The child's performance during the reset operation can help the doctor identify abnormalities. As long as the child does not make a fuss and does not affect the doctor's operation, sedatives are basically not needed.
It has now been determined that the child does not need to be sedated for the time being.
Dr. Yang put on gloves and applied paraffin oil to the anal canal to be inserted.
This special trachea inserted from the anus is the balloon anal canal, or foley tube in English.
The anal canal lubricated with paraffin oil will be more smoothly inserted into the anus. When inserted, it should not go all the way to the anus, but into the rectum, otherwise the insufflation will be too shallow and it will easily leak. The name is airbag anal canal, indicating that it has a balloon. Insertion
After reaching the predetermined depth, the assistant injects 20 ml of air into the air bag to inflate the air bag into a small ball and block the anus to prevent the tube from falling out.
After injecting the air bag and fixing the anal canal, Dr. Yang then retracted the patient's small buttocks on both sides with both hands to clamp the anal canal.
After the anal canal is inserted, the doctor needs to do it under fluoroscopy when officially inflating the intestines.
Dr. Yang and his assistant returned to the operating room.
It is not feasible to leave a young child alone in the examination room. The child is too young to have someone watching from the bedside.
If something goes wrong if someone rolls out of bed, someone must stand by the examination bed to protect and comfort the child during the examination. Generally speaking, the hospital will let family members go in to accompany the child. Children are most familiar with and trustful of their parents, and parents can avoid getting sick.
The child is uneasy.
The family members of the patients today were emotionally unstable, and they were afraid of causing trouble if they were allowed in. The family members had to wait outside while the doctor's assistant went in to stay with the patient.
Classmate Wei Shangquan was the first to volunteer: "I'll go in."
There are boys in their class, so the only girl will not be allowed to go in and take radiation.
"Are you okay?" Duan Sanbao asked him.
Why not? Standing next to the bed to prevent the child from falling out of bed is something even ordinary family members can do.
Duan Sanbao is as big and round as a child, exuding real uneasiness and sadness.
When Wei Shangquan saw it, his heart was filled with anger.
Maybe the clinical teachers he and his classmates had worked with before worked in top tertiary hospitals and were very domineering. I had never seen such a child-like doctor, and it was too easy to make people angry.
"If I don't go in, who will?" Wei Shangquan asked him deliberately.
Xie Wanying stepped forward and asked for permission: "Doctor Duan, or I'll go in."
The attending doctor usually has to stand at the rear and give instructions rather than go to the front line. Frontline assistants can do enough.
Duan Sanbao looked at her application, but at this moment he did not hesitate and denied it: "No, I'll go in. Doctor Xie, you can watch it in the operating room. If you have any questions, use the intercom to talk to me in time."
Wei Shangquan thought, fortunately this guy knows not to let girls have sex.
Those who accompany him need to be fully armed and wear radiation-proof clothing, which is of the same nature as interventional surgery. After putting on the lead clothing, Duan Sanbao entered the examination room, and Wei Shangquan followed him, fearing that he could not handle it alone.
Following the instructions of the attending doctor, Xie Wanying stayed in the operating room.
The tube that was inserted into the anal canal was connected to an indoor air pump, which in medical terms is called an air enema. Before the machine is connected, it will be pre-adjusted as usual. This kind of air injection equipment has long been invented and can be remotely controlled by an operator.
In the operating room, the operating doctor should be protected from radiation exposure.
There are medical students here, and the kind-hearted Dr. Yang gives a lecture by the way. The radiology department here has more than one kind of air enema, and there are barium-enhanced contrast devices that can be added for complex cases. Barium, as mentioned before, can be avoided