Chapter 359: Medicine, Medicine, Magic Muscle Relaxant!
"how so!"
Master Hemond was busy with a spell attack, knocked the deer unconscious, and then replenished himself with protective magic. Gretel shrugged beside him:
how so? ——I woke up during the operation. There's no anesthesia, just a magical sleep. You put so much water into its lungs, and it still doesn't wake up?
Tsk, it really won’t work without anesthesia...
Look again at that living deer that has been in trouble for eight lifetimes. Lying on the ground, kicking his hooves, even if he passed out, bubbles were still bubbling in his nostrils and mouth. As soon as the spell was broken, the vines had automatically retracted, and the deer's chest was shrugging, and it was making strenuous coughing sounds——
Oh, I've poured so much water but it hasn't drained out. Look, I'm choking on the water.
It is said that leakage in the ventilation lung will cause poor ventilation, poor drainage, hypoxemia, increased airway pressure, and a series of complications... So we still need to save people as soon as possible, no, save the deer!
Gretel directed Bernard to use four horses with hooves—er, maybe four deer with hooves? pose and tied the deer back up. Get into position, open the mouth - it's easier this time, and don't go through the nose - use a horse bit to jam it, and forcefully push the deer's head back...
"What are you doing?" Master Ximond came over to take a look. Grete had an expressionless face. He first made himself a bubble mask, and then used a mage trick to make a transparent visor that floated in front of him. While protecting himself, he told him:
"You'd better cover up -"
"It's okay, I knocked it out!" Master Ximond was full of confidence. He has a bunch of shields hanging on him, shield spells, mage armor, arrow protection... It's just a deer, not an extraordinary creature, so what's there to be afraid of!
Grete shut up and operated. For a moment, the deer struggled, its chest heaving—
"Pfft--Hang! Huh! Huh! Huh!"
Saliva, salt water poured in, and various sticky tracheal secretions sprayed half of Master Hemond's robe. The poor mage's face was full of disgust, and he hurriedly used cleaning skills to save the situation...
"well……"
Gretel sighed. If you don't listen to the old man's words, you will suffer the consequences. Do you know how many times we are suddenly sprayed with sputum when we intubate the patient?
Especially during the epidemic. It’s so easy. Not to mention the discomfort and nausea, the risk of infection increases exponentially!
He held the seeds in his hand, spawned the vines, and began intubation for the second time. However, it was not that easy this time. The deer kept coughing "hoo", "hoo", "hoo". Once it coughed, the vines would move back a little bit, then they would cough again, and then they would move back a little bit...
"What's wrong? Can't you get it in?" Master Ximond poked his head again: "Didn't I knock it out already? Do you want to do it again?"
"Just because you're knocked unconscious doesn't mean you won't cough..."
Gretel was helpless. This is the difference between voluntary muscles and involuntary muscles. It is the involuntary muscles that control breathing. What is the use of knocking them unconscious?
Master Ximond stopped talking. He just stood next to Gretel, rolled up his sleeves, and was eager to try. He had never bothered with these before. He would just cast one spell and it would be good. If it was bad, he would use another one. But...well, it's quite interesting to see Gray's various whimsical thoughts...
"Now what?"
Grete watched the situation coming from the Mystic Eye attentively. On the light screen, the pink tube wall trembled and trembled, the fluctuations were extremely violent. He threw out the answer without thinking:
"Airway spasm. It would be nice to have some muscle relaxants."
"What?"
Alas, the so-called anesthesia is not just about putting a needle in and making the patient fall asleep. For example, when performing tracheal intubation, analgesia, sedation, and muscle relaxation cannot be missing:
Analgesia means that the patient can reduce or even feel no pain. For example, when the tracheal intubation is inserted, there will be no pain;
Sedation is to allow patients to reduce fear, relieve anxiety, stabilize their mood, and produce necessary forgetfulness - for example, if you see someone holding a tube and stabbing your throat, you can lie down peacefully without jumping up in fright;
Muscle relaxation is to relax the muscles. For example, when tracheal intubation is performed, if muscle relaxation is administered in advance, the airway will not be able to spasm. Of course, the tube in the anesthetist's hand can be inserted in and out...
The problem was that Grete didn't have any of the various drugs including local anesthesia, general anesthesia, sedation-hypnosis, analgesia, muscle relaxants... From time traveling to now, he has always relied on various spells to support himself during operations. But now, when a certain specified function is needed...
"So...is there any way to relax the muscles?"
Grete thought hard. Zero level, first level, second level, all the spells I have learned one by one, it seems that none of them are particularly suitable. While he was struggling, Master Ximond beside him reached out to wipe his sweat and patted the deer.
Visibly to the naked eye, the living deer, which had been twitching its limbs just now, instantly collapsed...
"Touch of fatigue. Zero-level magic, necromancy, you have learned it, right?"
"Uh... I seem to be too tired again... I just need muscle relaxation in the respiratory tract!"
Anyway, the solution is finally there. As for the spell's short duration (only a little more than a minute at Master Hemond's level), too wide a scope (it doesn't actually need to cover the whole body), and incomplete muscle relaxation (it doesn't reach the level of anesthetic drugs), these are all fine. Adjust slowly afterwards.
The topic for the next magic experiment has appeared again...
Grete calmly intubated and drained the blood. Stuff the vine into the drainage bottle and place it on the ground 60cm below the patient's mid-axillary line - forget it, everyone is sitting on the floor of the carriage, we can't dig a hole in the carriage, just put it in casually - watch the liquid gurgling outflow. One ml, ten ml, twenty ml...
150ml!
It was roughly estimated that the amount of physiological saline that Master Ximond poured in was about 250 ml. The drainage of 150 ml is a bit small, but considering that the deer was choking and coughing, I don’t know how much it squirted out, maybe...
good?
The only problem is that the data is distorted and the inflow and outflow have to be calculated again...
Grete continued to take out saline solution. Master Ximond suddenly pushed him:
"Hey, look at this deer, it looks like it's dying!"
"Oh, it's okay. My muscles are too relaxed and I don't have the strength to breathe." Grete pointed to the corner of the carriage very experiencedly. The electrolyzed water device and manual oxygen pump have all been assembled early and are on standby. Gretel snapped his fingers...
Two invisible servants floated out silently. One grasped the joystick of the hand-cranked generator, the other grasped the air bag, and began to work. Grete calmly connected the vine to the air bag, and soon, pure oxygen was intubated along the tracheal tube and sprayed into the deer's left lung.
What to do after muscle relaxation?
Of course, use a ventilator to blow it!
Hey, just to be on the safe side, I need a blood oxygen detector... What spell should I use to replace this?
****
Please subscribe, ask for monthly tickets, ask for recommendation votes, ask for book reviews...please ask for all kinds of...
After reading the paper, I realized that there are many tricks to simple surgery. There is no blood oxygen detection, no ECG monitoring, and large-volume whole lung lavage is always a panic...
****
The air raid sirens outside sounded again.
918, don’t forget the national humiliation, let us strengthen ourselves!
Thanks to x-on:黉饕 for the 500 starting coins