Chapter 4289 [378] Style
Have you been taken by Mr. Zhang?
The bosses basically have the experience to see through people’s affairs.
On the way back to the National Association of Chinese Medicine, the surgery team took the hospital’s official car, a minivan.
Others who came to visit and study went their separate ways. Dean Wu and Section Chief Yang took the dean's car.
Dr. Cao Yong is an exception and is allowed to stay in the official car to deliver water and food to his wife.
As a result, Dr. Xie, who was presiding over the postoperative meeting, had no time to talk to her husband.
Dr. Cao Yong simply sat aside and listened to the lecture silently, doing a good job as a good housekeeper. At this moment, it was a rare opportunity for him to see his wife's style of presiding over the meeting: Is it -?
“Dr. Zhang, you need to go back and summarize the data.”
The meeting was attended not only by surgeons, but also by anesthesia teams and nurse teams.
Dr. Zhang Tinghai was the first to be named by Chief Surgeon Xie.
Dr. Cao Yong was shocked: My wife dares to talk about this person in front of everyone? He doesn't dare yet.
Unless there is a serious problem, surgeons do not dare to talk directly to anesthesiologists. It is an unspoken rule in the industry that anesthesiologists cannot afford to offend, especially Dr. Zhang, who is well-known both inside and outside the Chinese Association.
A group of people turned to look at Dr. Zhang’s reaction.
Dr. Zhang Tinghai’s expression was solemn, but he was not angry at all.
Dr. Cao Yong recalled that today’s surgical anesthesia seemed to be different from the past. Thinking about it carefully: there was no intubation?
I have mentioned before that thoracoscopic surgery requires double-lumen endotracheal intubation and intravenous general anesthesia. For this reason, Dr. Liu Jingyun, who wanted to become a junior anesthesiologist, continued to fall down at this technical threshold, which greatly reduced her confidence.
The development of science and technology has always liberated not only the worries of patients, but also the worries of doctors.
General anesthesia without the need for double-lumen endotracheal intubation and intravenous anesthesia provides an opportunity for anesthesia colleagues who are not very skilled in this area.
Today’s surgical anesthesia method adopts the new concept of tubeless UVATS (uniportal video-assisted thoracoscopic lobectomy). The development of anesthesia technology is closely related to surgical technology. It can be said that without Dr. Xie, new anesthesia technologies like the National Association would not have happened.
Thinking of this, Dr. Cao Yong understood why Dr. Zhang Tinghai, who even he dared not tell, was so obedient in front of his wife.
Dr. Zhang Tinghai is not stupid. He has long known that without Dr. Xie, there would be no Zhang Tinghai who would be great in the future.
He was eager for Dr. Xie to say a few words to him.
How to use new technology?
It is not necessary to place any airway assist device, and use regional nerve block including epidural paravertebral nerve intercostal nerve plus vagus nerve block.
Laryngeal mask plus vagus nerve block plus regional nerve block can also be used.
The difference between the two has been mentioned before. In terms of safety, the laryngeal mask is only slightly lower than the intubation, so today's operation uses a laryngeal mask.
It is very beneficial for patients to pursue a laryngeal mask without intubation. Today’s surgery does not leave a drainage tube. You must know that 80 to 90% of the postoperative pain in this kind of surgery is caused by the residual drainage tube rubbing against the tissues in the body.
Because it is a brand-new technology, most of the doctors present did not understand it, and a group of people’s eyes popped out when they heard it.
Dr. Zhang Tinghai responded to the introspection question raised by Chief Surgeon Xie: “I will summarize the medication parameters into a chart as soon as I get back and show it to you.”
One of the most important technical aspects of anesthesia technology is the dosage of medication. A completely new technology will definitely be different from the past in this regard and requires exploration and accumulation of experience. It can be seen that the patient’s abnormal movements during the operation were noticed by the surgeon and the anesthesia was alerted. The doctor wants to summarize.
It means that even senior anesthesiologists like Zhang Tinghai did not find the problem.
Others, including Assistant Pan and Assistant Duan who were standing on the operating table, didn’t notice it at all. Dr. Pan and Dr. Duan: Uh.
Boss Zhang had guessed it: Chief Surgeon Xie was turning into a devil, and the slight difference in the amount of bleeding from the patient's tissue and the estimate indicated that there might be a problem with the depth of anesthesia, so he would start whipping people.
After Dr. Zhang Tinghai was named, everyone present could not help but sit upright.
(End of this chapter)
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