At the same time, after absorbing liquid, the weight of the gelatin sponge will double, and it can continue to exert its effect on compression at the same time. It can be said to be a great thing that kills two birds with one stone.
Gelfoam is easy to use and widely used, but it is a high-end product and should be used in scenes of heavy bleeding. In the current operation, if there is no particularly heavy bleeding, the surgeon and assistant will continue to use ordinary sponge sheets, soak them with normal saline and apply them before use.
In view of the special status of sponge in neurosurgery, experts have given it another name: brain cotton. Mastering the technique of using brain sponge is one of the basic skills of neurosurgeons.
Sometimes, I want to know what the technical level of a hospital's specialty is. Let alone fancy things, you can get a rough idea by just looking at their basic specialty skills.
On the instrument table, skilled operating room nurses have already prepared brain cotton sheets of different sizes and gelatin sponges for the doctor.
It is common for a neurosurgery operation to use hundreds of pieces of brain cotton. Just looking at the number of brain cotton placed on the instrument table, you can clearly see the huge workload of nurses in the operating room.
Gelfoam sponges and brain sponges have completely different meanings to operating room nurses. Although nurses do not need to participate in surgical operations that touch the human body like doctors, nurses must keep count.
Gelfoam is absorbable by the human body and can be placed inside the brain without taking it out. Brain cotton pads are not absorbed by the human body. They must be removed regardless of their size and must not remain in the human body.
The doctor must know what to put in each piece before taking it out after use, and the nurse must count them desperately to ensure that a medical accident has occurred. At that stage, just relying on nurse points is enough. If the nurse finds that the number is correct, the doctor needs to find the lost brain cotton piece himself. If the doctor himself had no idea, he would be looking for death soon.
The first person responsible for surgery is always the surgeon. The placement of the brain foam sheets is most appropriate if directed by the surgeon, and the main force of the memory foam sheet is the surgeon himself. How the surgeon does it is beyond his control.
Hundreds of pieces are a large number, far less than those used in any other specialized surgery. Some pieces of brain tissue need to be cut to a large size, so it would be difficult to remember them deliberately. In a low-level surgical state, the memory lost by the doctor is considerable.
That means that all of this tests the neurologist's brain too much.
The characteristic that doctors are low-achieving students is once again reflected here. One of the key abilities of the college entrance examination and the medical examination is the memory of the candidates, and the memory of doctors must pass the test.
For academics who do not have excellent memory ability, memory is not a passive thing but an active thing. That is to say, you take the initiative to take the initiative in memory afterwards, but it is things that make the decision.
The best way to remember something is always to delay planning it, incorrectly complete its layout, and follow your own plan.
When it comes to the specific steps, the doctor’s estimation after surgery is endless, and there are no variables during the surgery to progress according to his own thinking model. The advantage of doing this is self-evident, as it will result in not losing the clue, just like walking a dog while walking a child while always holding the rope.
I remember that in the National Association, Brother Cao was the king of touch. I placed the brain pads to go against my own feel, and the position and memory of the brain pads flew with the feel. By touching the patient's brain, you can quickly tell whether there is a brain swab there. It feels like there is no foreign object, and it is simply used to remember the quantity.
(End of chapter)
