Entering the operating room, the system anesthesiologist has anesthetized the simulated person.

Ji Xiang actually thinks this is unnecessary. After all, he is a simulator and there is no pain.

But the system NPC insisted, and he didn't say anything.

It’s better to be more formal, it’s better to be more formal. Ji Xiang told himself in his heart so that he would not be familiar with the rhythm in the system and would have any omissions after returning to reality.

Disinfect, place sterile sheets, and the operation begins.

The system NPC did not simply perform surgery as usual, but instead mixed with some of the actions of Mr. Gu's surgery to explain the advantages and disadvantages to Ji Xiang.

It is mainly necessary to adapt to local conditions and use different surgical methods according to different situations of the patient.

This operation was performed very slowly, at least twice as slower than the previous one where Ji Xiang and the system NPC learned the extension surgery.

Ke Jixiang has gained a lot.

During the entire operation, he kept getting the feeling that it was.

The experience value is also rising rapidly, and a teaching operation has brought Ji Xiang nearly 5,000 experience points.

After the operation, Ji Xiang looked at the harvest in surprise.

"Teacher, are you going to have another one?" Ji Xiang felt unsatisfied and asked.

The system NPC surgery is really picturesque.

This feeling was not felt before Ji Xiang. After his circumcision reached LV7, the surgical picture had qualitative changes.

Ji Xiang knew that this was growth.

"You make one yourself." The system NPC denied Ji Xiang's idea, "Only surgery can you make progress."

Ji Xiang did not refute either. He assisted the anesthesiologist and nurse in the operating room in the system to carry the patient onto the flat car and take him away, and then the next patient came in.

The anesthesiologist anesthetized, Ji Xiang and the system NPC went to brush their hands and put on clothes again.

Ji Xiang has already had his own understanding of prolongation surgery, saying that it is impossible to innovate, but if he talks about the depth of his understanding of surgery, he is definitely a first-class level in the province.

In addition, the LV9-level circumcision surgery caused a qualitative change in the technique, so Ji Xiang was confident that he would take the surgery down.

In fact, he was also very worried. What if the operation was broken, the system NPC had to empathize with it on a whim?

Ji Xiang did this surgery very patiently, from skin opening to blunt separation, and he looked at it with one scruple.

Ji Xiang's hand speed is very slow. He deliberately suppressed the effect of hand speed bonus, making the operation slower and slower, and strive for one-time success.

The operation was very smooth in the early stage. Although Ji Xiang did not look at the system NPC, he could feel that he had expected and admired.

This is an unnecessary psychological activity. Although Ji Xiang understands it, he still feels a little proud.

When cutting the Y mouth, Ji Xiang suddenly felt that the art area moved and almost touched the tip of the sharp knife.

This scared Ji Xiang.

At the first moment, Ji Xiang thought that there was a problem with his endurance value, so he became blurred.

Otherwise, why would there be abnormal movements in the art area?

However, there are still 8 points on the system panel in the upper right corner of the field of view, so there is no problem.

The next second, Ji Xiang was stunned to see...sight...the simulator's sponge body began to become congested, and the operation area changed in an instant.

"teacher……"

Ji Xiang didn't expect this situation to happen. Wasn't he anesthetized? How could there be such a change?

He had no choice but to ask the system NPC for help.

"This is a rare but not uncommon situation." said the system NPC Dandan, "sterile ice pack."

The system nurse immediately went to get the sterile ice bag. Before that, Ji Xiang didn't know that the operating room actually had high-end things like sterile ice bags.

"There's nothing to be surprised." The system NPC seemed to understand Ji Xiang's inner surprise. "There is a certain probability that this will happen during the operation. There are spare sterile ice packs in the operating room. Do you think you're free?"

Ji Xiang nodded. He did not take action, but looked at the operation of the system NPC.

This is an intraoperative emergency. It seems that the system NPC did not expect it. Speaking of which, the system operating room was well set up, and all these accidents were included.

The tour nurse took the ice bag and handed it to the system NPC.

The system NPC used ice packs to apply ice at the roots. Ji Xiang looked at the surgery area carefully and had no reaction at all.

The cavern is still congested and the color looks a little abnormal.

But the system NPC seemed to be commonplace and was not nervous. Instead, Dan Dan and Ji Xiang explained, "Although this disease is not common, the consequences are serious, and effective diagnosis and treatment are required as soon as possible. If it is not handled properly, it will often lead to

Congestion dysfunction and even ischemia, necrosis.”

Necrosis...

Ji Xiang has made up his mind that if the system NPC lets him empathize, he will definitely refuse.

"Teacher, how did this abnormal situation come about?" Ji Xiang asked.

"Reflexive congestion refers to the stimulation of the surgical area and other sensitive areas from the outside, or the stimulation from visceral receptors, which is transmitted to the sacral medullary center through a part of the nerve, mainly from the sacral 2 to 4, and is caused by the impulse transmitted through the parasympathetic nerve effervosis

Congested.”

The system NPC explained to Ji Xiang the whole story of this abnormal situation.

