Chapter 383

Sensory-motor dissociation is a colloquial description.

What Du Yuanxian meant actually originated from a clinical disease: dissociative motor and sensory disorder.

Dissociative motor and sensory disorder is a nervous system disease, manifested as loss or impairment of motor or sensory function, but cannot be explained by physiological and anatomical principles. This disorder may stem from damage to the brainstem, spinal cord, and peripheral nerves.

This disease inspired the anesthesiology department, and during the course of research progress, dissociative anesthesia and dissociative block were produced.

"Dissociative anesthesia" has no special applicability clinically and lacks clinical practical value.

"Dissociative block" refers to the sensitivity of local anesthetics varying with the axon diameter of nerve fibers, presence or absence of myelin sheath, nerve function, and baseline discharge frequency, even producing separation of motor and sensory nerves. The most common is "walkable epidural analgesia," and besides that, there are widely carried out peripheral nerve blocks.

This is currently an extremely high-end technique of the anesthesiology department.

Naturally, such a technique, during epidural analgesia, Du Yuanxian can also operate, because this is a manifestation and display of an anesthesiologist's skill.

The reason for having such skill mainly depends on the neuroanatomical composition.

Nerves, in terms of distribution, are divided into the central nervous system and the peripheral nervous system.

The somatic nervous system of the peripheral nervous system includes somatic sensory nerves and somatic motor nerves!

Yes, sensory nerves and motor nerves can be different branches. As long as the sensory nerve branch can be found and anesthetized, the patient's motor function can be retained, such as "walkable epidural analgesia."

However, the frontier anesthesia method currently most deeply researched by the anesthesiology department is epidural and major nerve block. As for sensory-motor separation under local anesthesia???

Theoretically it also exists, but how familiar are anesthesiologists with anatomical structures?

Under local anesthesia, thinking of reaching this step not only requires being exceptionally familiar with the nerve's course and anatomical structure, but also requires the puncture needle to reach the key position, then anesthetize sensation while retaining motor function.

This way, Mi Qi can just complete the 'dialogue' with the lead surgeon under no pain, immediate communication, immediate observation of motor function, immediate checking whether the suture is good?

Fang Ziye just glanced at Du Yuanxian, ignored him, stared at him for three seconds, then gave a warning to shut up.

He then tapped Mi Qi's elbow: "That's enough, don't move! Functional rehabilitation must proceed step by step."

Only then did he look at Du Yuanxian again: "Local anesthetic, thank you. Teacher Du!"

Fang Ziye's tone was stiff, using the simplest language to express the current occasion.

If Fang Ziye were below the stage, discussing with Du Yuanxian for an hour would be no problem, but now Fang Ziye is the lead surgeon, the lead surgeon is the main person in charge of the battlefield, unrelated personnel please shut up!

Any behavior disturbing the lead surgeon's operation is shameful and not allowed.

Does Fang Ziye now have to step down and discuss academia with you, Du Yuanxian, for eight hundred rounds, while Mi Qi lies here waiting idly?

"Good! Here!" Du Yuanxian is a professor, a senior anesthesiology professor, naturally he has quality.

If it weren't that Fang Ziye's matter was too shocking, he wouldn't have couldn't help but speak up to disturb.

Sensory-motor separation under local anesthesia, this research project, this research direction, is too damn attractive, okay...

Fang Ziye next looked at Lan Tianluo: "This time refers to the deep flexor tendon, the tendon's diameter is about..."

When Fang Ziye spoke, Liu Huanglong cautiously replied: "No need to reserve, there is a ruler that can measure the axis circumference!"

Fang Ziye nodded after hearing, then let Liu Huanglong and Professor Ni Yaoping also have a sense of participation.

After the two measured the circumference, they also measured the distance from the tendon to the skin, and reported to Lan Tianluo.

Lan Tianluo just quickly tapped the keyboard a few times, then reported the corresponding data back to Fang Ziye, and then cautiously said: "This data is not meticulous. If only anesthetizing the sensory nerve branch or the sensory nerve surface?"

"The data is not precise. At that time, an index can be reverse-engineered..."

Fang Ziye thought Lan meant something else. Hearing it was reverse-engineering an index, he lost interest, directly started local anesthesia, then continued suturing...

Naturally, during the process of suturing again, Fang Ziye praised: "Teacher Liu, your nerve suturing is really good. Presumably the local potential is very active, and the alignment is extremely good!"

Liu Huanglong nodded and gestured: "Ziye, this problem we'll talk about later. You suture first, finish this surgery."

"If we can let the patient's hand function be retained at ninety percent for this half-severed palm suturing, no, as long as eighty percent..."

After Liu Huanglong finished speaking, he swallowed a mouthful of saliva and looked at Professor Ni Yaoping next door.

Ni Yaoping's breathing was rapid for a while, his voice low: "Ziye, Huanglong, come to our Hand Surgery Department. This is another peak..."

Ni Yaoping loved talent again.

Every time seeing Fang Ziye and Liu Huanglong, Ni Yaoping's heart could not calm down!

Damn it, the two are so close to Hand Surgery. If they joined forces, they could clearly open up a peak.

Liu Huanglong didn't reply, but when Fang Ziye was suturing, he seemed to still have some energy to spare.

Because of the high-quality guarantee of the previous tendon suture, Fang Ziye's heart relaxed: "Professor Ni, the peak of Hand Surgery naturally exists, but we cannot therefore ignore the wilderness."

