Chapter 185: Anesthetist, The Steadiest Scalpel's Yet Another Adventure
Administering a local anesthetic injection to a patient, or anesthetizing the patient into a coma, colloquially known as general anesthesia, is just the most basic, simplest task of an anesthesiologist.
The technical content is not very high.
Anesthesiologists are truly called guardians of life because they can provide patients with various life supports.
They can anticipate various crises in advance, thus the entire perioperative safety is under their control.
During the surgery, if unexpected events occur – the patient has an allergic reaction, sudden cardiac arrest, respiratory failure, a sharp drop in blood pressure, or a severe decline in blood oxygen... any issue related to life signs that patients encounter during surgery requires them to provide a solution immediately.
If the patient has a sudden cardiac arrest, then immediate cardiac resuscitation is necessary.
If ventricular fibrillation occurs, then defibrillation is mandatory.
From this, it can be seen that, aside from administering anesthesia, an anesthesiologist's job also includes being responsible for whether the surgery can proceed and the safety of patients during the surgery. They need to manage the patient's life signs during the procedure, ensuring that the patient completes the surgery successfully and painlessly under safe conditions.
If one merely administers anesthesia to the patient, that does not make them an anesthesiologist but a cosmetic institution's anesthetist.
Why do cosmetic institutions often have accidents? From time to time, there are deaths.
Because they have only anesthetists, not anesthesiologists.
Many people naively cannot distinguish between an anesthetist and an anesthesiologist. After such a comparison, they should be able to clearly understand the difference between the two.
In the future, when going for plastic surgery or the like, one will not easily entrust their life to fake doctors who only know how to use anesthetics.
No matter how high-end these anesthetists present themselves, or how impressively they boast,
They belong to the category of technicians, not doctors.
Anesthesiologists in regular hospitals have Medical Practitioner Certificates and doctor qualifications, with the right to prescribe and participate in surgeries.
Anesthesiologists are much more advanced than anesthetists.
Doctor Feng appears to be in his fifties, and only for extremely difficult Level 4 major surgeries does he show up. Zhou Can guessed that Doctor Feng is most likely a senior consultant.
He helped Doctor Feng without ever thinking of any reward.
Unexpectedly, Doctor Feng suddenly started teaching him some advanced knowledge about anesthesia.
It was a pleasant surprise.
Zhou Can humbly listened to his teachings on anesthesia, even jotting down some of the key points in a notebook.
It's said that the faintest ink is more reliable than the strongest memory.
Sometimes a single surgery requires remembering many things, even what suture material to use for stitching organs or the peritoneum, Zhou Can wrote them all down in his notebook. Surgery concerns the patient's life and death; a tiny suture can sometimes lead to the failure of the procedure.
It's no exaggeration.
And not an overstatement.
For example, when suturing organs or tissues with higher tension, if a thinner suture is chosen.
Just a sneeze from the patient post-surgery—that's not too much to ask for, right?
Then the sutured area might burst open.
If it's on the body surface, that's still okay; it can be discovered in time, and re-stitching would solve the problem.
But what if it's inside the abdominal or thoracic cavity, and the surgical incision bursts open? Wouldn't that be disastrous?
"Do you know what disease the patient has?"
Doctor Feng asked.
"Thymoma!"
Zhou Can felt ashamed; he knew very little about this patient. Since he belonged to Director Xue Yan's team, he only knew about his own team's patients.
He seldom had the chance to learn about patients from other teams.
"Before administering anesthesia, you need to consider the patient's disease, physical condition, and combine it with the patient's position and anesthesia plan. For example, this patient, who has myasthenia gravis, needs to be placed in a supine position preoperatively, and a thin pillow should be placed under their shoulders and back. For patients with myasthenia gravis, an effective dose of an anticholinesterase drug should be formulated..."
Although Doctor Feng has a quirky personality, the precious experience he teaches Zhou Can is all practical knowledge.
Zhou Can learns humbly and focuses on noting down the important points in his notebook.
After the patient was under general anesthesia with tracheal intubation, it wasn't long before Director Le and Chief Hu Kan arrived.
As for inserting a urinary catheter for the patient, that was a task that Zhou Can took on without hesitation.
And he readily accomplished it.
Earning 1 point of Experience Points in the process.
"Doctor Feng, is the patient's condition alright?"
Director Hu inquired about the patient's status while he had already started letting the nurse help him don sterile gloves.
"The surgery can proceed."
Doctor Feng was truly sparing with words.
Even when dealing with the most formidable senior surgeons of Cardiothoracic Surgery, his tone was icy and indifferent, with no smile on his face.
It is said that the longer anesthesiologists work, the more silent they become.
Because their nerves are always highly strung, the nature of their work does not allow them to idle away in small talk.
From this perspective, the importance of an anesthesiologist is just as crucial as that of the lead surgeon.
In the United States, an anesthesiologist's annual salary is on par with that of surgeons.
However, in China, anesthesiologists face various difficulties. Their income is not low; a Chief Level anesthesiologist's basic salary plus various performance pay and overtime pay is around twenty thousand. Adding the year-end bonus, it can reach over thirty thousand.
But this is what they earn at the risk of their lives.
According to statistics, out of 29 doctors who died suddenly, 14 were anesthesiologists.
These anesthesiologists who died suddenly were all strong young men, none older than forty years of age.
From these death statistics, it is evident that the workload of anesthesiologists is seriously overloaded.
Receiving a call in the middle of the night and rushing to the hospital to administer anesthesia for emergency surgeries is a common occurrence.