The performance of children during the reduction operation can help doctors identify abnormalities. As long as the child is not making a fuss and does not affect the doctor's operation, sedatives are basically not needed.
It is now 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, also known as 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 be easy to lose air. The name is Balloon Anal Canal, indicating that it has a balloon. After inserting to a 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 child¡¯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 possible to leave a young child alone in the examination room. The child is too young to be watched by someone at the bedside.
If something happens when you get out of bed, someone must stand by the examination bed to protect the child 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 trust their parents, and parents can prevent children from being uneasy.
Today, the family members of these patients are emotionally unstable, and they are afraid of causing trouble if they are allowed in. The family members must wait outside while the doctor's assistant goes in to stay with the child.
Classmate Wei Shangquan was the first to volunteer: "I'll go in."
With the boys in their class here, 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 that 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.
¡°Perhaps he and the clinical teachers his classmates had worked with before were all very domineering in the top tertiary hospitals. I had never seen such a child-like doctor. It was too easy to make people angry.
"Who will go in if I don't go in?" Wei Shangquan asked him deliberately.
Xie Wanying stepped forward and volunteered: "Doctor Duan, or I'll go in."
The attending doctor usually has to stand at the rear and give instructions instead of going to the front line. The assistants on the front line can do enough.
Duan Sanbao looked at her application, but he did not hesitate at this moment and denied it: "No, I'll go in. Doctor Xie, please watch 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 you need to be fully armed and wear radiation-proof clothing, which is the same as interventional surgery. After putting on his lead clothes, Duan Sanbao entered the examination room, and Wei Shangquan followed him, fearing that he might not be able to 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 is called an air enema in medical terms. Before connecting the machine, it will be pre-debugged as usual. For gas injection equipment like this, a remote-controlled operator has long been invented and placed in the operating room to prevent the operating doctor from receiving radiation.
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 device, which can be used to add barium for contrast enhancement in complex cases. Barium, as mentioned before, should be avoided if possible.