Finally, she pressed lightly on just one spot with her gloved fingers, feeling the fluctuations of the abscess or ** inside to see if her brain had made a mistake.
Chang Jiawei, who was watching her, had a gleam in his eyes, and looked at her sharply: This guy, his judgment is so accurate? Who can do this when they just started clinical practice?
Nie Jiamin put his hands in the pockets of his white coat and tilted his head as if his attention was only on Xie Wanying's hands.
Zhu Huicang stood up, as if he wanted to take a closer look.
Dai Nanhui, Geng Lingfei and Fan Yunyun were not quite sure what had happened.
Determine the depth of the abscess. If it is relatively shallow, no anesthesia is needed. The doctor can use the tip of a needle or a knife to poke the abscess skin twice to drain the pus. There is no need for the patient to receive another injection. However, the child's condition is more serious. The family delayed the condition. The infection has reached the fascia and anesthesia is necessary.
It's time to give the anesthetic, but there's no anesthesiologist. However, this kind of minor surgical operation has never been accompanied by an anesthesiologist. There are few anesthesiologists in the country, and this kind of local anesthesia is very simple. It is performed when the patient is conscious and does not require the full supervision of an anesthesiologist. Usually, the doctor himself gives the patient local anesthesia. Local anesthesia can be said to be a technical threshold for surgeons to operate independently.
There are several types of local anesthesia, including surface anesthesia, local infiltration anesthesia, regional block anesthesia, nerve block anesthesia and plexus block anesthesia.
For example, before undergoing a normal gastroscopy, the patient is asked to swallow a mouthful of anesthetic, and the throat feels numb. This is surface anesthesia, which mainly works on the mucosa. For minor outpatient surgeries such as common hemorrhoid surgeries, the doctor injects a circle of anesthetic around the patient's anus to regionally block the nerves around the anus. There are several parts of the plexus block, such as the upper limb plexus block used in orthopedic hand and forearm surgery. This is not done in the outpatient clinic, but by an anesthesiologist in the operating room, and if the patient is a child, general anesthesia must be used.
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Children are much less cooperative than adults and tend to move around. Only general anesthesia can allow children to sleep without affecting the doctor's operation. Therefore, for major surgeries, the younger the child, the less likely they are to receive local anesthesia alone, and more likely to receive general anesthesia combined with general anesthesia.
Fortunately, the child is ten years old and there are no conditions for general anesthesia on site, so we can give it a try.
After making a comprehensive assessment, Xie Wanying made a prompt decision and reached out to the nurse: "Syringe, lidocaine, and saline."
Senior Sister Xie is so impressive. In her heart, Fan Yunyun wanted to imitate her idol's movements.
Dai Nanhui and Geng Lingfei felt that Xie Wanying was extremely courageous. It was incredible that she was not afraid at all in front of so many people.
Yao Jie handed her an opened ampoule of anesthetic and saline solution and asked her to inhale the drug herself.
She pulled the plunger of the syringe and inserted the needle into the ampoule to draw the medicine. The others were surprised to see that her hands were as steady as a rock without any shaking.
After preparing the local anesthetic herself, Xie Wanying inserted the needle into the patient's infected skin.
The onlookers were breathing hard.
Expert doctors know that local infiltration anesthesia is not only for anesthesia, but also for exploration of the surgery to be performed. This injection can detect the depth of the patient's bones and the depth of the abscess. Therefore, local infiltration anesthesia is to anesthetize all the nerves within the surgical area with one injection. Therefore, if the surgical area is large, more than one injection is required, and anesthetics must be continued in other places around the wound to achieve full anesthesia from front to back and left to right.
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