BXBX NOVEL Chapter 3181: 【3181】Very curious
As the patient's former doctor, Dr. Charlie communicated with Fang Ze beforehand that he could go to the operating room to see the scene, so he brought an assistant to follow Dr. Tong away.
Since the early morning, the medical staff in the operating room were in place early to make preparations.
Fang Ze, the anesthesia team, sent their director of the anesthesiology department to personally sit down for the operation, indicating that the anesthesia work in today’s operation might not be easy.
In any surgical operation, in addition to anesthetizing the patient before the operation, the anesthesiologist also consults with the surgeon on the appropriate surgical position of the patient, which is a more important part. This has been mentioned in other surgical procedures before.
The requirements of the patient's surgical position are in principle to facilitate the doctor's operation during the operation and reduce the surgical injury, on the premise of ensuring the safety of the patient during the operation.
Between the two, sometimes it is inevitable that there will be contradictions in achieving consistency, which will test the strengths of anesthesiologists and surgeons.
For example, the operation to be performed today is divided into two parts, the first part is the transsphenoidal approach, and the second part is the craniotomy. The two operations are to be done in conjunction.
In this case, it is impossible to say that two different anesthesia are performed separately. It takes a long time for the patient to be fully awake after anesthesia, and the anesthetic has a complete metabolism time requirement. At the same time, it is best not to change the surgical position at will during the operation, especially in neurosurgery. The nature of the surgical position replacement is completely different from some orthopedic surgeries that can adjust the limbs at will, which will endanger the life of the patient.
There have been a lot of preoperative meetings. The anesthesia team and the surgeon have already negotiated and have a plan.
When Dr. Charlie followed Dr. Tong into the operating room, he saw that there was no restraint on the patient's body, indicating that the patient's position had not been arranged yet, and he made two ummmes in his mouth, which probably meant that he had guessed it again.
The matter of body position must be decided by the surgeon first. Because only the surgeon knows that his operation is going to enter the patient's body through the way, and he needs to put the patient in what position to make it easy for him. The anesthesia team is mainly responsible for reviewing the safety of anesthesia. If there is no danger, the final decision can be made.
Fangze, as the authority of this specialty in China, the anesthesia team has long been familiar with the requirements of various postures for neurosurgery, and can cope with it freely and cooperate with the surgeon. For the safety of the patient's anesthesia, the difficulty of this operation is nothing more than not changing the position during the operation. The person being tested becomes a surgeon.
The body position is basically determined by the main surgeon. The body position is related to the surgical approach, and the surgical approach is related to three-dimensional positioning, which is the gold standard of neurosurgery mentioned earlier.
International neurosurgery experts such as Dr. Charlie, since they insisted that the three-dimensional **** man might be, it is not difficult to guess who needs to come to do this kind of thing, and then talk to Dr. Tong: What about Dr. Xie?
Everyone at the scene could hear it, and the foreigners were very curious about what suitable position Dr. Xie would put on the patient.
Speaking of the transsphenoidal approach in the early stage of today’s surgery, doctors have to carry tools through the natural passage of the human body, which is significantly different from craniotomy. The characteristics of this type of surgical approach can be compared to other medical procedures through natural passages in the human body, such as gastroscope and colonoscopy.
Many people have done gastroscope and colonoscopy, and those who have done it know that the doctor is most afraid of being blocked in the middle of the process.
(end of this chapter)