Chapter 245 Different



Everything is ready.

Assistant Dr. Xie placed both hands on the anterior superior iliac spines on both sides of the patient as if exerting force.

Wait, that's not right.

Did the assistant move faster? Dr. Wen, the "main surgeon", did not perform acupuncture yet.

It takes time for acupuncture to take effect. Traditional Chinese medicine has always been slower to take effect than Western medicine. This is the general public's perception of traditional Chinese medicine, and Western doctors are no exception.

According to the above common sense, the surgeon should perform the acupuncture isothermally and then the assistant will start the operation depending on the situation.

The crowd at the scene looked at the surgeon, Wen.

Dr. Wen Zihan's expression did not indicate that his assistant had done anything wrong.

It's over. A bunch of people were scratching their heads, unable to understand how these two people were going to accomplish their treatment goals.

...

...

In a flash, when the onlookers were discussing the situation and were confused, Dr. Wen took out an acupuncture needle from the needle box and inserted it into the acupuncture point.

Dr. Wen Zihan's operation was very fast, just like the feeling of femtosecond laser in Western medicine. The Western doctors who had never seen her perform acupuncture at the scene were shocked: Is it useful to perform acupuncture so quickly?

Doctor Tao and others who have seen Master Wen perform acupuncture know that Master Wen Zihan has technical capabilities. Don't just focus on how fast or slow he performs the acupuncture, as that will only make you incomprehensible.

At this moment, someone was desperately needed to explain, and everyone's eyes revealed an eagerness.

But Doctor Xie was such a stubborn person that after he officially carried out the mission as an assistant, it was obvious that he had no time to explain things to them.

Fortunately, Dr. Qi Donglai must have listened to Assistant Xie's previous reminder and found the TCM thinking path map, adding: "There is a big difference between TCM and Western medicine."

"What is it?" everyone asked in unison, urging him to keep it a secret.

Doctor Qi thought, it's not that I'm keeping you in suspense, it's just that it's hard to explain all at once, some things in Chinese medicine and Western medicine are very different: "You Western doctors believe that after general anesthesia like this, the muscles should be relaxed."

When the preparations were just being made, it was not just the surgeon who was making the preparations. The correct statement was that the surgeon Wen and assistant Xie were waiting for the anesthesiologist, Dr. Liu, to make all the preparations.

We all know that general anesthesia is a high-risk operation. If a patient like this needs muscle relaxants, the anesthesiologist will have to perform in-depth airway management on the patient.

When you hear about anesthesia airway management, you can immediately think of the commonly mentioned endotracheal intubation. Yes, endotracheal intubation basically corresponds to the muscle relaxation problem that Dr. Qi just mentioned.

You may have questions about this: Is it just a short-acting general anesthesia? Is endotracheal intubation required?

The gastroscopy surgery that just took place next door, when we do gastrointestinal endoscopy on a daily basis, we don’t use endotracheal intubation. Isn’t it also called short-acting general anesthesia?

People in and outside the industry generally summarize general anesthesia as follows: as long as the patient is "completely asleep", it is called general anesthesia.

If you want to get to the bottom of this issue, anesthesiologist Dr. Liu Jingyun will tell you:

Professional general anesthesia technology requires the use of muscle relaxants, which are also called muscle relaxants, but muscle relaxants are auxiliary drugs for general anesthesia.

This means that before general anesthesia, when muscle relaxants are not available, the depth of anesthesia needs to be deepened to achieve muscle relaxation.

Therefore, if we must pay attention to professional general anesthesia terminology, it should include anesthesia to the extent of muscle relaxation.

The patient who just had a gastroscopy next door, or a normal gastrointestinal endoscopy or abortion, does not need muscle relaxation or muscle relaxants. The anesthesiologist only needs to inject analgesic and sedative anesthetic drugs into the patient through the intravenous channel to preserve the patient's autonomous breathing function.

This type of anesthesia should be classified as monitored anesthesia based on the execution concept.

In orthopedic cases, it was mentioned above that muscle relaxation is necessary.

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