Start From Emergency Doctor

Chapter 2

It stands to reason that there is still a lot of work to be done in a C-section, such as the first step, inserting a urinal tube, listening to the fetal heart rate to confirm the position of the fetus, and so on.

However, due to the special circumstances of pregnant women, these steps can only be saved.

“Count the gauze!” said the deputy director of obstetrics and gynecology in a deep voice.

Zhou Yuan came back to his senses and quickly counted the gauze used for surgery: “One, two…”

The deputy director of the obstetrics and gynecology department put on his gloves and stepped forward.

“Anesthesia!” She said with surgical forceps in her hand.

“Ten milliliters of propofol, intravenous injection!”

A drug was pushed into the veins of the pregnant woman.

“Five milliliters of remifentanil, static push!”

The deputy director took a look and said solemnly: “I repeat, once the patient enters a general anesthesia state, we must remove the child within five minutes, otherwise the child and the adult will be in danger!”

“The anesthesia is complete, you can start the operation!” A voice sounded.

The deputy director glanced at the time: “The start time of the operation, 10:20, the operation will begin now!”

After speaking, she slowly cut open the pregnant woman’s belly.

Small drops of blood appeared.

The deputy director skillfully incised the skin and muscle layer by layer, and slowly approached the uterus. After the complicated abdominal wall was incised, the uterus was finally exposed in the field of vision.

Zhou Yuan’s surgical field was not well positioned, but he still noticed that when the uterus was cut, the deputy director only cut a cut about three centimeters away, and then he tore it with both hands, which is conducive to the postoperative recovery of the parturient.

“Anesthetize, report blood pressure, I am going to take out the fetus.” The deputy director of the obstetrics and gynecology department did not squint.

“The blood pressure is normal! The fetus can be taken out!”

The deputy director put down the scalpel, put his hands into the uterus, first supported the head of the fetus, and after taking out the uterus, he cleaned the fluid in the fetus’s mouth and nasal cavity, and then slowly took out the fetus.

However, the expected cry did not come.(Read more @ wuxiax.com)

“Newborn asphyxia!” The deputy director of obstetrics and gynecology cut the umbilical cord short, his face a little ugly.

“Suture the uterus to you, I will perform CPR.” She stepped aside.

Neonatal cardiopulmonary resuscitation requires high strength and frequency. Moreover, He Jianyi guaranteed the safety of mother and child before he went on the operating table, allowing the deputy director of obstetrics and gynecology with more than 20 years of experience in caesarean section to perform cardiopulmonary resuscitation.

He Jianyi took the place of the surgeon on the operating table, and his eyes swept across a group of interns and residents.

Suture the uterus is not a difficult thing, it can be handed over to the doctor below to practice.

He glanced at the time, three minutes and three seconds, and one minute and fifty-seven seconds before the operation must be completed.

“Who will come?” He Jianyi asked.

Although he is willing to let Zhou Yuan try, he always has to fight for the opportunity himself.

Zhou Yuan swallowed, consciously walked to He Jianyi, picked up the surgical forceps, “I’m coming.”

He Jian nodded a little.

What surprised him was that when the other residents and attending physicians hesitated, it was actually Zhou Yuan, an intern who directly came forward.

“German Braun Snake suture thread.” Zhou Yuan started directly as soon as he took the stage.

He Jian was taken aback.

He found that at the moment he stepped on the operating table, Zhou Yuan seemed to have completely changed.

He can feel a sense of confidence from Zhou Yuan.

In fact, it is true. What is needed to suture the uterus is the butt suture method. I have mastered the master-level butt suture method, and I don’t worry about accidents at all.

“Inject 20U oxytocin.”

At this moment, Ichisuke and Nisuke also ignored the idea that they were being directed by an intern, and immediately followed the instructions after confirming that they were correct.

Zhou Yuan picked up dry gauze, quickly cleaned up the fluid in the uterine cavity, and set about preparing for sutures.

The little nurse next to her had already prepared sutures.

Suture the uterus using absorbable catgut.

Zhou Yuan took the suture device and inserted the first stitch from the first few layers of the uterus at the outer centimeter of the right end of the uterine incision. Immediately after the knot was tied, the micro-end retention thread was clamped with vascular forceps, and the myometrium monolayer continuous seaming was started Stitched.

It stands to reason that the doctors like to talk about Dashan during the operation, but this is the first time Zhou Yuan has started. Although he has enough confidence, he does not allow any mistakes.

This is a matter of life and death.

He Jianyi and the others were rather surprised.

“Is this an intern?” Haiyang, the resident doctor, looked dazzled.

Simple continuous seaming is not a difficult technique. In short, a long suture is used to sew a wound continuously from beginning to end, and finally knotted.

The advantage is that it saves sutures and time, and has good airtightness. The disadvantage is that if one place is broken, all the sutures will be pulled off and need to be re-sewn.

Obviously, Zhou Yuan took a fancy to the continuous seam stitching to save time, but… once there is a mistake, it means that the stitching failed and time is definitely not enough!

“The stitching is complete!” Zhou Yuan let out a long sigh of relief.

He Jianyi frowned, glanced at Zhou Yuan, and said, “Are all the medical students from Yanjing University so good?”

Zhou Yuan smiled relaxedly, then stepped back, “Director He, it’s your turn.”.