The child's behavior during the reduction operation can help the doctor identify abnormalities. As long as the child is not violent and does not affect the doctor's operation, sedatives are basically not needed.
It has been determined that the child does not need sedatives for the time being.
Doctor Yang put on gloves and applied paraffin oil to the anal canal to be inserted.
This special trachea inserted through the anus is a balloon anal tube, also known as a Foley tube.
The anal tube lubricated with paraffin oil will be inserted more smoothly into the anus. If inserted, it should not be inserted into the anus, but into the rectum, otherwise it will be too shallow and easy to leak air when inflated. The name of the balloon anal tube means that it has an air bag. After inserting to the predetermined depth, the assistant injects 20 ml of air into the air bag to inflate it into a small ball to block the anus and prevent the tube from falling off.
After injecting the balloon to fix the anal canal, Dr. Yang then used both hands to hold the child's buttocks together to stabilize the anal canal.
After the anal tube is inserted, the doctor needs to do the inflating of the intestines under fluoroscopy.
Dr. Yang and his assistant returned to the operating room.
Young children cannot be left alone in the examination room; they are too young and require someone to watch over them by their bedside.
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If the child falls off the bed, it will be an accident. Someone must stand by the bed to protect and comfort the child during the examination. Generally speaking, the hospital will let the family members go in to accompany the child. The child is most familiar with the parents and trusts them the most. The parents can prevent the child from feeling uneasy.
Today, the family members of these patients were in an unstable mood, and if they were allowed to go in, there might be trouble. They had to wait outside while the doctor's assistant went in to accompany the child.
Wei Shangquan volunteered first: "I'll go in."
With boys in their class around, they wouldn't let the only girl in to be exposed to radiation.
"Are you okay?" Duan Sanbao asked him.
Why not? Standing by the bed to prevent the child from falling off the bed is something that even ordinary family members can do.
Duan Sanbao's big, round face is like that of a child, and he exudes a genuine sense of uneasiness and worry.
When Wei Shangquan saw this, he felt angry.
Maybe he and his classmates had clinical teachers who worked in top tertiary hospitals and were all very domineering. They had never seen such a childlike doctor who was so easy to make people angry.
"If I don't go in, who will?" Wei Shangquan deliberately asked him back.
Xie Wanying stepped forward and volunteered: "Doctor Duan, I'll go in."
The attending physician usually stands in the rear to give orders rather than go to the front line, and the assistants on the front line are enough to do the work.
Duan Sanbao looked at her application, but he rejected it without hesitation: "No, I'll go in. Doctor Xie, you stay in the operating room. If you have any questions, use the intercom to talk to me in time."
Wei Shangquan thought, it’s a good thing this guy knew not to let girls get on top of him.
The person who accompanied him needed to be fully armed and wear radiation protection clothing, just like in interventional surgery. After putting on the lead suit, Duan Sanbao entered the examination room, and Wei Shangquan followed him, fearing that he could not handle it alone.
Following the instructions of the attending physician, Xie Wanying stayed in the operating room.
The tube after the anal tube was connected to the indoor air pump, which is medically called an air enema. The machine is usually pre-adjusted before connection. For such air injection equipment, a remote control operator has long been invented and placed in the operating room to avoid radiation exposure to the operating doctor.
There are medical students here, and Dr. Yang is kind enough to give a lecture. The radiology department here has more than one type of air enema, and some can add barium for enhanced contrast for use in complex cases. As for barium, as I said before, try to avoid using it if possible.
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