Muscle relaxation can cause respiratory problems in patients, such as sputum blockage, which can lead to suffocation in severe cases, so deep airway management is required.
So the patient must be intubated?
Not necessarily. This surgery is different from major surgery. A major characteristic of major surgery is that it takes a long time, while this surgery does not take long.
Performing tracheal intubation on a patient during a short operation is very tiring and laborious and not a pleasant experience. The reason is that tracheal intubation involves an insertion technique that will inevitably cause damage and make the patient uncomfortable.
As mentioned in the previous article, in the past, airway management must be done by tracheal intubation. In modern times, with the full blossoming of various surgeries, anesthesiology has flourished. Anesthesiologists have summarized more and more experience and are more willing to use rich technical means to alleviate patients' pain.
So let’s talk about the roar hood we talked about.
For example, common minimally invasive surgeries such as breast, gynecology, orthopedics, etc. can be compared to today's surgeries. They also require general anesthesia but for a shorter time, and a tracheal mask can be used instead of an endotracheal tube.
Of course, there are also some anesthesiologists who are extremely skilled and confident in their skills, who use very skilled compound anesthesia and medication, and who use masks directly for airway management in very brief general anesthesia surgeries. To achieve this, the anesthesiologist must combine the needs and progress of the surgeon.
To sum up, depending on the duration and depth of anesthesia, the airway management that the anesthesiologist needs to perform progresses from shallow to deep: face mask, hood, and endotracheal intubation.
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The sequence of the three methods represents the safety of anesthesia from low to high, that is, endotracheal intubation is the airway management technology that ensures the highest degree of anesthesia safety for patients.
Dr. Liu Jingyun had little experience as a doctor, and everyone knew that she was timid by nature. She believed that anesthesia was no small matter, only big matters, and safety must be placed at the highest position, so she put a mask on the patient no matter what.
This was made clear because Wen, the surgeon, had already told her anesthesiologist that the operation would definitely not take long.
Dr. Qi realized that he had only started to explain, but he couldn't keep up with the progress of the operation by the "chief surgeon" and his assistant. He was so anxious that he was sweating and said, "Traditional Chinese medicine has meridian theory, which is different from the anatomy of Western medicine. Meridian theory talks about the disease of qi. Diseases are caused by qi stagnation in the meridians, which is equivalent to tumors in Western medicine. Tumors cannot be eliminated by general anesthesia, which is equivalent to saying that general anesthesia and medication in traditional Chinese medicine cannot affect diseases caused by qi stagnation."
The people around him listened to Dr. Qi talking non-stop and watched the progress of the operation nervously with him. They felt the same anxiety as Dr. Qi: Can you speak faster? I am almost done!
Wen, the "chief surgeon", inserted and removed the needles very quickly, and the acupuncture was completed in less than a minute. In the meantime, none of the Western doctors watching on the scene could understand how many acupoints she inserted the needles and what kind of acupuncture method she used.
Doctor Qi, who was about to explain, had no time to think about it in detail, so he could only give a brief summary: "She should have used acupuncture on the acupoints."
Isn't this nonsense? A group of top students understand that he is using the words of Dr. Xie Wanying before.
"The depth of the needle insertion for acupoint dredging is relatively shallow, less than one centimeter." Doctor Qi Donglai finally said what he knew. "Of course, she may also be cutting the fascia and doing subcutaneous dredging. For bone piercing, the depth of the needle insertion is much deeper. It seems that she did not do bone piercing in this case."
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