I run a clinic in the United States

Chapter 7: Techniques that do not require an anesthesiologist
(Chapter 6 has been blocked and is working hard to revise and unblock it.)
Zhou Qiao sat in the clinic, constantly reviewing the relevant medical knowledge and experience of appendicitis surgery in his mind.

The master-level appendectomy he redeemed included laparoscopy and traditional laparotomy. It was a comprehensive gift package, and it was very worthwhile.

After all, this was exchanged for 15 medical mystical points!
The previous healing plaster was a magical item, and it only needed 5 healing points.Now there are 15 medical mysteries, the knowledge and experience included are naturally no small matter.

As for ordinary plasters, they are probably not worth 0.01 medical points. How can something that can be bought for just a few dollars be valuable?
"I was careless before, there was no anesthesiologist!"

Zhou Qiao suddenly thought of a fatal problem. Without an anesthesiologist, the three little ones couldn't do many surgeries, especially those that required general anesthesia.

It is illegal to do it forcibly, and it is easy to cause accidents.

Unfortunately, laparoscopic appendectomy requires general anesthesia!
Rent an anesthesiologist outside?Without a monthly settlement agreement, Zhou Qiao would not be able to get the money.Another thing is that anesthesiologists usually have to make an appointment in advance. Now that the operation is about to happen, how can we make it in time?

Therefore, Zhou Qiao changed his mind and decided to choose an appendectomy that does not require an anesthesiologist from this comprehensive gift package.

That is, local anesthesia!
Many local anesthetics do not require the presence of a full-time anesthetist. The surgeon can do it himself.

Although this technique is not widely used now, its effectiveness and less side effects are still valued by many grassroots doctors.

It does not affect the functions and vital signs of important organs, has almost no complications after anesthesia, and does not require important monitoring equipment. In addition, for patients with poor general conditions, older age or severe cardiopulmonary insufficiency, it is better than other anesthesia methods. It is safer and less likely to cause blood pressure fluctuations and anesthesia accidents.

The only thing that needs to be considered is the judgment of the degree of appendicitis in the patient.

Mr. Westin is not over 65 years old and is in good health. Although his fever is slightly higher, according to Zhou Qiao’s “decades” of master-level experience, he can do it with local anesthesia!
"It would be even better if it could be exchanged for a perfect level, but the time is too short and the medical mysteries are not enough, so we need to work harder!"

Elena and Ava held hands and jumped back.There are still burgers, fries, coffee and tea coming in and out.

"Qiao, I'm going out for an event today, and there's a super discount on burgers and drinks, so I bought three cups of coffee. You can drink more later so you don't lose energy during the operation," Elena said.

Ava: "Is it because you didn't sleep last night?"

Zhou Qiao waved her hand: "I'm full of energy!" She secretly gave Elena a look.

Elena shrugged and said to herself, you worked so hard last night and had another one this morning, are you really energetic?I'm so sleepy that I can't stand it without drinking coffee. If something goes wrong during the operation, the Iris Clinic's sign will be destroyed!

Elena picked up the coffee and sipped it in small sips. She didn't wear any makeup, her skin was naturally snow-white, but her red lips were not tinged but vermilion, and they were extraordinarily delicate.

Zhou Qiao also secretly remembered one of the differences between the two sisters, that is, Elena likes coffee, while Ava loves black tea.

"Joe, what about our surgery later? We don't have an anesthetist yet!" Ava asked.

The anesthesiologist in the clinic ran away. She just asked Elena on the way, how was the surgery plan decided?Elena hesitated and always changed the topic, so the worried Ava asked Zhou Qiao directly.

Zhou Qiao smiled and said: "After discussions between Elena and I, we decided to perform appendectomy under local anesthesia mode, which does not require the presence of a professional anesthesiologist."

Elena shrugged, drank coffee, tilted her head and made a face at Ava: "I told you a long time ago that Qiao will find a way, why don't you believe it?"

Ava: "..." Why does it feel like my sister adores Zhou Qiao now?Have a feeling of brainlessly supporting him?

Zhou Qiao actually doesn't like to eat hamburgers. He eats these every day and feels nauseous. Fortunately, there is the appetizer of Elena, who can adjust it.

Just for the sake of beauty, after killing the hamburger, Zhou Qiao thought, when I have some free time, um, mainly when I have some money, I will go buy some ingredients and show off, please Elena Taste Chinese food with the two little ones, Ava!
After a while, Mr. and Mrs. Westin came back.

The inspection report hadn't been faxed yet, so Elena went to call to urge her, and within 5 minutes, the fax machine beeped.

Zhou Qiao flipped through the report and found that the white blood cells in the blood routine exceeded the standard, but not too high; the B-ultrasound showed an enlarged appendix and surrounding abscess.

Abdominal CT showed no obvious abnormality in other parts.

Consistent with the judgment during the physical examination, it was definitely acute appendicitis!

This was diagnosed by Zhou Qiao purely on his own level, without the help of the system, so he couldn't help feeling a little sense of accomplishment in his heart.

With a smile on his lips, he said confidently: "Mr. Westin, Mrs. Westin, let's start the operation immediately! The sooner the operation is performed, the sooner the pain will be relieved. If it is delayed for a long time, other diseases will appear."

For example, there are mass formations, increased inflammation, large-scale adhesions in the abdominal cavity, etc.

Mr. Westin nodded. He has been tossing for so long, and the pain is already unbearable.

Preoperative preparation, intramuscular injection of diazepam 10mg, atropine 0.5mg, disinfection of the surgical field skin, laying sterile towels...

Choose the supine position, take a No. 8 needle, and infiltrate 1% lidocaine solution intradermally and subcutaneously along the incision. The puncture point is the most obvious point of appendix tenderness. The local anesthesia infiltration band is 10cm long and 5cm wide, and the dosage is 20mL... Insert subcutaneously from McBurney's point... to anesthetize the cutaneous branches of the nerve...

Zhou Qiao was shocked to find out that this master-level appendectomy skill was really not fake. He almost didn't need to think much, and he didn't need to deliberately control it. He subconsciously completed various complicated operations with both hands.

And every detail is in place.

If you record a video, it will definitely be a ceiling-level instructional video!

After local anesthesia is completed, McFarland's incision is made in the right lower abdomen, the appendix is ​​searched for, the mesentery is processed, the appendix and cecum are protected, purse-string suturing is performed, the root of the appendix is ​​ligated, the appendix is ​​cut off, the appendix stump is processed, the appendix stump is embedded, the mesentery is covered, and the abdomen is closed.

The whole process was completed in one go. Zhou Qiao flew with his hands, making the twin sisters Elena and Ava dazzled. As for Mr. Westin, he was very nervous because he was conscious.

"Doctor Zhou, has the operation started? How long will it take?" Mr. Westin frequently looked at the wall clock on the wall. Although only seven or eight minutes had passed, Mr. Westin felt like five or six years had passed. Days feel like years, there is a feeling that I can't bear it!
Zhou Qiao smiled slightly and said, "It's done!"

(End of this chapter)