Before the operation begins, the surgeon will routinely pinch the patient's abdominal skin with tweezers. If the patient does not cry out in pain, it proves that the anesthesia is initially in place and the operation can begin.
Why is it called "only preliminary"? Because everyone's reactions to surgery, including pain, are different. For example, the reason for this difference may be the difference in the absorption and metabolism of anesthetics by individual patients. Some patients metabolize drugs quickly while others metabolize drugs slowly. Due to individual differences in the speed of drug metabolism, it is impossible to make an accurate assessment before surgery, and it can only be determined during surgery.
The surgeon pinching the skin to make sure it does not hurt before the operation does not guarantee that the patient will feel pain during the operation. Only the anesthesiologist's continuous monitoring during the operation can ensure the patient's safety and comfort during the operation.
For safety reasons, today's anesthesiologists generally start anesthesia with the safest dose possible. This initial dose is based on a small amount, and an external tube is left at the epidural anesthesia puncture site to facilitate additional medication when needed.
During the operation, the surgeon cut open the abdominal wall. Like other surgeries, he first performed an exploration to examine the uterus and the organs nearby. After the exploration, he used saline gauze to pad the intestine and put in a retractor. It was Geng's job to pull open the abdominal walls on both sides to expose the surgical field to other surgeons.
Because the tumor is so large that it stretches the uterus, it is difficult to perform surgery in the abdominal cavity. Forceps are used to pull the uterus out of the abdominal cavity. In any case, such a large tumor and uterus must be pulled continuously, and the pulling force must be very strong, otherwise the entire diseased organ cannot be exposed.
At this point in the operation, the patient began to groan.
When Geng Yongzhe and Zhang Shuping heard the patient screaming in pain, they were shocked and could not believe their ears. They thought that the anesthetic had been given and the anesthesiologist was here, so how could the patient scream in pain? What surprised them even more was that Dr. Zhou, who was sitting near the patient's head, lowered his head and was busy with something, as if he did not hear the patient's screams of pain. For a moment, everyone almost thought that Dr. Zhou had suddenly gone deaf. Everyone in the operating room could hear the sound and reacted, but Dr. Zhou seemed to be unaware of it.
As the lead surgeon, Du Haiwei's face must have darkened. It is easy to imagine how anxious a surgeon would feel if he heard a patient screaming during an operation.
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"Doctor Zhou." Du Haiwei's solemn voice came out.
Doctor Zhou seemed to be deaf to the first sound. It was not until the operating room nurse came over to remind Doctor Zhou that Doctor Zhou looked up and replied, "It's okay, I gave her more medicine." He spoke in a very calm tone, as if he had a good grasp of the patient's current condition.
Anesthesiologists like Dr. Zhou are qualified to challenge Du Haiwei. In terms of seniority, the two are about the same. Professionally speaking, Du Haiwei is definitely not as professional as Dr. Zhou in anesthesiology, even if he is a professor of surgery. Dr. Zhou has 100% control over the anesthesia during surgery, and Du Haiwei cannot command an anesthesia. Due to their different professions, it is even more impossible for a surgeon to take over the responsibility and criticize the anesthesiologist's mistakes.
Dr. Zhou's firm response is based on his professional confidence.
How can you ask a surgeon to perform the operation if the patient is just crying out in pain?
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