu Zeming on one side was still very disdainful at the beginning, but when he saw his speed, he was stunned. Mom and mummy, who was he? It's too fast. This Is it still human?

Lin Hao solved several bleeding points, but Zhu Zeming was still there, staring at Lin Hao's hands.

"Dr. Zhu, what are you doing here? Go on!" Ren Junqi impatiently urged the way.

Zhu Zeming came back to his senses and went on to the next step to separate the muscle layer.

Although he did this step in a proper way, he also caused a lot of bleeding points. So Lin Hao connected it again and ligated it again to stop bleeding.

In fact, if you can, Lin Hao really wants to kick this snail like slow guy to the side, and then do the operation himself. It's been nearly half an hour. I haven't opened my abdominal cavity yet! However, there is no way. He is only a doctor for further study, and he has no operation authority at all

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