2682 Different methods and different rewards
“What did you just say?” Chang Yue asked in surprise.
“Uh …” Old he scratched his head. He knew that Chang Yue did not participate in the surgery and was only responsible for writing medical records.”During the appendectomy, the temporary ectanothere was interrupted when we were performing continuous epidural anesthesia. I heard that the temporary ectanothere was around six centimeters in there.”
Just as Zheng Ren was about to speak, a “ding dong~” sound was heard.
It had been a long time since he had heard this voice. Ever since he had won the Nobel Prize, big pig trotter had not given him any more missions. Zheng Ren could only rely on the [the best surgeon] mission to obtain insignificant skill points and experience points.
[Urgent mission: one in a million.
[Mission details: take out 1 abruptly ruptured abdurava duct]
[Mission reward: according to the system’s calculations, different methods of retrieving the item will yield different rewards.]
[Mission time: 24 hours]
Zheng Ren was really a little disdainful. The mission reward was still being calculated, and the mission was already issued? Wasn’t this a little too careless?
And the main point was the six words ‘different ways to take it out’.
Initially, Zheng Ren’s first thought was to remove the ruptured painstakingly Durava duct through surgery, but he hesitated when he saw the number six. Since the giant pork trotter had given him a hint, it was not impossible to try an interventional surgery method.
Zheng Ren entered the system’s operating room without hesitation and clicked to purchase surgery training. The system’s operating theater rose from the ground, and he strode in. To be honest, Zheng Ren was also a little interested in the anesthesia accident. After experiencing this kind of thing, he would not be paralyzed if he encountered it.
“A catheter for anesthesia? It could even be broken like this? It’s made of paper. ” Chang Yue was extremely surprised.
It was not just for ordinary people, even for an internists, it was unimaginable that a catheter used for painstakingly administering anesthetics would break.
What was this thing? why was it so fragile? It was simply too magical.
“Young Chang, it’s not very rare for this catheter to be ruptured …” Old he hesitated for a moment, but he still told the truth in the end,””According to domestic statistics, the occurrence rate is 0.06% to 0.2%, and 0.0017% to 0.04% in foreign countries.”
“Why is there such a big difference?” Chang Yue asked in surprise.
“Look at your ignorant face.” Su Yun said disdainfully, as if she had forgotten that she had drunk memory fragments not long ago and was carried home.”The material is different, and the anesthesia is different in avoiding certain parts of the body. All of these will cause similar things.”
“Yes, I recently encountered a case where I heard it from someone else. The in-service training student pulled out the catheter, but he didn’t use the right force, and the catheter broke inside. ” “There are many possibilities if we look closely,” old he said with a serious expression.
As he spoke, he put down his phone and started counting his fingers.
“The cause of ecdysis during anesthesia is complicated. It’s mostly related to the operation of the anesthetist, pathological or physiological changes of the puncture area, and factors related to the catheter.”
“For example, the main reason for the rupture of a catheter is that the catheter is inserted too deep. Generally speaking, if the catheter is more than 5 cm, there is a possibility of rupture.”
As he spoke, he pressed down the thumb of his left hand with his right hand, indicating that this was the first possibility.
“Another thing is that when the catheter is inserted, there is resistance. The anesthetist is a little flustered, and he uses too much force to withdraw the catheter and adjust it. However, when he is performing the operation, he did not move the Tuohy needle in coordination with the operation, causing the angle to be distorted, and the catheter was ruptured.”
As he said that, he pressed down with his second finger.
“Brother yang,” Su Yun suddenly said,”now you know why the boss and I keep praising you.”
Professor Yang’s face was full of black lines. He really could link everything to himself. Speaking of which, it seemed like he had made the right choice to activate Musou the other day … He hoped that he could use Musou anytime and anywhere in the future.
“Yes, what professor yang did that day was right. Whether it was surgery or anesthesia, it was really not appropriate to use violence.” Old he said,”another thing is that the Tuohy needle was not placed in the proper position in the epidural space, and the catheter was located between the needle tip and the bone surface, or stuck in the lumbar joint or bone seam. This requires a lot of experience in anesthesia, and it’s also easier to make mistakes. “
The third finger pressed down.
“The reason for the rupture of the catheter during tracheostomy is related to excessive force when the catheter was pulled out and the repeated attempts to pull out the catheter that had been knotted or entangled with the surrounding tissue.”
“In addition, the patient’s own spinal column narrow, bone hyperplasia, pregnancy, connective tissue hyperplasia in the painstakingly gap, body position changes, and other pathological and physiological factors are also important reasons for the rupture of the painstakingly channeled duct during the insertion or removal process.”
“The medical consumables are also related.” Zheng Ren suddenly said.
“Are you sure? the probability of this happening in China is much higher than in other countries. One of the reasons is the quality of the consumables used.” Su Yun said.
“The material and model of the epidural catheter … I remember there was a research article that reported that nylon or polyethylene ducts are tougher than terfloron or polyethylene ducts, and 19G ducts have the tendency to break at a fixed position near the tip.” After Zheng Ren finished speaking, he wiped his mouth and looked at old he.
Old he immediately became serious.
Boss Zheng’s meaning was very clear, but old he felt that he couldn’t guess. It was better to listen to boss Zheng’s opinion.
“Old he, what do you mean by that?” Zheng Ren asked.
“I saw the message on WeChat. The person who got into an accident was the director of the Department of Anesthesiology in a city or county under my command. The content should be sent in a group.” Old he said,”they didn’t raise their heads to greet us, and they didn’t end their thanks either. I’m guessing that they’re already in a daze and don’t know what to do.”
With just one sentence and one question, old he could see many things.
“What does he mean by that?” Zheng Ren asked.
“Boss Zheng, take a look at your WeChat.” Holding his phone, old he bent over and jogged to Zheng Ren’s side.
[May I ask if you’ve ever encountered an epidural nerve rupture? [Other than being conservative, is there any other solution?]
It was a very simple message, but the sender was so stunned that he didn’t even thank her.
It looked a little vulgar, but many people were dumbfounded when they encountered an unexpected situation. It was just like the first time he went to the province and met Wang Hai who was performing a cerebrovascular angiography and pushing a catheter in.
At that time, Dr. Wang seemed to be completely dumbfounded. Liu Zewei and Gao Shaojie took turns to take out the wire, but he didn’t say anything after they failed. He took out the guide wire, and he held his hand. He did not know what to say.
Therefore, Zheng Ren understood and could guess the meaning of the message.
“Old he, ask him if he needs a hand.” Zheng Ren said,”right, make sure where he is.”
“Alright,” Old he agreed without any hesitation.
Although it was a job to clean up his mess, old he did not complain at all and quickly contacted the other party.
“Boss, you really do all kinds of work.” Su Yun had long guessed that his boss would be tempted, but when he said those words, he couldn’t help but criticize in his heart and even directly spat.