Chapter 883 【883】Do Local Anesthesia Yourself

In the end, her gloved finger only pressed gently on one point, feeling the fluctuation of the abscess, that is, the liquid inside, to correspond to whether her brain had made a mistake.

Chang Jiawei, who was watching her from the sidelines, had a flash of light in his eyes, and his eyes were pointed straight at her sharply: This guy, the judgment has a sharp effect? Is there anyone who has just entered clinical practice who can do this?

Nie Jiamin put his hands in the pockets of his white coat, and tilted his head as if his attention was only on Xie Wanying's hands.

Zhu Huicang stood up, as if wanting to take a closer look.

Dai Nanhui, Geng Lingfei and Fan Yunyun didn't quite understand what happened.

Determine the depth of the abscess. If it is relatively shallow, there is no need to apply anesthesia. The doctor gently pricks the abscess skin twice with the tip of a needle or a knife, and the pus can be drained. There is no need for the patient to receive another injection. However, the condition of the child in front of him is more serious, and the family members have delayed the diagnosis. The infection has come to the fascia, and it will not work without anesthesia.

Anesthesia is about to be given, and there is no anesthesiologist accompanying me. However, this kind of minor surgery has never been equipped with an anesthetist. The number of anesthesiologists in the country is small, and this kind of local anesthesia is very simple. It is performed when the patient is conscious and does not need the full care of the anesthesiologist. Usually, only the doctor himself gives the patient local anesthesia. Local anesthesia can be said to be a technical threshold to test the surgeon's independent operation.

Specifically, local anesthesia is divided into several types, including topical anesthesia, local infiltration anesthesia, regional anesthesia, nerve block anesthesia, and plexus block anesthesia.

For example, before a general gastroscopy, the patient is asked to swallow a mouthful of anesthetic, and the throat feels numb. This is a superficial anesthesia, which mainly works on the mucous membrane. For minor outpatient surgery such as common hemorrhoid surgery, the doctor injects a ring of anesthetics into the patient's perianal nerve to block the perianal nerve. Nerve plexus block is divided into several parts, such as upper extremity plexus block for orthopedic hand and forearm surgery. This is not done in an outpatient clinic, it is performed by an anesthetist in the operating room, and if it is a child patient, it must be combined with general anesthesia. .

Compared with adults, children are very uncooperative and easy to move around. Only general anesthesia can allow children to sleep without affecting the doctor's operation. Therefore, as long as it is a relatively large operation, the younger the child, the less local anesthesia alone, and generally more general anesthesia.

Fortunately, the patient is ten years old, and there is no general anesthesia on site, so you can try it.

After making a comprehensive judgment, Xie Wanying made a decisive decision and reached out to the nurse: "Syringe, lidocaine, saline."

Xie senior sister is so majestic. Fan Yunyun wanted to imitate her idol's actions in her heart.

Dai Nanhui and Geng Lingfei felt that Xie Wanying's courage was overwhelming. It was unbelievable that she had no fear at all in front of so many people.

Yao Jie handed her the opened ampoules of anesthesia and normal saline respectively, and asked her to inhale the medicine by herself.

Pull the plunger of the syringe, and insert the needle into the ampoule steadily to inhale the drug. The others were shocked when they saw that her hands were as stable as Mount Tai without the slightest tremor.

After preparing the local anesthetic by herself, Xie Wanying pointed the needle towards the patient's infected skin and inserted it.

The onlookers were breathing hard.

Expert doctors know that local infiltration anesthesia is not only for anesthesia, but also for exploration for later operations. With this needle, the depth of the patient's bone can be detected, and the depth of the abscess can be detected. Therefore, local infiltration anesthesia requires one needle to completely anesthetize the nerves within the surgical range. Therefore, if the scope of the operation is large, more than one injection should be given, and anesthesia should be applied to other places around the wound to achieve general anesthesia in the front, back, left, and right sides.