Chapter 217 Electrocoagulation perception ability, changes brought by third-level anesthesia

Author: Fisherman by the River

Chapter 217 Electrocoagulation perception ability, changes brought by third-level anesthesia

Zhou Can carefully felt the benefits of hemostatic surgery after it was promoted to level 5.

At level 4, it is mainly reflected in electrocoagulation and hemostasis, and the ability to analyze the cause of bleeding is initially ill.

At this moment, he found that electrocoagulation and bleeding stopping is not only more accurate, but also during the hemostasis process, he could clearly feel whether the bleeding had been controlled.

It seems to be just a small improvement, but it can provide him with a layer of safety when electrocoagulation and stopping hemostatics on the patient.

Neither you have to worry about the electrocoagulation time being too short, the blood does not stop or the bleeding is not firm, and you will bleed again after the operation.

There is no need to worry about excessive electrocoagulation, which will lead to necrosis of blood vessels and surrounding tissues.

In either case, it will cause secondary harm to the patient.

Negative tissues caused by excessive electrocoagulation occur frequently. This causes wounds to not heal for a long time and may become mild.

It directly leads to the patient's multiple postoperative complications, even sepsis, which is terrifying.

I believe that when limbs are necrotic, everyone has heard of the need to be amputated immediately.

In fact, any tissue in the body should be removed immediately when there is a large necrosis.

Otherwise, the large amount of necrotic toxin absorption will often affect the loss of function of other organs. Respiratory failure, liver and kidney failure, etc. can easily take the patient's life.

Therefore, the improvement of electrocoagulation and hemostasis during surgery has great benefits.

The tragedy of tissue ischemia and necrosis caused by excessive electrocoagulation will not happen.

Also, incomplete electrocoagulation, resulting in relapse after surgery is also a very big hidden danger.

For example, an open abdominal surgery was performed to remove a tumor in the abdomen.

Larger blood vessels will definitely use ligation to stop bleeding. However, small blood vessels will mostly use electrocoagulation to stop bleeding.

During the operation, the small bleeding spot in the middle and middle bleeding points in the abdominal cavity successfully stopped the bleeding through electrocoagulation.

The doctor closed the abdominal cavity for the patient and the operation was very successful.

The patient and his family were very happy after hearing this.

But after one night, the patient's condition suddenly became bad. The doctor was confused and the operation was obviously very successful! After some twists and turns, no problem was found.

After taking the video, I found that the patient had abdominal fluid accumulation.

The experienced chief doctor was frightened when he saw it. He hurriedly sent it to the operating room for emergency treatment. When he opened the abdomen, he saw that it was full of blood. After investigation, he found that due to incomplete electrocoagulation, the bleeding caused by incomplete electrocoagulation and postoperative bleeding occurred.

After hard rescue, the patient was finally rescued.

All the doctors breathed a sigh of relief.

In the future, they will be extra careful when they encounter abdominal, chest, and cranial hemostasis.

This is just the most common example.

The patient was very lucky to have successfully saved his life.

Some patients die directly from postoperative bleeding.

Or there have been cases where people become vegetative due to postoperative bleeding and disability.

This is also the reason why many high-risk surgeries require the primary surgery to be an associate chief physician or chief physician.

Because the doctor's surgical level reaches the level of deputy director or above, it is completely different from the attending level. Only at the level of deputy director or above can the safety of the third-level surgery be ensured.

Zhou Can's hemostatic surgery has been upgraded to level 5. In addition to the improvement of electrocoagulation and hemostatic ability, the analysis, diagnosis, and selection of hemostatic methods have also been qualitatively improved.

For some bleeding points, he can roughly determine the cause of the bleeding by just looking at them. It is a problem in the blood circulation system. How to solve it?

He all has a very clear and intuitive understanding.

Some patients may have internal bleeding, such as intracranial hemorrhage, uterine bleeding, abdominal bleeding, etc. Zhou Can used to need to use examination methods to diagnose it.

Now even if the patient does not take a video, he can accurately infer where the patient's bleeding point is based on the symptoms described by the patient, the color of the local skin, whether the patient is bleeding, whether he vomits blood, etc.

