The operating room received news that a foreigner was coming.
As the patient's former doctor, Dr. Charlie communicated with Fang Ze in advance that he could go to the operating room to take a look, so he brought an assistant and followed Dr. Tong.
The medical staff in the operating room have been in place since early morning to make preparations.
The anesthesia team Fang Ze sent their director of anesthesia department to personally preside over the operation, which means that the anesthesia work of today's operation may not be easy.
In any surgical operation, the anesthesiologist, in addition to giving the patient anesthesia, also discusses the appropriate surgical position of the patient with the surgeon before the operation, which is a relatively important step. This point has been briefly mentioned before in other surgical procedures.
In principle, the patient's surgical position should facilitate the doctor's intraoperative operation and reduce surgical injuries, provided that the patient's safety is guaranteed during the operation.
Sometimes, it is inevitable that conflicts will arise when trying to achieve consistency between the two, which is a great test of the abilities of both the anesthesiologist and the surgeon.
For example, the surgery to be performed today is divided into two parts. The first part is the transsphenoidal approach surgery, and the second part is the craniotomy surgery. The two operations are to be performed in conjunction.
In this case, it is impossible to perform two different anesthesias separately. It will take a long time for the patient to fully wake up after anesthesia, as the anesthetic has a complete metabolism time requirement. This also means that it is best not to change the surgical position at will during the operation. Especially in neurosurgery, the nature of changing the surgical position is completely different from some orthopedic surgeries where the limbs can be adjusted at will, which will endanger the patient's life.
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Many preoperative meetings have been held. The anesthesia team and surgeons have already discussed and have a plan.
When Dr. Charlie followed Dr. Tong into the operating room, he saw that the patient was not wearing any restraints, which meant that the patient's position had not yet been arranged. He hummed twice, probably meaning that he had guessed it right again.
The surgeon must make the final decision on the position of the patient. Because only surgeons know which way to enter the patient's body for surgery, and what position they need to put the patient in to make the operation easier. The anesthesia team is mainly responsible for reviewing the safety of anesthesia. If there is no danger, the decision can be made.
As an authority in this specialty in China, Fang Ze and his anesthesia team are already familiar with the various body positions required for neurosurgery and can work with surgeons with ease. For the patient's anesthesia safety, the difficulty of this operation is simply to avoid changing the body position during the operation. The person being tested becomes the surgeon.
The body position is basically determined by the surgeon. Body position is related to the surgical approach, and the surgical approach is related to three-dimensional positioning, which is the gold rule of neurosurgery mentioned earlier.
Since an international neurosurgeon like Dr. Charlie has firmly identified who the three-dimensional genius might be, it is not difficult to guess who needs to do this kind of thing. He then said to Dr. Tong: Where is Dr. Xie?
Everyone at the scene could hear that the foreigner was very curious about what appropriate position Dr. Xie would put the patient in.
When it comes to the transsphenoidal approach in the early stages of today's surgery, doctors have to carry tools through the body's natural channels, which is significantly different from craniotomy. The characteristics of this type of surgical approach can be compared to other medical operations through natural channels in the human body, such as gastroscopy and colonoscopy.
Many people have undergone gastroscopy and colonoscopy. Those who have done so know that doctors are most afraid of encountering blockage in the middle of the procedure and being unable to pass.
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