Chapter 1816: What does lumbar puncture mean to you spellcasters?
Chapter 1823 What does lumbar puncture do to you spellcasters?
It's impossible to smoke more than once, absolutely impossible.
For an experiment, repeated lumbar punctures are performed on rabbits, maybe dozens, hundreds or even hundreds of times... Grete said that it does not exist, absolutely does not exist.
He is already very familiar with waist piercing and other things, and there is no need to practice using this method! On the contrary, the healers under him need to practice more...
"Teacher, is this...the needle inserted like this?" Annevia pressed the rabbit with one hand and held the puncture needle with the other, her cheeks tensed. Grete nodded calmly:
"Yes, that's it. First, bend the rabbit's body as much as possible. If it is a human, it needs to lie on the left side, with both hands on the knees... to make the lumbar spine kyphosis and widen the intervertebral space..."
"Teacher, can I put a [Detection Magic]? Or use mental power to observe?"
Gretel: "..."
Perform lumbar puncture under X-ray guidance? Or use mental strength to observe the position of the bone and then insert the needle? Make sure that you insert the needle without deflection or insert it too deep?
Alas, the conditions for today's children to practice medical skills are really good... When he was studying medicine, he would have just started inserting needles into any patient under the guidance of X-ray, fearing that the teacher would break his head -
—
Do you want to put patients on the line for no reason?
How many more threads do you want to eat yourself?
Practice, go back and practice with a dummy, don’t start if you’re not familiar with it!
I am really happy now. With the guidance of [Detection Magic] (x-ray), at least the needle will not go astray, tilt to the left or right, touch the bone, and bend the tip of the needle——
It is common for the tip of a needle to break. Novices who have just entered the industry are timid. If they find that the needle cannot penetrate, they will generally not use all their strength recklessly.
However, if the puncture position is shifted, the puncture direction is improper, or the puncture is too shallow or too deep, it will lead to puncture failure. Especially when puncture is performed on children, the children are afraid, crying, and uncooperative. They often struggle a little, and the puncture position and direction will be distorted.
Already;
There is also the piercing of fat people, which also makes people very desperate.
Grete heard a case shared by a teacher in the hospital. In the past three years in the hospital, six obese patients failed to undergo lumbar puncture - all of them were fat people with a BMI of 40 or above - because they were too fat and could not feel the location of the bones.
No depth...
In these six patients, puncture failed 19 times in total. Finally, 4 cases were punctured successfully under X-ray fluoroscopy, and 2 cases were punctured successfully under CT guidance.
The teacher also published a paper specifically for this purpose to tell the newcomers that if it doesn’t work, we should not insist on it. If we encounter such fat people, if we can use fluoroscopy guidance, let’s use fluoroscopy guidance...
cough.
After sighing with emotion about his struggles back then, Grete also became amiable when faced with the students' demands:
"You can still use it if you're just starting to learn and if you're not skilled with your hands. However, you should try your best to practice until you can locate it by looking with your eyes and touching it with your hands.
The person you are going to treat in the future may be of a very high level and you won’t have time to find the magic light source; it may also be that your mental power is running rampant and you can’t detect it with your mental power..."
"Yes, teacher! I remember it! I will try my best to be able to locate it with my eyes!"
"Very good, come on, disinfect, pat [delay pain] - this is used for surface anesthesia, so that the patient will not struggle due to pain - then, position, level the puncture needle, and insert the needle! Very good!
Insert the needle slowly and use your hand to feel it... Which ligaments should the needle pass before moving forward and entering the subarachnoid space?"
Very good. Annevia's basic skills are quite solid. Faced with such an unexpected question, she answered it word for word. Grete nodded with satisfaction:
"Yes, when the needle tip penetrates the triple ligament and enters the subarachnoid space, you will feel the resistance suddenly disappear. Just like when you use an awl to pierce cowhide, you will feel a breakthrough——
Remember this feeling, and if you feel a breakthrough, stop the injection immediately, otherwise the spinal cord will be damaged!"
He was teaching his disciples here, surrounded by a group of necromancers and nature priests, eagerly watching and memorizing. It was a pity that Gretel taught his own disciples that outsiders like them were not worthy of asking for advice without permission -
Unexpectedly, Gretel suddenly turned his head:
"Have you all written down what I just said? You also need to be able to do these operations! - What do you want me to do? Lumbar puncture is a basic medical operation. If you don't learn it one by one, you still expect me to do it myself every time?!
"
"Ah, yes! Yes!"
The healers responded with a roar. Immediately, parchments, quills, and record books flew all over the sky, making a rustling sound:
Write it down quickly!
Write down every word!
I have written it down, we will also practice with rabbits in the future! Practice with pigs! Practice with all kinds of Warcraft!
"By the way, no one is allowed to practice without my permission! If you don't tie it properly, your spinal cord will be damaged!!!"
Grete suddenly turned his head and spoke with a warning. The faces of the nature priests and conjuration therapists tightened, but only the necromancer remained complacent:
Not allowed to use people to practice?
That's easy, as long as you are allowed to practice with corpses!
Our necromance department lacks everything except corpses! Brothers over there, do you want to come to us and borrow two corpses to practice?
Hey, speaking of it, if a corpse with a spinal cord injury is used to evoke the undead, the effect will be worse... If it cannot be tested with [Evoke the Undead], then we will have to dissect it...
Gretel saw all their eyebrows and lawsuits, and decided to pretend not to see it - he was such an adult, it was time for him to have some subjective initiative.
He just taught Anivea:
"Come on, insert the needle, insert the needle...do you feel a breakthrough? Very good, stop! Now pull out the needle core. If there is a colorless transparent liquid dripping out of the end of the needle, this is very good. The puncture was successful..."
"Teacher, can I use vines or hollow thorns to pierce it?"
Annevia suddenly asked. This kind of steel needle is too expensive. Let an alchemist make it, and it is easy to get a price that a patient cannot afford...
Vine or thorn thorns are better, they can be used to stimulate growth, and can be dissipated when no longer needed. It is cheap, clean, and even eliminates the need for disinfection——
How wonderful!
"Ah, you can try it." Grete tried hard to keep his face from becoming stiff:
"First of all, the vines or thorns you use must be thin enough, with a minimum diameter of 7 mm and a maximum thickness of only about 5 mm. Secondly, the strength must be high enough to break through the three layers of ligaments and penetrate the dura mater. Thirdly, it can
Give you feedback..."
"Feedback, I can do it! The vines and thorns I spawn are just like my fingertips!" Anivea replied immediately:
"Diameter...strength...I'll give it a try..."
"Go and give it a try! Don't be anxious, as I said, test on animals first!"
"Analysis of causes of 50 cases of failed lumbar puncture in children", Journal of Nanchang University (Medical Edition), December 30, 2010
"Causes and Analysis of Failure of Lumbar Puncture in Obese Body Types", "Clinical Misdiagnosis and Mistreatment" November 22, 2013
Fat people really have a lot of extra troubles with medical treatment... If you can lose weight, well, try to lose weight as much as possible...