It can even be deduced as to what causes the bleeding.

In addition to the improvement of hemostatic ability in the above aspects, he has a more comprehensive and profound understanding of the entire blood circulation system of the human body.

Many things that were difficult to understand or did not understand before have suddenly become clear now.

This should be a theoretical improvement.

After the hemostatic surgery reached level 5, Zhou Can was not proud and complacent because of this, but continued to concentrate on performing surgery on the patient.

It seems that it is just an upgrade of basic surgical skills, but it makes him more comfortable and relaxed during the operation.

Surgery is to use a knife on the patient, and bleeding is a problem that must be solved during the operation.

With a powerful hemostasis technique, it is equivalent to having a strong security guarantee.

This also made Zhou Can more confident and confident during the operation.

After this operation, a relatively special patient was sent in soon.

He is a 21-year-old boy.

There is a huge lipoma on his left face. Because he failed to treat it in time, the tumor is too large and has caused a series of serious symptoms.

Not only did the young man's left face look like a monster, but his left eye was almost blind.

The teeth in the mouth are also severely damaged and there is little left.

According to the patient's own statement, eating has become a problem.

He can't eat some slightly difficult foods. He dare not eat fish or meat foods with bones.

Because this huge tumor compresses the mouth, it can easily cause him to be stabbed by sharp food during the process of eating, causing severe pain.

In addition, this tumor will compress the respiratory passages while he sleeps, causing difficulty in breathing.

He couldn't sleep on his side, so he could only sleep on his lie flat.

Unconscious turnaround at night may cause great danger to him.

Even when the young man entered the operating room, he still wore a mask on his face. This tumor made his appearance extremely ugly and ferocious, causing him to have serious inferiority.

"Doctor, can my face return to normal after the operation?"

The young man asked Mr. Liu with hope.

"You can basically return to normal, at least much better than now. However, your facial lipoma is particularly huge and the risk of surgery is very high. It may bring a series of complications and even life-threatening, and you need to be mentally prepared for this."

Mr. Liu said seriously.

Resection of superficial lipomas is usually only a first-level minor surgery.

Many surgical residents with low-age seniors like to meet this type of patient the most because they can practice with them.

The surgery to remove superficial lipoma is less difficult and has little risk.

The superior doctors are also happy to leave the exercise opportunities to their rookies.

At present, this surgery is a very difficult third-level major surgery. It is infinitely close to level 4.

He studied very seriously.

He is also very diligent in helping with work.

Not long after, the preparations for intubation and establishment of extracorporeal circulation channels were completed.

"Can I do anesthetize the patient?"

"Um!"

Dr. Feng nodded slightly and snorted, as if he agreed.

Zhou Can has long been used to his ‘unique’ conversation style.

Immediately and carefully perform inhalation general anesthesia on the patient.

Fortunately, no accident occurred until the patient lost consciousness. There was no horrible incident of breathing or cardiac arrest during the anesthesia.

【Anesthesia experience value +1.】

[Congratulations on your promotion to level 3, which can independently provide general anesthesia or lumbar anesthesia for ordinary patients, which can better ensure the stable vital signs of the patient during the anesthesia process, and can initially have special management of cardiopulmonary and brain resuscitation, mechanical ventilation, and severe patients in surgical accidents. It can better rescue operations such as shock, perioperative acid-base balance disorder, acute heart failure, multi-organ dysfunction syndrome, sepsis, acute renal failure, oxygen therapy, cardiac defibrillation and resection and pacing.]

The advancement of an anesthesiologist should be the most difficult.

Because the fields involved are too wide.

Many anesthesiologists say that being promoted to a attending physician is simply hell-level difficulty.

Zhou Can is not sure how difficult it is to ascend to the main treatment.

It took him nearly a year to move from his internship level to his resident level.

And so far, he feels that he still has very little and very little what he has learned in the field of anesthesia, and he can only be regarded as learning some basics.

If you want to reach the level of Doctor Feng, it is probably difficult to achieve it without ten or twenty years.
To be continued...