Chapter 2308 [2308] Head-to-Head
Doctor Cheng Yuchen felt that whether this person was really capable had to be tested by someone himself. He wouldn't believe what he didn't see with his own eyes. Any school will exaggerate the object of its pursuit to the sky, just like some schools boast their unrealistic school flowers.
The nurse came to inform the doctor that the patient's family members had arrived.
Cheng Yuchen asked a young resident doctor, Dr. Wang, to go out to communicate with the family members and sign the informed consent form for the operation. At the same time, since hydropneumothorax was suspected, it was inevitable for the patient to undergo CT.
It takes time for the CT scans to come out, and the medical staff must pay close attention to preoperative preparations during the period. This operation only needs to be performed at the bedside and does not need to enter the operating room unless the patient's condition changes along the way.
"Wear gloves." As the guidance he applied for, Dr. Cheng Yuchen gave instructions to the operating students.
The students of the capital are waiting in a circle around the periphery, their eyes are like torches, and they look like they are ready to criticize at any time.
The hearts of several National League students were pounding: Mr. Xie went to the enemy camp the day before to prepare for a one-on-one fight.
They asked Zhao Zhaowei to say that the most "bad" person is the devil teacher Cao, and insisted on special silence from the beginning to attract the hostility of his opponents.
The patient is a little nervous. Children of this age are just half-sensible half-adults, with immature psychological construction, and the sudden panic cannot be ignored.
"Don't worry, it's like an injection, it doesn't hurt." Xie Wanying said to her little sister.
The elder sister in front of her has beautiful big eyes. If the little girl is dreaming: Did I come to the hospital today to see celebrities?
Didn't you say you need to insert a big tube? How do you say it looks like an injection?
Dr. Cheng Yuchen coughed twice and cleared his throat to remind the students: there is no need to comfort them. It will be even worse if the operation time is too long and the patient becomes suspicious. Children are not as strong as adults and will cry.
Whether the doctor's comfort is effective or not depends on the technique behind it. Otherwise, it would be self-defeating to say any more comforting words.
Senior is right. Xie Wanying just said a word and didn't say anything.
Operators and assistants are prepared separately.
Like other punctures, after positioning, sterilize and spread the drape.
There are several options for the insertion site for a pneumothorax. The most common one is the second intercostal space on the midclavicular line that Xie has done before, and the needle and knife are inserted into the patient's anterior chest wall. If it is an effusion, usually the midaxillary line and the posterior axillary line are selected. Liquids are not like gases, water naturally flows down and is universal in the human body.
The trouble with liquid pneumothorax is that a large amount of liquid pneumothorax is easier to pump, and a small amount of liquid pneumothorax is difficult to pump.
According to the results of the ct scan, the pleura showed signs of thickening, and the visibility of the effusion on the instrument was not clear enough at this stage.
It's not that Dr. Cheng Yuchen doesn't want to help the patient pump out the effusion by the way, it must be more comfortable to pump out the effusion. The question is whether this kind of localized effusion is likely to be mucus, which is really a matter of skill.
It is normal for medical students to not be able to pump gas, as long as medical students can pump gas, thank God. Therefore, some medical students do not know the heights of the sky and the earth, and imagine that the boss can solve all the problems of patients in one step. Clinical teachers dare not think so lightly.
Classmate Xie decided on the location and prepared to incision on the mid-axillary line.
Dr. Cheng Yuchen, as his boss thought, was waiting to see who finally overturned the car.
With the cooperation of the nurse, the chief surgeon picked up the syringe and sucked the local anesthetic mixed with normal saline, then turned around immediately, and the needle tip submerged into the patient's skin in an instant.
Her movements were so fast that people in the capital who had never seen her operate were shocked and lost their eyes.