Chapter 989 The round wolf grandmother

“There are some details about our daily work, and there are a few things to pay attention to.”

Zhou Congwen is always used to the work of three words, and everyone is used to it, and Chen Houkun belongs to this kind of person, and he is not surprised. Xiao Kai, a veteran, will never refute what Zhou Congwen says.

"The details we need to improve next are the postoperative infection."

"Yiming, please record it." Zhou Congwen said, "First, the patient was bathed in full body on the eve of the operation, or wiped with soap or disinfectant."

As soon as Zhou Congwen finished speaking, before Peng Yiming had time to react, Xiao Kai took out the glasses box from his handbag and put on his glasses.

He also had a small notebook and an atomic pen in his handbag, and he took it out together...

All the equipment was complete, which made Zhou Congwen stunned.

Xiao Kai took out his attitude of listening to the president and the city leaders making a report, and wore reading glasses to carefully record what Zhou Congwen said.

Zhou Congwen sighed that it is not easy to be the vice president.

I don’t know if Director Deng Ming and Deng will also wear reading glasses and be humble after becoming vice president this year and next year, and listen to the dean whispering all kinds of unregulated words on it.

"Secondly, during most operations, disinfection is used mainly alcohol in the operating room for disinfection."

"We don't need the messy disinfectant in the operating room. If there is any resistance, I will negotiate with the director of the anesthesiology department."

Zhou Congwen said seriously.

"Professor Zhou, this is..." Xiao Kai was puzzled.

When he first started working, he had surgery to disinfect the sterilization of iodine, alcohol deiodine, etc. However, as time goes by, there are now more worry-free disinfectants.

But what those disinfectants have in common is that they are expensive.

"It has nothing to do with whether it is expensive or not." Zhou Congwen is also an old clinical clinic. He knew clearly what Xiao Kai was thinking. "It was not that he had cut off the financial path of the anesthesia department. He just used alcohol to disinfect it, and the chance of postoperative infection was greatly reduced."

"There is also this statement. I'll go back and talk to our anesthesiology department." Xiao Kai wore reading glasses and wrote down what Zhou Congwen said.

"Third, for non-diabetic patients, blood sugar should be kept stable after surgery, and the target blood sugar is less than 200 mg/dL. Convert it, it is 11mmol/l, which can completely reduce the possibility of postoperative infection."

"fourth……"

"fifth……"

"sixth……"

"Eighteenth, in patients with normal lung function, if general anesthesia is performed, higher concentrations of oxygen are given immediately during surgery and after extubation."

After Zhou Congwen finished speaking, he glanced at Xiao Kai.

Dean Xiao did not perform in a physical manner, but honestly recorded all his words. It seemed that he was still preparing to go back and study it carefully, and it turned into a clause that could be promoted clinically.

Xiao Kai, wearing reading glasses, looked like a wolf grandmother, and Zhou Congwen laughed in his heart.

"Professor Zhou, it's really detailed." Xiao Kai saw Zhou Congwen finishing speaking, he lowered his head slightly and looked over the reading glasses. It was different from the usual Dean Xiao.

"Well, there are some things that our medical team won't do." Zhou Congwen said, "Please continue to remember."

"Yeah." Xiao Kai became more and more interested, but he didn't say anything, and put on his reading glasses and prepared to record.

"First, the application of antibacterial dressings after surgery has nothing to do with wound infection. Now, in the future, antibacterial dressings appear in clinical practice, and our medical team will not use them."

"..." Xiao Kai was speechless.

Antibacterial dressings sound serious, but when Zhou Congwen said it, they became useless and deceptive things.

However, he did not object, but recorded honestly.

"Secondly, there is no need to use plastic surgical masks for any surgery, regardless of whether they have antibacterial ingredients."

"I hate surgical film the most," Zhou Congwen said. "No matter who is doing the job, I will tell them that I don't agree to use it."

"Okay." After Xiao Kai wrote down this article, he called a key number in front.

The surgical patch has now entered the clinical stage and is used in many departments. But since Professor Zhou has clearly expressed his opinion, it is not necessary.

"I don't like plastic, especially during the surgery. I'm already annoying when wearing one layer and two layers of sterile gloves. There's also a clattering sound of plastic bags, especially I don't like it."

"Third, during cleaning and cleaning-contamination surgery, no additional antibiotics are needed after closing the abdomen, even if there is drainage. In addition, there is a lack of evidence-based evidence that additional antibiotics can prevent surgical site infections." (Note)

"Professor Zhou, it's all used in clinical practice. According to your statement, isn't it useless?" Xiao Kai became more and more surprised, and his pen seemed to be getting heavier with Zhou Congwen's narration.

"Well, it's useless." Zhou Congwen said with certainty, "These useless tasks can be simplified and make the procedure easier, clearer and clearer."

"Then I'll write it down."

Zhou Congwen's words made the doctors present a little confused.

Isn’t that right to apply antibiotics before and after surgery?

Logically speaking, using more antibiotics can reduce the chance of infection, but Zhou Congwen said it is useless.

If you don’t need it, don’t need it. The medical team doesn’t point to antibiotics to eat, so you can save one step.

Shen Lang was a little confused. This had nothing to do with making money, but a routine.

For example, for chest rinsing, those with wealthy use cephalosporin, and those with second, third and fourth generation cephalosporin. For those with poor money, use gentamicin prepared in the family without washing, and they always feel that they will be infected after the operation.

Zhou Congwen said a lot with his fingers. Peng Yiming sat like a sculpture, Xiao Kai acted as secretary and wrote down all Zhou Congwen's words.

The difference between the experienced vice president and the young clinical doctor is too big, and Zhou Congwen increasingly feels that Xiao Kai's existence is necessary.

This has something to do with paying attention to whether he values ​​himself or not, but Zhou Congwen does not need to find a sense of existence in such small things.

What he needs is that what he says can be executed immediately.

This is something that young doctors can’t do, and Chen Houkun can’t do, and Xiao Kai is the best candidate.

Recalling the first time meeting Xiao Kai told himself about his experience of being pulled and beaten by the old dean, Zhou Congwen knew that this person had been rubbed on the ground, and was round and easy to use, and was a rare talent.

Unexpectedly, Xiao Kai was of such great use, which was an unexpected surprise for Zhou Congwen.

"Director Xiao, I'm going back to Jianghai City tomorrow. Are you going back with me?" Zhou Congwen said at the end.

...

Note: I was also surprised when I was looking for information in this paragraph. Films and antibiotics are commonly used in clinical practice, but they are useless.

It was found in Dingxiangyuan.

Quote from—

[1] Berríos-Torres S I, Umscheid C A, Bratzler D W, et al. Centers for Disease Control and Prevention Guideline for the prevention of scientific site infection. JAMA surgery, 2017.
Chapter completed!