759 The First Patien (1/2)

”The patient… should have been anesthetized, right?” Selena the interpreter asked in a low voice, and her worries were very obvious.

”Hmm,” Ling Ran answered, but he did not immediately take any action. Instead, he quietly observed the patient and said, ”We'll use as little time and as few steps as possible to handle the patient's wound. We'll focus on keeping him alive.”

He tried to explain it in a clearer manner. The manpower in the operating theater was not enough, and the assistants did not have sufficient experience… In fact, he did not even have an assistant. He had only a nurse and an interpreter who had her hands washed, and he even needed to guide them while he operated on the patient.

Under this situation, performing a complete surgery would be challenging his limits.

Ling Ran did not mind challenging his limits, but he could tell even with his gallstones that the patient would definitely not want to accept any extreme challenges. Besides, the time spent on a complete surgical process would be long, and it was also a disadvantage for the patient's treatment.

Therefore, even though Ling Ran wanted to perform the complete surgery, he could hear Huo Congjun's growls in his mind at that time. ”We must save the life first, the treatment can come later!”

After staying for such a long time at the Emergency Medical Center in Yun Hua Hospital, Ling Ran agreed with Huo Congjun's ideals a lot.

Ling Ran moved the patient slightly, then he read the number on the screen and judged the amount of anesthesia he would need before he said, ”Also, take note of the urine output during the surgery. If you can notice it, also report the blood loss and douche volume.”

”How much is considered the norm?” Selena wanted to take up the job.

Ling Ran shook his head. ”According to the patient's weight, the normal urine output should be 0.03 ounce every two pounds per hour, but there are other factors, so just report the numbers to me. Pay more focus on decreasing urine output. If it increases, normally, it won't be a big problem.”

”Alright.” Selena then asked the nurse other questions in a low voice. When she raised her head again, she saw Ling Ran flip the patient as if he was flipping a salted fish.

Selena looked at the patient's bleeding wound, and she could not help but spoke like a medical professional, ”Doctor Ling, aren't we starting now?”

”Wait for a little longer,” Ling Ran said.

”Why?”

”We're trying to ensure the depth of anesthesia,” Ling Ran answered.

Selena did not understand the meaning behind his words, so she repeated what Ling Ran in puzzlement, ”Depth of anesthesia?”

”Yes, if the anesthesia depth is not enough, awareness with recall (AWR) might happen,” Ling Ran said it lightly, but he was actually telling her the greatest terror of a surgery.

AWR referred to a patient waking up from general anesthesia during surgery.

Imagine a group of people cutting your body, then you woke up. But this was not the scariest point. The scariest point was that nowadays, the anesthesia programs used were all combined anesthesia, therefore, even if the patient experienced AWR, he might not be able to express himself due to the use of medicine like Skelaxin.

In other words, when AWR happened, the patient was conscious and his pain was continuous, but he could not speak, could not shake his head, and could not even tighten his muscle to resist the pain.

If this was not scary enough, the bigger fear of AWR was that after the patients who experienced AWR woke up, most of them did not know that they went through AWR.

Because of the use of anesthetics, when the patient woke up, he might have forgotten all that he suffered over the past two hours.

Meanwhile, AWR was hard to avoid. As everyone had different physiques, the anesthetic also could not be repeatedly administered drugs without any limitations.

For Ling Ran, it was even harder to control the use of anesthetics, since he had just learned it.

Therefore, Ling Ran needed to observe a little more. At the same time, he must try to reduce the surgery time as much as possible. In this situation, this was extremely beneficial.

The operating theater remained slightly quiet for a while.

Soon after, Ling Ran was seen picking up a scalpel and immediately cutting open the patient's abdominal wound.