Before the operation begins, the surgeon routinely pinches the patient¡¯s abdominal skin with tweezers. If the patient does not cry out pain, it proves that the anesthesia is initially in place and the operation can be performed.
Why it¡¯s called ¡°only preliminary¡± is because everyone¡¯s reactions to surgery, including pain, are different. For example, the reason for this difference may be the differences in the absorption and metabolism of anesthetics among individual patients. Some patients metabolize drugs quickly and others metabolize drugs slowly. Due to individual differences in drug metabolism, it is impossible to accurately assess preoperatively and can only be determined during surgery depending on the situation.
Just because the surgeon pinches the skin before performing the operation to make sure it doesn¡¯t hurt does not guarantee that the patient will experience pain during the operation. Only the anesthesiologist's continuous intraoperative monitoring can ensure the patient's safety and comfort during the operation.
For the sake of safety, today's anesthesiologists generally start anesthesia with the safest possible dose. This initial dose is based on a small amount, and then leave an external tube at the epidural anesthesia puncture point to facilitate additional doses when necessary. . .
During the operation, the surgeon incises the abdominal wall, and like other operations, first performs an exploration to explore the uterus and nearby and surrounding organs. After exploration, pad the intestine with saline gauze and insert a retractor. Geng's job came, and he tried hard to open both sides of the abdominal wall to expose the surgical field to other surgeons.
Because the large size of the tumor stretches the uterus, it is difficult to perform surgery in the abdominal cavity. Forceps are used to lift the uterus out of the abdominal cavity for the operation. No matter what, such a large tumor and uterus must be pulled continuously, and the pulling force must be very strong, otherwise the entire diseased organ cannot be exposed.
At this point in the operation, the patient moaned.
When they heard the patient complaining of pain, Geng Yongzhe and Zhang Shuping were shocked and couldn't believe their ears. I think the anesthesia is on, but the anesthetist is here, how can he make the patient cry out in pain? What surprised them even more was that Dr. Zhou, who was sitting near the patient's head, lowered his head and didn't know what he was doing, and seemed not to hear the patient's cries of pain. For a moment, everyone thought Dr. Zhou had suddenly gone deaf in both ears. Everyone in the operating room heard the sound and reacted, except Dr. Zhou who seemed not to feel it.
Needless to say, Du Haiwei, the chief surgeon, must have darkened his face. When a surgeon hears a patient screaming during an operation, you can imagine how anxious he will feel.
"Doctor Zhou." Du Haiwei's solemn voice came out.
The first sound seemed to be inaudible to Dr. Zhou. It wasn't until the nurse in the operating room walked over to remind Dr. Zhou that Dr. Zhou looked up and replied, "It's okay, I gave her some medicine." He spoke in a very nonchalant tone, as if he was fully aware of the patient's current condition.
Anesthesiologists like Dr. Zhou are qualified to challenge Du Haiwei. In terms of seniority, the two are almost the same. Professionally speaking, even Du Haiwei, a professor of surgery, is definitely not as professional as Dr. Zhou in terms of anesthesiology. Dr. Zhou has 100% control over the anesthesia during the operation. It is impossible for Du Haiwei to direct an anesthesia. The professions are different, and it is even less likely that the surgeon will go over his shoulder and accuse the anesthesiologist of his mistakes.
Dr. Zhou¡¯s tough reply is based on his professional confidence.
"The patient just complains of pain. How can you ask a surgeon to carry out the operation?" (Remember the website address: www.hlnovel.com