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¡¾883¡¿Do it yourself with local anesthesia

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    In the end, she gently pressed her gloved fingers on one point, feeling the fluctuation of the abscess or liquid inside to see if her brain had made any miscalculations.

    Chang Jiawei, who was observing her from the side, had a flash of light in his eyes, and his eyes were pointedly pointed at her: This guy, his judgment is actually very effective?  Who can do this who has just entered clinical practice?

    Nie Jiamin put his hands in the pockets of his white coat, tilting his head as if his attention was only on Xie Wanying's hands.

    Zhu Huicang stood up, as if he wanted to take a closer look.

    Dai Nanhui, Geng Lingfei and Fan Yunyun were not quite sure what happened.

    Determine the depth of the abscess.  If it is relatively shallow, there is no need to apply anesthesia. The doctor can gently break the abscess skin twice with the tip of a needle or knife to drain the pus. There is no need for the patient to receive another injection.  However, the situation of the child in front of me is quite serious, and the family members have been told that the condition has been delayed. The infection has reached the fascia, and it will not work without anesthesia.

    It¡¯s time to give anesthesia, but there is no anesthesiologist accompanying me.  However, this kind of minor surgical operation has never been accompanied by an anesthesiologist.  The number of anesthesiologists in the country is small, and this kind of local anesthesia is very simple. It is performed when the patient is conscious and does not require full care of an anesthesiologist. Usually only the doctor himself gives the patient local anesthesia.  Local anesthesia can be said to be a technical threshold that tests the surgeon's independent operation.

    Local anesthesia is specifically divided into several types, including topical anesthesia, local infiltration anesthesia, area anesthesia, nerve block anesthesia and nerve plexus block anesthesia.

    For example, before a common gastroscopy, a patient is asked to swallow a mouthful of anesthetic, and his throat feels numb. This is topical anesthesia, which mainly works on the mucosa.  For minor outpatient surgeries, such as common hemorrhoid surgeries, the doctor injects a ring of anesthetic into the patient's perianal nerves to block the perianal nerves in the area.  Plexus block is divided into several parts, such as upper limb plexus block for orthopedic hand and forearm surgery. This is not done in an outpatient clinic, but is performed by an anesthesiologist in the operating room. If it is a child patient, it must be combined with general anesthesia.  .

    Compared with adults, children are very uncooperative and move around easily. Only general anesthesia can allow children to sleep without affecting the doctor's operation.  Therefore, as long as it is a relatively large operation, the younger the child, the less local anesthesia alone will be required, and the more general anesthesia will be required.

    Fortunately, this patient is ten years old and there is no general anesthesia available at the scene, so we can give it a try.

    After comprehensive judgment, Xie Wanying made a prompt decision and stretched out her hand to the nurse: "Syringe, lidocaine, saline."

    ¡°Senior Sister Xie is so majestic.  Fan Yunyun wanted to imitate her idol's movements in her heart.

    Dai Nanhui and Geng Lingfei felt that Xie Wanying was extremely courageous. It was incredible that she was not afraid at all in front of so many people.

    Yao Jie handed her open ampoules of anesthesia and saline and asked her to inhale the medicine herself.

    Pull out the plunger of the syringe and insert the needle into the ampoule to draw the medicine.  The others were shocked again when they saw that her hand was as steady as a mountain without any trembling.

    After preparing the local anesthetic herself, Xie Wanying pointed the needle toward the patient's infected skin and inserted it.

    The onlookers were breathing heavily.

    Expert doctors know that local infiltration anesthesia is not only anesthesia, but also a preliminary exploration for the upcoming surgery.  With this needle, the depth of the patient's bones can be explored, and the depth of the abscess can be explored.  Therefore, local infiltration anesthesia requires one injection to anesthetize the nerves within the surgical area.  Therefore, if the scope of the surgery is large, more than one injection will be required, and additional anesthesia must be given to other areas around the wound to achieve general anesthesia from the front, back, left, and right.  (Remember the website address: www.hlnovel.com
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