Chapter 4156: 【245】different
everything's ready.
Assistant Dr. Xie placed his hands on the anterior superior iliac spines on both sides of the patient as if exerting force.
Wait, that’s not right.
Is the assistant speed forwarding faster? Wen, the "chief surgeon", has not performed acupuncture for the time being.
It takes time for acupuncture to take effect, and Chinese medicine has always been slower to produce results than Western medicine. This is the general public perception of Chinese medicine, and Western doctors, no exception, all think this way.
According to the above common sense, the "main surgeon" should perform the acupuncture isothermally, and then the assistant can start the operation according to the situation.
The eyes of a group of people at the scene looked at Wen, the "chief surgeon".
Dr. Wen Zihan’s expression did not indicate that the assistant had done anything wrong.
It's over, a lot of people are holding their heads in their hearts, and they really can't figure out how these two people are going to complete the treatment goals.
The words were said late and then quickly, and when the onlookers couldn't figure out the discussion, the "chief surgeon" Wen took out the acupuncture needle from the needle box and inserted it into the acupuncture point.
Dr. Wen Zihan's operation speed is very fast, just like the feeling of femtosecond laser in Western medicine. Western doctors who have never seen her perform acupuncture at the scene were shocked by this: Is it useful to perform acupuncture so fast?
Dr. Tao and others who have seen acupuncturist Mr. Wen perform acupuncture know that Mr. Wen Zihan has technical strength. Don't just focus on the speed of acupuncture, but they will not understand it at the same time.
Someone is in great need of explanation at this moment, and everyone's eyes showed a sense of impatience.
It’s just that Doctor Xie is a stubborn person. After officially performing the operational tasks as an assistant, it is obvious that he has no time to explain to them.
Fortunately, Dr. Qi Donglai should have listened to Assistant Xie’s previous reminder and retrieved the TCM thinking path map, and added: “There is a big difference between TCM and Western medicine.”
“What is it?” Everyone said in unison, urging him not to sell out.
Dr. Qi thought, it’s not that I’m trying to sell something, it’s that it’s hard to explain at once. There are some things that are very different between Chinese medicine and Western medicine: “You Western medicine doctors think that after general anesthesia like this, the muscles should relax completely.”
At the time of preparation, it was not just the "chief surgeon" who was preparing. The correct statement is that "chief surgeon" Wen and Assistant Xie were waiting for the anesthesiologist Dr. Liu to make all preparations.
We all know that general anesthesia is a high-risk operation. If a patient like this needs to take a muscle relaxant, the anesthesiologist will need to perform deep airway management on the patient.
When you hear the word anesthesia airway management, you can immediately think of the often mentioned tracheal intubation. Yes, endotracheal intubation basically corresponds to the muscle relaxation problem that Dr. Qi just mentioned.
In this regard, you may have questions: Is it just short-acting general anesthesia? Is endotracheal intubation needed?
The gastroscopy surgery just happened next door. We usually do gastrointestinal endoscopy without endotracheal intubation. Isn’t it also called short-acting general anesthesia?
People inside and outside the industry generally summarize general anesthesia in this way: as long as the patient is "all asleep", it is called general anesthesia.
If you want to get to the bottom of this issue, Dr. Liu Jingyun, an anesthesiologist, will tell you:
Professional general anesthesia technology requires the use of muscle relaxants, which are referred to as muscle relaxants, but muscle relaxants are auxiliary drugs for general anesthesia.
It means that before general anesthesia, when no muscle relaxant can be used, to achieve muscle relaxation, the depth of anesthesia needs to be deepened.
Therefore, if you have to pay attention to the professional terminology of general anesthesia, it should include the degree of anesthesia to the extent of muscle relaxation.
The patient who just underwent gastroscopy surgery next door does not need muscle relaxants for normal gastrointestinal endoscopy abortion surgery and the like. The anesthesiologist only needs to inject anesthetic drugs with analgesic, sedative and other effects to the patient through the intravenous channel, which can preserve the patient's spontaneous breathing function.
This type of anesthesia should be classified as monitored anesthesia in terms of execution concept.
Orthopedic cases mentioned above that muscle relaxation is necessary.
