The child's performance during the reduction operation can help doctors identify abnormalities. As long as the child is not making a fuss and does not affect the doctor's operation, sedatives are basically not needed.
It is now determined that the child does not need to be sedated for the time being.
Dr. Yang put on gloves and applied paraffin oil to the anal canal to be inserted.
This special trachea inserted from the anus is the balloon anal canal, also known as foley tube in English.
The anal canal lubricated with paraffin oil will be more smoothly inserted into the anus. When inserted, it should not go all the way to the anus, but into the rectum, otherwise the insufflation will be too shallow and it will be easy to lose air. The name is Balloon Anal Canal, indicating that it has a balloon. After inserting to a predetermined depth, the assistant injects 20 ml of air into the air bag to inflate the air bag into a small ball and block the anus to prevent the tube from falling out.
After injecting the air bag and fixing the anal canal, Dr. Yang then retracted the child's small buttocks on both sides with both hands to clamp the anal canal.
After the anal canal is inserted, the doctor needs to do it under fluoroscopy when officially inflating the intestines.
Dr. Yang and his assistant returned to the operating room.
It is not feasible to leave a young child alone in the examination room. The child is too young to have someone watching from the bedside.
If something goes wrong when rolling out of bed, someone must stand by the examination bed to protect the child and comfort the child during the examination. Generally speaking, the hospital will let family members go in to accompany the child. Children are most familiar with and trust their parents, and parents can prevent children from being uneasy.
The family members of the patients today were emotionally unstable, and they were afraid of causing trouble if they were let in. The family members must wait outside while the doctor's assistant goes in to stay with the child.
Student Wei Shangquan was the first to volunteer: "I'll go in."
There are boys in their class, and they won't let the only girl in to eat radiation.
"Are you okay?" Duan Sanbao asked him.
Why not? Standing next to the bed to prevent the child from falling out of bed is something that even ordinary family members can do.
Duan Sanbao is as big and round as a child, exuding real uneasiness and sadness.
When Wei Shangquan saw it, his heart was filled with anger.
Maybe he and the clinical teachers his classmates had worked with before worked in top tertiary hospitals and were very domineering. I had never seen such a child-like doctor. It was too easy to make people angry.
"If I don't go in, who will?" Wei Shangquan asked him deliberately.
Xie Wanying stepped forward and asked for permission: "Doctor Duan, or I'll go in."
The attending doctor usually has to stand at the rear and give instructions rather than go to the front line. The assistants on the front line can do enough.
Duan Sanbao looked at her application, but he did not hesitate at this moment and denied it: "No, I'll go in. Doctor Xie, please watch in the operating room. If you have any questions, use the intercom to talk to me in time."
Wei Shangquan thought, fortunately, this guy knows not to let girls have sex.
Those who accompany us need to be fully armed and wear radiation-proof suits, which is of the same nature as interventional surgery. After putting on his lead clothes, Duan Sanbao entered the examination room, and Wei Shangquan followed him, fearing that he might not be able to handle it alone.
Following the instructions of the attending doctor, Xie Wanying stayed in the operating room.
The tube that was inserted into the anal canal was connected to an indoor air pump, which is called an air enema in medical terms. Before connecting the machine, it will be pre-debugged as usual. For gas injection equipment like this, a remote-controlled operator has long been invented and placed in the operating room to prevent the operating doctor from receiving radiation.
There were medical students here, and the kind-hearted Dr. Yang gave a lecture by the way. The radiology department here has more than one kind of air enema device, which can be used to add barium for contrast enhancement in complex cases. Barium, as mentioned before, should be avoided if possible.
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