Practicing Medical Skills in a Small Clinic novel Chapter 346

Chapter 346: Chapter 182: All Small Fries—A Perfect Training Opportunity (2)

Mainly it’s about respiratory parameters, blood pressure, heart rate, and blood oxygen.

If problems arise during surgery, the equipment will emit different alarm sounds.

No medical staff wants to hear the alarms go off.

But all surgeries carry risks, which cannot be fully controlled by doctors and nurses.

What can be done is to make the pre-operative preparation and check as thorough as possible, minimizing the risks.

"The patient’s vital signs are stable, and the anesthetic state is good. Surgery can proceed."

"Let’s begin!"

The nurse had long prepared the skin on the hands and marked the incision sites.

Let’s talk about the importance of marking the incision site before surgery.

A patient was set to undergo knee tumor surgery.

Pre-operative incision marking was required, but the patient was adamantly opposed, heaping insults on the medical staff and being extremely uncooperative.

There was no choice but to send the patient into the operating room after disinfection.

It turned out the surgeon had a very high caseload that day, being extremely busy and frazzled. Without inquiring upon the patient’s entry, the surgery was originally supposed to be on the right knee but was performed on the left knee.

After searching for a long time without finding the tumor, the doctor was quite puzzled.

However, such situations do occur occasionally.

Sometimes it could be due to issues with inspection equipment, or diagnostic errors by doctors, leading some results of low-density or high-density shadows to be misdiagnosed as tumors.

Of course, such errors are relatively rare.

Clinically, any tumor less than 1cm is usually suggested for observation. If there is immense concern, procedures like biopsy are recommended.

Among these risks, there’s consideration that tumors too small might not be found after the incision.

This patient who refused incision marking paid the price for her obstinacy.

The surgery doctor couldn’t find the tumor and could only help her suture up the incision.

As a result, after emerging from the operation room and waking up from full anesthesia, she discovered the incision was in the wrong place and created a great fuss in the hospital.

The surgical doctor, having experienced misfortune, faced disciplinary action, and had to perform the surgery again on her.

However, there was no remedy for the extra incision she endured.

Thus, for pre-operative skin preparation and incision marking, patients must cooperate with the medical staff.

Sometimes throwing a tantrum incurs a particularly heavy price.

At this moment, the patient was under general anesthesia.

For hand surgeries, if minor, usually brachial plexus nerve block is employed.

If the surgery is relatively major and takes a longer time, general anesthesia will be prioritized.

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