"Mangled extremity, if thirty percent function can be retained, it is a new mountain peak."

"Perhaps, under the current situation, what the patient needs more is to establish another mountain peak, rather than raising an existing mountain peak."

Facing Fang Ziye's polite refusal, Ni Yaoping's mood also gradually calmed.

If purely from a researcher's perspective, establishing a mountain peak and raising a mountain peak have the same significance.

But this is research significance.

But for sociological significance, what patients need is more hope, rather than expanding hope further within one hope.

If both can be achieved, it is naturally better. If both cannot be achieved, then only one can be preferentially selected.

While Fang Ziye and Ni Yaoping's three people cooperated to continue suturing, Du Yuanxian looked at Mi Qi's vital signs being very stable, then slowly moved toward Lan Tianluo's direction.

Then he smiled like a flower, narrowed the corners of his eyes, voice like an old procuress: "Classmate, are you interested in coming to our Anesthesiology Department to develop? You have very high talent related to the Anesthesiology Department."

Lan Tianluo is now awesome. He glanced at Du Yuanxian, nonchalantly: "You can't afford the price."

Du Yuanxian, hearing this, his face stiffened, got angry: "Hey, you dare say it, I dare give it."

"A small goal! Let me consider it." Lan said, to avoid disturbing Fang Ziye's suturing, typed to show Du Yuanxian.

"I..." Du Yuanxian was confused at that moment.

Does the Anesthesiology Department of Zhongnan Hospital's annual gross income not have a small goal? Lan Tianluo opened his mouth with a small goal?

"Are you making fun of me?" Du Yuanxian's tone turned gloomy.

Lan Tianluo shook his head, tilted his head, low voice: "Teacher, why would I make fun of you? I have no grudges or entanglements with the Anesthesiology Department and you, Teacher. I am telling the truth."

"I am honestly staying here. I am a student of Trauma Surgery. It was you who first came to joke with me, right?"

After seeing Du Yuanxian's expression turn unpredictable, Lan Tianluo said: "I'm not saying Anesthesiology is bad, but Teacher, you can't say Anesthesiology is better than Our Trauma Surgery, is it not?"

Inner Thought: What's wrong with your professor? Your professor, I'm not afraid of you at all.

Anyway, Different Systems!

Professor, I haven't 'done' it either.

The trap Lan Tianluo set for Du Yuanxian, Du Yuanxian absolutely Dare Not Jump.

There are two reasons. First, this is a Map Cannon. Daring to say this sentence, one would definitely be drowned by the saliva of Orthopedics and Trauma people.

Second, it's Trauma Surgery. In the Hospital, the department with the highest Medical Dispute physical Occurrence rate, yet also the safest department. A group of Tall Strong Men, Can't Beat!

However, soon Du Yuanxian became Curious: "No, classmate, you have no Path toward Our Anesthesiology development. Why research So Much data?"

"You should have researched it early on, and even Specifically Found a Formula."

"I For Sister not...!" Lan Tianluo said this, and Anesthesia Shut Up.

But, the instant Lan Tianluo finished speaking, he looked at Fang Ziye and discovered Fang Ziye had already Turned Head to look at himself. He instantly slapped his own face once.

Annoyedly looked at Du Yuanxian: "What I research is None of Your Business?"

"Who Regulated that Trauma Surgery cannot research Anesthetic Metabolic Rate and metabolism time? You Regulated? Useless Regulation."

Du Yuanxian was Retorted Until Doubting Life.

If he Remembered Correctly, just now before Lan Tianluo entered, Fang Ziye said this was his Fellow Trainee, a current student. A student Retort to Professor?

Heavens, this is Hospital History how long since it Occurred. It actually arrived on his own head?

Response Reference?

Seems also No Reference!

Du Yuanxian Eat Defeat Leave, Look Dejectedly at Lan Tianluo, but Lan Tianluo Act Normal...

"Continue Move a bit! Pay Attention to Activity Degree, Don't Use Force. Suture Thread Break Not Worth It. ~" Fang Ziye finished Suturing, instructed Mi Qi.

Mi Qi complied.

Ni Yaoping and Liu Huanglong beside him still Gasp.

Wait until Mi Qi moved to what Fang Ziye thought was the "Limit", was called to stop: "Stop, reaching here is good. Subsequent Ward Rehab Training."

"Two More Tendons Suture then Skin Closure!"

"Teacher Du, Local Anesthetic Drug, thanks..." Fang Ziye instructed Du Yuanxian who Just Ate Defeat.

Du Yuanxian heard this, Pack Up Mood, Voice Like Procuress: "Here, Doctor Fang."

No Dumplings But Soup, No Fruit But Noodles.

Lan Tianluo certainly Data Processing Awesome, but if can pull Fang Ziye into Anesthesiology team, Zhongnan Hospital Anesthesiology would definitely Explode!

Time Bit By Bit passed.

Fang Ziye finished Tendon Repair Last Stitch, Fang Ziye Don't Wait Speak Requirement Mi Qi move fingers.

Liu Huanglong asked: "Ziye, you feel, Tendon Repair Top-Level Suture, Ultimate Suture, Is Not Like This?"

"Or say? Can?"

Liu Huanglong's Suturing Technique Not Reached Realm, so he Don't Know if there is Continue Move Path.

Limit and higher ambition, both are Liu Huanglong Expectation. He looked at Fang Ziye, heart beating faster, Wait Answer...

(Chapter End)