Chapter 182 They are all shrimps, soldiers and crabs. Here is the opportunity for training.

Under normal circumstances, surgery is usually performed during the day.

If there are few surgeries, they are usually scheduled in the morning.

During surgery at 9 a.m., the nurse will usually tell the patient and family members not to eat or drink the night before. The purpose is to prevent the patient from being in danger during the anesthesia during the operation.

After anesthesia, muscles relax and food refluxes into the airway, which can easily cause suffocation.

Then some patients will suffer from urinary and fecal incontinence during the operation, which will definitely pollute the operating room environment and make the medical staff feel bad.

This patient's surgical plan was discussed at around 12 noon, and the surgery was scheduled for the evening, indicating that the patient and family members may have been in a hurry.

It is also possible that the surgeon has other arrangements tomorrow and works overtime at night to perform the surgery.

On the way to the Orthopedic Surgery Inpatient Department, two messages sounded in succession.

I took out my phone and glanced at it, it was a message from 'Little Huihui in the Valley'.

"Is the clinic finished?"

"The operation is about to start here, operating room four on the third floor of the surgical building."

It was probably Professor Wu who asked Ou Qinglan to ask.

This Professor Wu is a rather interesting person. He forced Li Jingsheng to participate in this operation, not because he expected Li Jingsheng to be of any help during the operation. He wanted to repair the relationship between the two and at the same time, he also wanted to win over him.

Any team leader hopes that the team will become stronger and stronger.

The most important of these is talent.

Li Jingsheng has demonstrated strong skills in critical illness diagnosis, rescue, and extra-orthopedic diagnosis. Coupled with his unique advanced bone-setting techniques, he is indeed a rare and important talent in orthopedic surgery.

If we can recruit the second group, the strength of the second group will be greatly enhanced immediately.

"almost there!"

Li Jingsheng only replied with three words.

Then he turned his cell phone to silent and quickened his pace.

Nowadays, because most operating rooms are laminar flow, the requirements for sterility have been reduced. Doctors can bring mobile phones into the operating room, but in most cases they need to be kept in the storage grid in the dressing room.

If the management is more relaxed, you will be allowed to carry it with you.

Mainly because it was difficult to pass the test as a traveling teacher.

If you have a mobile phone with you, be sure to turn it on silent. Otherwise, if the surgeon is concentrating on the operation and the doctor's cell phone rings, the surgeon will glare at him at the slightest sound.

If the operation does not go smoothly, congratulations, it will be a minor offense to be scolded by the surgeon until the end of the operation.

He soon arrived at the third floor of the surgical building.

"Doctor Li, this way!"

An intern from the second team stayed in the corridor waiting for him.

When I saw Li Jingsheng coming, I waved to him happily.

Seeing the brother's happy expression, Li Jingsheng secretly guessed that Professor Wu might have given him an order not to enter the operating room until Li Jingsheng was ready. In that case, he would have missed another valuable internship opportunity.

For interns, being able to enter the operating room and perform an operation with the director is a rare opportunity for advancement.

"Aren't you late?"

"It's not too late. Professor Wu and the others have only been in for ten minutes."

"How many surgeries will be performed tonight?"

"There seem to be two machines, one is to remove the long osteophyte on the ulnar stump, and the other is to remove the ganglion cyst."

Opening the door to the operating room, the two of them walked in together.

After entering the dressing room and changing into surgical clothes and slippers, Li Jingsheng entered the operating room inside.

Before entering the operating room, the doctor will ask you to take off your shoes and socks and put on special slippers. This is mainly to prevent infection and strive to create a sterile operating environment.

Even though they are just a pair of small slippers, they must be strictly disinfected every day.

Rinse hands, wear gloves, wear isolation gowns, change slippers and other measures are just to try to control the number of bacteria in the operating room within the acceptable range.

A truly absolutely sterile environment is difficult to achieve.

The patient has been put on the operating table and given anesthesia.

Under normal circumstances, the intern or the surgeon will send the patient to the pre-anesthesia room in advance to make pre-operative preparations, such as opening a venous channel.

Then wait for the nurse teacher to lay out the sheets, pull the patient into the operating room, and lift him onto the stage.

Those who can walk on their own usually let themselves lie down on it.

The anesthesiologist usually arrives early, and the surgeon is often the last one to arrive.

Some interns have poor communication with their families or patients, procrastinate in doing things, and send patients to the operating room later than scheduled. At this time, they are easily scolded by the anesthesiologist.

Don't talk back, and don't look down on the anesthetists and nurses, otherwise you'll be on your knees.

After being scolded, I heard that I would try to send the person there earlier next time.

If you really feel aggrieved, you can explain the reason tactfully.

At this moment, almost all the doctors from the second group were present.

After Ou Qinglan put on her slippers, her height was estimated to be over 1.65 meters, probably around 1.68 meters.

I didn't expect her to be quite tall.

Even wearing a mask and hood, she still couldn't hide her natural beauty.

From her delicate eyebrows and eyes, to her smooth forehead and tall stature, her beauty is not diminished at all.

"Doctor Yu, can we perform surgery?"

When Professor Wu saw Li Jingsheng's arrival, he turned to ask the anesthetist.

It's a bit like waiting for important guests to arrive before serving food.

He tried his best to invite Li Jingsheng over, and he must give Li Jingsheng a good feeling in these details.

Dr. Yu glanced at Li Jingsheng intentionally or unintentionally, and then checked the patient's status and the data on the life monitoring equipment.

Mainly respiratory parameters, blood pressure, heart rate, blood oxygen and so on.

If a problem occurs during the operation, the instrument will emit different alarm sounds.

All doctors and nurses don’t want to hear the alarm sound.

However, all surgeries involve risks, which are beyond the full control of doctors and nurses.

What we can do is to make adequate preoperative preparations and examinations as much as possible to minimize risks.

"The patient's vital signs are stable, the anesthesia is in good condition, and he is ready for surgery."

"let's start!"

The nurse has already prepared the skin on the hand and marked the knife site.

Let’s talk about the importance of marking the knife site before surgery.

A patient underwent surgery for a knee tumor.

Before the operation, he was asked to mark the surgical site, but he firmly disagreed. He insulted the medical staff in all kinds of ways and was extremely uncooperative.

There was no other way, so he was finally disinfected and sent to the operating room.

As a result, the surgeon had a very large volume of operations that day and was extremely busy. After the patient was brought in, he did not ask. The surgery was supposed to be on his right knee, but he ended up operating on his left knee.

After searching for a long time, I couldn't find the tumor, and I was very puzzled.

However, this happens occasionally.

Sometimes there is a problem with the examination equipment, or the doctor makes a mistake in diagnosis, and some low-density or high-density examination results may be diagnosed as tumors.

Of course, such mistakes are relatively rare.

Clinically, observation is often recommended for tumors smaller than 1cm. If you are really worried, a needle biopsy or the like may be recommended.

There is a risk consideration in this: the tumor is too small and may not be found after incision.

This patient who refused to mark the knife site also paid the price for her coquettishness.

The surgeon couldn't find the tumor and could only help her sew up the incision.

As a result, after she left the operating room and woke up from general anesthesia, she discovered that the wrong incision had been made and caused a scene in the hospital.

The surgeon was punished due to misfortune and performed another operation on her.

But there was nothing she could do about the extra stab she received.

Therefore, you must cooperate with medical staff in preparing the skin before surgery and marking the surgical site.

Sometimes when you act petty, the price you pay is often very painful.

At this moment, the patient is under general anesthesia.
To be continued...