Chapter 3181 【3181】Very Curious

The operating room received news that a foreigner was coming.

As the patient's former doctor, Dr. Charlie had communicated with Fang Ze beforehand that he could go to the operating room to have a look, so he brought an assistant to follow Dr. Tong away.

Since early in the morning, the medical staff in the operating room have arrived early and are making preparations.

The anesthesia team, Fang Ze, sent their director of the anesthesiology department to personally attend the operation, explaining that the anesthesia work for today's operation may not be easy.

In any surgical operation, in addition to anesthesizing the patient in the pre-operative period, the anesthesiologist discusses with the surgeon on the appropriate patient's surgical position, which is a relatively important link. This point has been mentioned a little bit in other surgery before.

In principle, the requirements for the patient's surgical position should be convenient for doctors to operate during surgery and reduce surgical injuries, provided that the patient's safety during surgery is ensured.

Between the two, sometimes it is inevitable to achieve consistency and produce contradictions, which is a test of the respective strengths of anesthesiologists and surgeons.

For example, the operation to be performed today is divided into two parts, the first part is transnasal sphenoidal approach surgery, and the second part is craniotomy. The two operations are to be performed in tandem.

In this case, it is impossible to say that two different anesthesias are performed separately. It takes a long time for the patient to fully wake up after anesthesia, and the anesthesia has a time requirement for complete metabolism. This has led to the fact that it is best not to change the operating position at will during the operation, especially in neurosurgery. The nature of changing the operating position is completely different from some orthopedic operations where limbs can be adjusted at will, which will endanger the patient's life.

There have been many preoperative meetings. The anesthesia team and the surgeon have already negotiated and planned.

When Dr. Charlie followed Dr. Tong into the operating room, he saw that there was no restraint belt on the patient's body, indicating that the patient's position had not been arranged for the time being.

The body position must be decided first by the surgeon. Because only the surgeon knows the way to enter the patient's body for his operation, and he needs to position the patient for himself. The anesthesia team is mainly responsible for reviewing the safety of anesthesia. If there is no danger, the final decision can be made.

As an authority in this specialty in China, Fang Ze’s anesthesia team has long been familiar with the various postural requirements of neurosurgery, and is able to cope with it and cooperate with surgeons freely. 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 tester becomes the surgeon.

The body position is basically determined by the surgeon. The body position is related to the surgical approach, and the surgical approach is related to the three-dimensional positioning. This is the gold standard of neurosurgery mentioned above.

For an international neurosurgery expert like Dr. Charlie, since he insisted on who the three-dimensional man might be, it is not difficult to guess who needs to be on horseback to do this kind of thing, and then he said to Dr. Tong: Where is Dr. Xie?

Everyone at the scene could hear that the foreigner was very curious about what appropriate position Dr. Xie would put on the patient.

Speaking of the transnasal sphenoidal approach in the early stage of surgery today, the doctor has 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 operations through natural passages in the human body, such as gastroscopy and colonoscopy.

Many people have done gastroscopy and colonoscopy, and those who have done it know that doctors are most afraid of encountering a blockage in the middle of the procedure.