Wednesday, April 22, 2009


Runny nose...
Sore throat...
They made my head becoming heavy, thus easily banging against the pillow. erkk..(I dont want to be the source of nosocomial infection in the OT!)

Being a doctor is not as tough as what people see. In fact it's even more by not only deal with 'homo sapiens' species, but also the machine.

Astonishingly, I watched live 'cystoscopy' (a procedure which camera is inserted into the urethra, and bladder) done by Dr. Ibrahim Bunny Honey (Bani Hani).

The surgeons nowadays are required to be expert using all the equipments. They made less 'open procedure'. As long as the wound or opening can be minimized, they will try that way. So that, laparoscopy, cystoscopy, or arthrography (examples of recent technology that developed in the world of surgery) becoming procedures of choice.

King Abdullah University Hospital (KAUH) has well-equiped operation theater (OT). There are about 12 OTs (as i knew) that can be used at a time.

What is this?

For those who had seen this machine for the first time, let me introduced you, this is 'Anesthetic Machine'.

The anaesthetic machine is used to support the administration of anaesthesia. Those who wants to be an anesthetist, you have to know this machine well. The first time I saw this machine, i was like "Wah, banyaknya compartment. Mana satu nak tekan ni.."

The one in the picture is much more simpler compared with the one that you can see at KAUH's OT.

A modern machine typically includes the following components: (Source : Wikipedia)

1. connections to piped hospital
oxygen, medical air, and nitrous oxide.

2. reserve gas cylinders of oxygen, air, and nitrous oxide.

3. a high-flow oxygen flush which provides pure oxygen at 30 litres/minute.

4. flow meters (rotameters) for oxygen, air, and nitrous oxide, 5. a ventilator

5. physiological monitors to monitor the patient's heart rate, ECG, non-invasive blood pressure

6. scavenging system to remove expired anaesthetic gases from the operating room. Scavenged gases are usually vented to the atmosphere.

8. suction apparatus.

Patients who had been anesthesized will be unconscious, cannot feel the pain, cannot perform memory and the muscle will be paralyzed. Therefore we have to use the ventilator machine to support the respiratory muscle (diaphragm).

Another thing that remind me to praise Him today. How could some part of the body proceed to be well-functioned where as some of other functions are blocked.

Subhanallah.. The knowledge that He created to be in the human's brain...

::I did the cannulation. I wish by the end of the course, I could do the intubation :p (Ye, malulah dengan budak Medic Malaysia, saya baru nak belajar meng'canula' orang)::

Cannulation : Inserting needle in the vein to introduce intravenous fluids or medication.

Intubation - procedure to insert the tube inside the vocal cord to assist the ventilation

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