Chapter 4157: 【246】Hurry up

 Muscle relaxation can cause respiratory problems in patients, such as phlegm blockage, which can lead to severe suffocation. Therefore, in-depth airway management is required.

 So, the patient must be intubated?

 Not necessarily. The current operation is different from major surgery. A major feature of major surgery is that it takes a long time, while the current operation does not take long.

 Performing a tracheal intubation on a patient for a short operation is quite laborious and unpleasant. The reason is that endotracheal intubation is an insertion technique that will inevitably cause damage and make the patient uncomfortable.

As mentioned earlier, in the past, tracheal intubation was required for airway management. In modern times, anesthesiology has developed vigorously with the full bloom of various surgeries. Anesthesiologists have accumulated more and more experience, and the more they dare to use rich methods, Technological means reduce patients’ pain.

 Hence, let’s talk about the roaring cover we talked about.

For example, common minimally invasive breast, gynecological, and orthopedic surgeries can be compared to today’s surgeries. They also require general anesthesia but the time is short. A roaring mask can be used instead of tracheal intubation.

Of course, there are extremely skilled anesthetists who, with their technical courage, use very skillful compound anesthesia and medication ratios, and even use masks directly for airway management during very short and superficial general anesthesia surgeries. To achieve this, the anesthesiologist must combine the needs and progress of the surgeon.

The above can be boiled down to the fact that, depending on the length and depth of anesthesia, the anesthetist needs to perform airway management from shallow to deep: face mask, roar mask, and endotracheal intubation.

 The sequential arrangement of the three methods simultaneously represents the order of anesthesia safety from low to high, that is, tracheal intubation is the airway management technology that ensures the highest safety of anesthesia for patients.

Dr. Liu Jingyun has little medical experience, and everyone knows that she is timid by nature. She believes that safety must be given the highest priority in anesthesia, no matter how small it is.

 This is because the "chief surgeon" Wen gave her a signal to the anesthesiologist: the operation will definitely not take long.

Therefore, Dr. Qi realized that he had only begun to explain, but he could not keep up with the progress of the operation by the "chief surgeon" and his assistant. He was so anxious that he continued with sweat: "Chinese medicine has the theory of meridians, and the anatomy of meridians is different from that of Western medicine. The theory of meridians It talks about the qi of disease, and the stagnation of the disease in the meridians can be equivalent to the growth of tumors and other lesions in Western medicine. Tumors must not be eliminated by general anesthesia, which is equivalent to saying that the use of general anesthesia medicines is placed in traditional Chinese medicine. It also cannot affect diseases caused by qi stagnation."

The people next to me were listening to Dr. Qi’s non-stop talk, and nervously watching the progress of the operation with Dr. Qi. They felt the same anxiety as Dr. Qi: Can you say hurry up, they have to finish the work? !

 Wen, the "chief surgeon", inserted and lifted the needle very quickly. The needle was completed in less than a minute. No one on the scene could understand how many acupuncture points she acupunctured and what kind of acupuncture method she performed.

Dr. Qi, who was about to explain, had no time to think carefully and could only give a concise summary: "She should acupuncture the acupoints."

 Aren't you talking nonsense? A group of top students knew it and knew that he used the words of Dr. Xie Wanying before.

"The depth of the needle to dredge the acupoints is relatively shallow, within one centimeter." Doctor Qi Donglai finally said what he knew. "Of course, she may also be incising the fascia and doing subcutaneous dredging. If it is bone-piercing, the needle will be inserted. The depth is much deeper, and it looks like she didn’t do the bone-piercing thing in this case.”