Ji Xiang listened...are absent-minded.

The congestion of the simulated person seems a bit abnormal. The operation area is black and purple, and it seems that if it is not handled in time, necrosis will occur.

Never die!

Before Ji Xiang knew it, part of his consciousness had entered the empathy system. He was afraid of necrosis from the bottom of his heart and needed to be removed.

"Don't worry, apply ice packs for 15 minutes, and 60% of abnormal situations can be alleviated." The system NPC said gently, "Wait."

"When the anesthesia block of the epidural block of the dura cristae is not complete, the patient's psychological activities, or the reflex stimulation such as disinfection in the surgical area, laying towels and placing relevant instruments, triggering psychological or reflexive congestion.

The nerve innervation in the operating area is autonomic and body nerves. The former is divided into sympathetic and parasympathetic nerves. The parasympathetic nerve is the main congestive nerve, which comes from the parasympathetic center of sacral 2 to 4. During intra-spinal anesthesia, the sacral 2 to 4 must be blocked to prevent

Congested nerves.”

The system NPC continued to explain to Ji Xiang.

However, 15 minutes passed in a blink of an eye, and the operation area still did not return to normal.

"Lidocaine." The system NPC reached out, and the instrument nurse immediately slapped the syringe that had been diluted and slapped the syringe into the syringe on his hand.

Ji Xiang was a little envious, but he knew that this should be a system program.

In reality, how could there be such a tacit cooperation?

Push 2% lidocaine 10 ml layer by layer from subcutaneously on both sides of the root midline to undergo dorsal nerve block.

However, the simulator's surgery area after blocking is still congested and has no use at all.

The system NPC was still in a hurry. After waiting for 30 minutes, he stepped down and cooperated with the anesthesiologist to inject 2% lidocaine 10 ml through sacral canal puncture.

Another 30 minutes passed, and the congestion of the simulated person still did not improve.

"It's so stubborn." The system NPC brushed the hand and went on stage, "Prepare for phenylephrine."

Soon, the syringe was slapped in his hand.

Inject 0.2% phenylephrine 1ml into the cavernosate, this time is the time to witness the miracle.

It took only 1 minute, and the effect of the medicine can almost be said to be immediate.

However, Ji Xiang quickly noticed that the system NPC's gaze was not in the operation area, and he kept staring at the ECG monitoring.

Ji Xiang immediately swallowed all the questions in his heart.

Simulated human blood pressure rises by 15mmhg, system NPC says, "Give 5 mg Ural."

Drug injections simulate human blood pressure quickly returns to normal.

After delaying for more than an hour, Ji Xiang finally returned to normal for some reason for the stimulation and congestion.

If he had just come to the system operating room a few days ago, he would have thought that this was a simulator, and at worst he could change it.

But after several empathy, Ji Xiang changed unknowingly.

"Continue the operation." The system NPC stood in the assistant's position and looked at Ji Xiang and said.

Ji Xiang nodded and continued to have the surgery.

The operation was relatively smooth, and Ji Xiang intermittently looked up at the electrocardiogram monitoring.

He speculated that the reason why the system NPC gave phenylephrine in the end was because this medicine can affect blood pressure and cause more unpredictable consequences.

As for the specific reason, the system NPC did not say it, and Ji Xiang did not ask, and he was going back to search it himself.

Although NPCs with a system are very useful, what if there is a day when the system stays away from you?

Do it yourself and have enough food and clothing.

...

...

While Ji Xiang was training hard in the system, Professor Zhou Tianbo and Dean Li were having dinner with Mr. Gu.

"Boss, you always say that you are old. Judging from your surgery, you can be said to be perfect, and your skills have improved compared to half a year ago." Professor Zhou said sincerely.

"Where?" Mr. Gu shook his head, "I know where my limit is. I have to do a lifetime of surgery, and I can't make any progress. But this is enough."

"It's not just enough, it's just enough!" President Li said with a smile, his smile overflowing.

Mr. Gu's surgery was very effective and the postoperative effect was obvious. Several patients who were waiting and watching were persuaded to decide on the operation.

Those young men were not short of money at home, and birds of feathers flocked to each other. When they learned that they had invited top experts from across the country to the provincial capital for surgery, they were all paying attention.

These people are the target customers of Dean Li. How much money can an ordinary person have if he shaves all his body's meat? To put it bluntly, even the mosquito meat cannot keep up with the target customer's daily hospitalization fee.

So even though Mr. Gu always makes Dean Li unhappy openly and secretly, he still rushes to flatter Mr. Gu, and makes every effort to please Mr. Gu, leaving a good relationship.

"Xiao Zhou, what do you think of the young man's level today?" Mr. Gu suddenly asked.

"Ji Xiang?" Professor Zhou frowned slightly, "I think it was a pure talent surgeon. After all, his practicing physician certificate has not been obtained. In theory, few surgeons are willing to let him do the surgery."

This was very straightforward, but Professor Zhou saw his boss shook his head slightly.
Chapter completed!