At the same time, after absorbing the fluid, the weight of the gelatin sponge will double, and it can continue to exert its compression effect at the same time. It can be said to be a great thing that kills two birds with one stone.
Gelatin sponge is easy to use and is commonly used, but it is a high-end product that is used in heavy bleeding scenarios. In current surgeries, if there is no particularly heavy bleeding, the surgeon and assistant will continue to use ordinary sponges, soaking them in saline and applying them on.
In view of the special status of sponge in neurosurgery, experts have given it another name, brain sponge. Mastering the skills of using brain sponge is one of the basic skills of neurosurgeons.
Sometimes, if you want to know the technical level of a hospital's specialty, without mentioning any fancy stuff, you can get a rough idea by just looking at their basic specialty skills.
On the instrument table, the skilled operating room nurses had already prepared brain cotton pads and gelatin sponges of different sizes for the doctor.
It is common for a neurosurgery operation to use hundreds of brain sponges. Just looking at the number of brain sponges placed on the instrument table, one can clearly see the huge workload of the operating room nurses.
Gel sponge and brain cotton pads have completely different meanings for operating room nurses. Although nurses do not need to participate in surgical operations involving human body like doctors, they still have to keep count.
Gelatin sponge is absorbable by the human body and can be left in the skull without removal. Brain cotton pads are not absorbable by the human body and must be removed no matter how big or small they are and must not remain in the human body.
The doctor has to keep track of each piece when it is put in and taken out after use, and the nurses have to count them desperately to ensure that no medical accidents occur. In this link, it is not enough to rely on the nurses to count. If the nurse finds that the number is wrong, the doctor needs to find the missing brain cotton pad himself. If the doctor does not keep the number in mind, he will die if he cannot find it even if he tries to die.
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The surgeon is always the first person responsible for the operation. If the surgeon is in charge of the placement of the brain sponge, the surgeon himself will be the main force in the memory sponge. How can the surgeon know what to do?
Hundreds of pieces is not a small number, far more than any other specialized surgery. Some brain sponges are cut very small due to needs, so it is not easy to remember them without careful consideration. In the highly tense state of surgery, it is quite normal for doctors to forget their memories.
This means that all of this is too demanding on the neurosurgeon's brain.
The fact that doctors are top students is once again demonstrated here. One of the key abilities in the college entrance examination and medical examination is the memory of the candidates, and doctors must have a good memory.
For a top student with excellent memory, memory is not passive but active. That is, the initiative of memory is mastered in advance and I take the lead instead of things.
The best way to remember something is always to plan it in advance, complete its layout accurately, and follow your own plan.
As for the specific steps, the doctor has a rough estimate before the operation, and there are variables during the operation, so he can proceed according to his own thinking mode. The benefits of doing so are self-evident, and there will be no result of losing the clue, just like always holding the leash when walking the dog or the child.
I remember that in the National Association, Brother Cao was the master of touch. He placed the brain pads according to his touch, and his memory of the location of the brain pads flew along with his touch. By touching the patient's brain, he could quickly know whether there was a brain pad there. He could feel whether there was a foreign body, and he didn't need to remember the number at all.
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