Practicing Medical Skills in a Small Clinic novel Chapter 248

Chapter 248: Chapter 149: These 300 Points Were Worth It, Epinephrine with Local Anesthesia_3

The main purpose of mixing a small amount of adrenaline into the local anesthetic is to reduce bleeding in the surgical field, making the surgical view clear.

It also can reduce the absorption of local anesthetics and decrease their toxic side effects.

There are quite a few benefits.

He didn’t dare to play like this before.

He used to be extremely careful and cautious when administering medication to patients.

Now it seems casual, but it’s because he has a sufficiently high level of skill, so he can handle heavy tasks with ease.

"I heard that your medical skills here are very high, that’s why I specially came here for treatment. You must do the surgery well for me!"

The patient interrupted upon hearing their conversation.

"We will definitely do our best to perform the surgery the best we can for you. We are about to administer the anesthesia, please try not to speak."

Li Jingsheng said to her.

"Sister Tang, please push the suction machine over here. We will definitely need to suction sputum, pus, and blood later."

This suction machine was bought by Li Jingsheng clenching his molars back then.

It has been sitting in the treatment room collecting dust.

The number of times it’s been used is no more than three.

If the surgical business develops in the future, it will find its place.

Before administering the local anesthetic, Li Jingsheng still maintained a cautious demeanor.

He did a skin test first.

Only after confirming that there was no problem did he proceed with intraoral injection.

"Sister Tang, with patients who have internal abscesses, it’s best to avoid injecting near the abscess area."

"I know! Our director specifically taught me before. Actually, if conditions permit, superficial injection or injection from the outside can be done."

Tang Ping raised her beautiful willow-leaf eyebrows.

The expression on her face was unclear because she was wearing a mask.

But her pride could be seen in her eyes.

Her level is quite high, and she can even teach Li Jingsheng about nursing knowledge.

"Ha, I almost forgot you used to be an excellent nurse from the hospital."

Li Jingsheng chuckled twice.

Once the local anesthetic took effect, he took a retractor, and together with Tang Ping, they pulled open the patient’s mouth.

If there were enough staff, a dedicated medical assistant would be needed to handle the retractor.

Now this task can only be done by Tang Ping, the delicate female nurse.

Handling the retractor is actually a physical job, usually assigned to young male interns or resident physicians.

If there are no such beginners, it’s passed up to the attending physicians.

Newcomers to the operating room get the chance to handle the retractor once, and they feel quite happy.

After staying longer, they realize it’s purely a laborious job without much technical content.

The only benefit is the chance to step onto the stage and watch the lead surgeon perform the procedure up close.

Li Jingsheng opted to start the incision from the lowest point of the swollen area for drainage.

This is a common mistake made by many beginners.

The textbook mentions making the incision at the highest point of the swollen area for drainage.

That refers to making incisions from outside the oral cavity, thus choosing the highest point of the abscess.

If the incision is made intraoral, then it should start from the lowest point.

Currently, Li Jingsheng only has one incision technique above Entry Level, which is the skin incision method.

Right now it is at Skilled Level 18/100.

It has not yet reached Master Level.

He hesitates a bit during the incision.

The nerves and blood vessels at the lower jaw are quite dense. If the force during the incision is not controlled properly and damages the nerves and blood vessels, it can harm the patient’s oral function, even leading to some facial function loss.

For example, some women like cosmetic surgery and end up with a zombie face, unable to smile anymore.

If he slips during the incision, it can also lead to such consequences.

After considering for a moment, he decides to upgrade the skin incision method by at least one level.

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