Chapter 2309: Not Easy
"Hello? She’s really not afraid? Is she an intern?"
"I saw her do it without even looking, and it went in."
Only seasoned bosses dare to insert like this. Those people at Guodu aren’t expecting to see a mishap; they’re worried about any accidents happening in their hospital. These medical students are overthinking it; the teacher is standing right here. If anything happens, they’ll stop and take over directly.
This shows that although her movements are fast, her operation is also flawless.
The superior, Cao Zhao, remained silent, while Doctor Cheng Yuchen’s gaze grew more solemn as his nerves tensed.
It’s like the person in charge is like a driver in a speeding car who feels nothing, while the passengers are either scared or thrilled.
Medical students only notice and question the speed of the actions, but the teacher’s attention is deeper. Doctor Cheng Yuchen was secretly glancing at the patient’s expression.
The speed of a doctor’s operation is not the most crucial factor; what’s most important is whether the procedure is correct. One of the criteria for correctness is the patient’s reaction.
The key to administering local anesthesia is to ensure the patient feels no pain.
Thinking back to when she told the patient it would only hurt like a needle prick, he thought she was just trying to comfort them. He didn’t expect her to actually—what?!
The girl lying on the hospital bed didn’t feel any pain at all, as if she didn’t even know she was injected.
Administering local anesthesia is a highly skilled technique for a surgeon, and Xie Wanying has gradually gained deep understanding after being given many opportunities to practice by her teachers.
Why do some patients feel intense pain from local anesthesia while others feel none?
The reason is some doctors misplace the needle.
Local anesthesia is injected around the nerve plexus so that the anesthetic can permeate, which is why medical literature refers to it as infiltration anesthesia. This point needs to be thoroughly understood. Infiltration means that the anesthetic needs to spread over like a flood inundating the nerve plexus area. Thus, the doctor must ensure that the anesthetic is injected at a spot where it can naturally flow to the nerve plexus.
After understanding this, it’s clear that achieving this technical skill isn’t easy.
Occasionally in clinical practice, some doctors realize the anesthesia isn’t sufficient and have to increase the dosage or adjust it, or even have the patient endure it. This is because they’re unsure if they’ve administered it correctly and are afraid of causing nerve damage and medical accidents. Injecting the anesthetic incorrectly into the nerve can result in complications.
From the analysis above, hitting the nerve is considered third-rate skill, insufficient anesthetic effect is second-rate, while the textbook infiltration for correct anesthetic effect is the standard. What’s first-rate level?
It’s what’s happening now. The needle goes swiftly into the skin, much like a nurse inserting into a vein quickly to lessen the pain of the needle pricking the skin, as that pain is unavoidable. If the medical staff aim for the target under the skin the moment the needle goes in, there certainly won’t be any more pain. Whether it’s a vein injection or local anesthesia, the principle is the same.
How hard is it to achieve this? Super difficult. Textbooks only mention infiltration, not requiring that after injecting the anesthetic, the patient feels completely comfortable. Local anesthesia involves pushing the anesthetic, and liquid entering the body will certainly cause a sense of fullness.
As long as discomfort is present, patients will describe it as pain. Especially for children, fullness and pain are indistinguishable.