Zhao Yuan's in situ craniectomy has evolved and become more mature.
This is true for any technique, the more you do it, the more experienced you become.
As for the chopstick technique, I can do whatever I want.
In the eyes of neurosurgeons, this technique is like a magical technique like Dugu Nine Swords.
Which instruments should be used with which fingers, and which operations require what kind of strength? Because they are proficient enough, they seem to have a sense of wonder.
The real skill of building a hard horse and a hard bridge cannot come from any falsehood.
The patient was old, the organ's self-correcting ability was insufficient, and the operating space was small. Many difficulties seemed not to be a problem in front of Zhao Yuan.
"Wake up." In the middle of the operation, Zhao Yuan needed to wake up the patient.
The next operation depends on the patient's neurological function.
Removing the tumor is one thing, but the key is not to cause loss of neurological function.
Some tumors invaded language functional areas.
The old lady slowly opened her eyes, remembering that she was undergoing surgery, and saw a doctor wearing surgical clothes.
Although she had been informed before the operation that she would be awakened during the operation, she was still a little nervous at first.
However, with the familiar melody, the old lady gradually relaxed and began to sing along with the melody.
"the vast horizon is my love."
Zhao Yuan is most worried that the surgery will cause damage to the language functional area.
The operation just now was very thrilling. As the old lady was able to sing the tune, Zhao Yuan gradually relaxed.
In the eyes of many doctors, what happened was extremely strange, but in the eyes of experienced neurosurgeons, awakening during the operation was not a strange thing.
It's just that everyone was surprised by Zhao Yuan's surgical efficiency.
Not only is it fast, but the damage is minimal.
The anesthetic used for intraoperative awakening was propofol combined with remifentanil.
The target concentration of propofol tcI effect chamber reaches 2.5~3μg\/ml;
The infusion rate of remifentanil was reduced to 0.15~0.2 μg·kg-1·min-1.
The patient will wake up.
Before awakening, scalp nerve block and surgical incision infiltration anesthesia are performed, usually 75-150 mg ropivacaine or 75-150 mg levobupivacaine, plus 200-400 mg lidocaine, diluted to 40-80 ml, plus epinephrine.
The key here is that although the patient is conscious, he or she cannot feel the pain caused by the surgical trauma.
These data are the results of repeated attempts.
Of course, depending on the patient, the anesthesiologist will adjust the details.
For example, the dosage is definitely different for young adults, children, and the elderly.
During the awakening period, electrocardiogram, blood pressure, pulse oxygen saturation, respiratory rate, and end-tidal CO2 concentration should also be monitored.
Through urine output monitoring, the depth of anesthesia of the patient can be judged.
After the old lady finished singing once, Zhao Yuan, while operating the instrument in his hand, whispered, "Sing it again!"
The assistant played the melody again, and the old lady continued singing.
Sing it twice more and the familiar opening melody plays again.
The old lady finally couldn't help it, "Doctor, I don't want to sing anymore."
Jiang Jing reassured, "Auntie, it's for your own good. Singing will make you more relaxed. Be obedient!"
"My love in the vast world."
The old lady had no choice but to continue singing again.
Seeing the scene in the operating room, the doctors in the observation area couldn't help but smile.
The condition was so serious, but I didn't expect that the process was not as boring as imagined, and had some humorous elements.
Professor Cheng looked serious, and Zhao Yuan's surgery was highly entertaining as always.
Every surgery feels different.
Thousands of people have different faces, and although different patients have the same condition, the surgery should be performed differently.
An inappropriate analogy.
Why are there so many well-known heroines in small movies, but only a few famous male protagonists.
The rival roles in small movies are so different, why is the director still willing to hire them?
The key is that these male protagonists are all powerful.
Although the screen time of each film is very small, he can show different feelings to the movie fans through his acting skills in different scenes with different heroines.
The patient's condition is good, which shows that the operation is always within control, which indirectly proves Zhao Yuan's ability.
"My love in the vast world."
This time the old lady only sang the first few lines and fell into a deep sleep under the influence of the anesthetic.
The tumor that invaded the language-functioning nerve was successfully removed.
No function was harmed, which means this is a perfect operation.
The risk factor for the subsequent surgery is not that great and does not require the patient to be awake.
Zhao Yuan took a deep breath, took out the last piece of tumor tissue, and nodded gently to Jiang Jing.
Jiang Jing cooperated tacitly, took Zhao Yuan's place, and took over the following operations.
The doctors in the observation area knew very well that at this stage of the operation, it had entered the final stage.
Vital signs have remained stable.
The patient woke up conscious during the operation. Not only was his speech function intact, he also had good control over his limbs.
Although the surgery went smoothly, it took four hours to complete.
Professor Cheng never left the operating room from beginning to end.
Although he didn't say a word from beginning to end, everyone present could feel the importance Professor Cheng attached to Zhao Yuan.
When Jiang Jing finished the finishing touches, Professor Cheng left the operating room.
He was full of appreciation for Zhao Yuan in his heart. If his mentor were still alive, he would definitely appreciate and cultivate the young man in front of him.
Zhao Yuan walked out of the operating room after taking a shower.
Wang Siqi, Yin Xue and other relatives waited in the corridor for a long time.
They already knew the results of the surgery.
However, Zhao Yuan explained the situation to them again.
What I say as the chief surgeon is more convincing.
"The old lady's surgery was good. Before the surgery, I was most worried that she would never be able to speak again. Fortunately, not only did it not affect her speech and behavior, but she can also sing her favorite and most dazzling folk songs, all in tune."
"Dean Zhao, I'm so grateful to you." Yin Xue said quickly.
Zhao Yuan smiled lightly and said, "Sister Yin, you are my sister-in-law's good friend. This is too polite to say."
Yin Xue knew that she owed Chen Tong a favor, so she smiled and said, "Yes, thanks to Chen Tong. I will thank her properly, but the person who needs to thank you most must be you."
Not far away, Professor Cheng waved to Zhao Yuan, who said goodbye to Yin Xue and Wang Siqi, and nodded to Yin Jing before leaving.
When Yin Xue saw this detail, she blinked at her niece.
The cheerful and outgoing Yin Jing made a big blush.
Although Yin Jing has been very close to her since she was a child and often lives in her home, Yin Jing doesn't have to come forward when it comes to her mother-in-law's surgery.
Yin Xue knew that the reason why she appeared here was related to Zhao Yuan.
It can be seen that my niece has a good impression of Zhao Yuan.
But Zhao Yuan's attitude towards Yin Jing was not obviously close.
Yin Xue called Chen Tong and said, "Tong, thank you. My mother-in-law's surgery was very successful. Alas, I didn't expect Zhao Yuan to be so proud. Professor Cheng stood up for the whole process."
Chen Tong lamented, "It's really difficult to ask him to go across the hospital for surgery."
Yin Xuedao, "About the cost of surgery..."
Chen Tong smiled, "Why are you so anxious? Am I still afraid that you will regret it?"
After hanging up the phone, Chen Tong touched her chin, thinking about how to explain her private agreement with Yin Xue to Zhao Yuan and Wu Hai.
