Vol 3 Chapter 2680: Different ways, different rewards

what did you say? "Chang Yue asked in surprise.
"Uh ..." Lao He scratched his head. He knew that Chang Yue would not go to the surgery and was only responsible for writing the medical records. "Appendicitis surgery. The epidural catheter was broken during continuous epidural anesthesia. It is said that it should stay in it for about 6cm. a bit more."
Zheng Rengang was about to speak, and suddenly a "ding dong ~" sound came from his ear.
This voice has been a long absence. Since receiving the Nobel Prize, Big Hoof has not issued a mission. Zheng Ren can only rely on the [best surgeon] continuous task to obtain insignificant skill points and experience points.
[Urgent task: pick one out of thousands of miles.
Task: Remove one epidural rupture catheter.
Mission rewards: In the system data calculation, different ways to get different rewards.
Mission time: 24 hours. 】
Zheng Ren really has some big belly hoofs, and the mission reward is still being calculated? This is not too rigorous.
And the main point is to take these six words in different ways.
Originally, Zheng Ren's first thought was to remove the broken epidural catheter surgically, but after seeing these 6 words, Zheng Ren hesitated. Since the big pig's hoof gives a hint, it is not impossible to try the interventional method.
Zheng Ren did not hesitate to enter the system operating room and click to buy surgical training. The system operating room stood up, and he strode in. To be honest, Zheng Ren is also interested in anesthesia accidents. After experiencing such things, if he encounters them, he will not be numb.
"Anesthesia catheter? Can it all be broken? Is it papery?" Chang Yue was particularly surprised.
Not only ordinary people, it is unimaginable for a physician to break a catheter for epidural anesthesia.
What the is it? It's just too magical.
"Xiaochang, this catheter breakage is not particularly rare ..." Lao He hesitated, and finally told the truth: "According to domestic statistics, the incidence rate is 0.06% to 0.2%, and the incidence rate abroad is 0.0017% to 0.04%. . "
"Why is it so much worse?" Chang Yue asked in surprise.
"Look at your unsuspecting look." Su Yun scorned, seems to have forgotten that he had just drunk the fragments and was brought back home. "Different materials and different ways of avoiding some positions in anesthesia will cause similar things. "
"Well, one of the cases I encountered recently was heard by others. The advanced student pulled out the tube, but the catheter was broken inside." Lao He said with some seriousness: "If you study carefully, there are many possibilities. . "
As he said, he put the phone down and began to pinch his fingers.
"The causes of epidural catheter rupture during surgical anesthesia are complex, most of which are related to the anesthesiologist's operation, pathological or physiological changes in the puncture area, and catheter factors."
"For example, the main reason for the catheter fracture when the catheter is placed is because the catheter is inserted too deeply. Generally speaking, it may be broken when it is larger than 5cm."
Then, he pressed his left thumb with his right hand, indicating that this was the first possibility.
"Then there is resistance when the catheter is placed, the anesthesia doctor is a little flustered, excessive force, withdraws the tube, and adjusts, but the Tuohy needle does not move during the operation, resulting in a twisted angle and a broken catheter."
Then, he pressed his second finger again.
Su Yun suddenly said, "Brother Yang, you know why the boss and I have been bragging about you."
Professor Yang's black line can really relate to himself. Saying that I opened Wushuang directly that day, it seems that I'm still right ... I hope I can open Wushuang anytime, anywhere.
"Well, Professor Yang was right that day, whether it is surgery or anesthesia, it is really not suitable to use violence." Lao He said, "there is the Tuohy needle in the epidural space is improperly placed, the catheter is in the needle tip and bone surface. It may be related to the intervertebral joints or bone sutures. This requires a lot of experience in anesthesia, and it is relatively easy to make mistakes. "
The third finger was pressed down.
"The reasons for catheter rupture during extubation are related to excessive force during extubation and resistance and repeated attempts to extract catheters that are knotted or entangled with surrounding tissue."
"In addition, the patient's own pathological and physiological factors such as spinal stenosis, osteogenesis, pregnancy, epidural connective tissue hyperplasia, and postural changes are also important for the rupture of the epidural catheter during insertion or removal. the reason."
"Consumables are also related," Zheng Ren said suddenly.
"Are you sure, the probability of occurrence in China is much higher than in foreign countries? The reason for the quality of consumables is one point." Su Yundao.
"The material and model of the epidural catheter ... I remember there are reports in the literature that nylon or polyurethane catheters are stronger than Teflon or polyethylene catheters, and 19G catheters tend to break at fixed positions near the tip." Zheng Ren said, Wiped his mouth and looked at Lao He.
Lao He immediately became serious.
The meaning of Boss Zheng is very clear, but Lao He feels that he cannot guess, it is better to listen to Boss Zheng's opinion.
"Lao He, what does that mean?" Zheng Ren asked.
"I read the information on WeChat. The person who was in trouble was a director of the anesthesia department of the city and county below. The content should be sent in bulk." Lao He said, "I did not look up and thank you. It is estimated that the side has been stunned. I do n’t know what to do.

Just one sentence, one inquiry, Lao He could see a lot of things.
"What does he mean?" Zheng Ren asked.
"Boss Zheng, look at WeChat." Lao He, holding his cell phone, bent over and trot to Zheng Ren.
[Excuse me, have you ever experienced an epidural catheter rupture? Apart from being conservative, what other solutions are there? 】
It's a very simple message. The person who sent the message is really stunned, not even the most basic thanks.
It seems a bit vulgar ~ EbookFREE.me ~ but many people are embarrassed in unexpected situations. It was like the first time I went to the province, and met the situation where Wang Hai did a cerebral angiography to advance the catheter.
At that time, Dr. Wang seemed to be stupid. Liu Zewei and Gao Shaojie took turns to get the guide wire. After the failure, he had no words. He took out the guide wire himself, and he held his hand without knowing what to say.
So Zheng Ren understood and could guess what the person who sent the message meant.
"Lao He, ask if he needs a hand." Zheng Ren said, "Yes, find out where the person is."
"Good grin." Old He responded without hesitation.
Although it was a rub job, Lao He still didn't have a bit of belly slander, so he took the time to contact.
"Boss, you really do all the work." Su Yun had long guessed that his boss would itch his hands, but when he said that, he couldn't help but slandered, and sprayed directly.
(End of this chapter)