My medical skills add experience

Chapter 511 Anesthesia is a dangerous road, long wait
At the beginning, he felt that it would be more promising to hang out with Zhou Can, so he managed to switch from cardiothoracic surgery to the emergency department.

This move is the right move.

At least his current surgical ability has improved significantly, and his future is even brighter.

It's just that every time he meets the head of the cardiothoracic surgery department, he feels embarrassed.At this moment, he lowered his head, looking ashamed to meet people.

"Doctor Pu, will you be able to respond when you arrive at the emergency department?"

Director Xueyan asked concerned.

"Adapt, adapt!"

Pu Dingdong's face was flushed red, and he didn't dare to meet director Xueyan's eyes.

"Thank you Director Xue for your concern."

After a while, he choked out another sentence.

"Follow Dr. Zhou and work hard. Tuya Hospital is a big stage. As long as you have the ability, you will surely shine one day." Director Xueyan nodded and encouraged him.

"Let's go, let's go to the compound operating room."

The operation this time is very special. It requires both vascular bypass and interventional surgery to place vascular stents.

There are very high requirements for the hardware facilities and equipment of the operating room.

Even with the financial resources and scale of Tuya Hospital, there are only two such high-end surgeries.

Cardiothoracic surgery and neurosurgery are used a little more.

When other departments need to use it, they should apply to the hospital, and then arrange shifts.

When I arrived at the compound operating room, I saw an imposing old man standing outside the door, followed by a young man in formal attire carrying a leather bag.Standing respectfully behind the old man.

"That person is a family member, who specially chartered a plane to come here."

Director Xueyan introduced something to Zhou Can.

The old man looked like an entrepreneur. Zhou Can could easily feel the invisible aura. He was not an official, but a businessman.

But Chen Zhongzhi's body exudes a mixture of rich second generation and official second generation.

It is estimated that some members of the Chen family are officials.

In some big families, as long as there are people of high morals and respect in the family, they have the ability to make the clan members form a cohesive force.Integrate the resources of the entire family together so that they can develop better.

"Director Xue, when can my son finish the operation?"

The old man raised his wrist, glanced at his watch, and asked.

"I don't know about this at the moment. It is estimated that it will take at least three hours! The specific time depends on the operation situation."

Director Xueyan was very polite to the old man.

The social status of a doctor is relatively high, but that is only for ordinary people.When meeting some business leaders, officials, the status of doctors immediately becomes a little low.

"Please!"

The old man glanced at the doctors and nurses and bowed to everyone.

"Mr. Cai, you are welcome, this is what we should do. If you have been waiting outside the operating room, you can sit on the bench over there and rest for a while."

Director Xueyan pointed to a bench not far away.

The family members sitting here waiting are all waiting for their relatives or friends in the operating room to come out after the operation.

Some people appear very calm, while others are full of anxiety.

When Zhou Can heard Director Xueyan call the old man Mr. Cai, he couldn't help being a little puzzled.

The patient's name is Chen Zhongyun, but the patient's father's surname is Cai. Could it be that the patient took his mother's surname?

This family is a bit complicated!

Generally, children follow their mother's surname, which means that the man is the door-to-door son-in-law.

After entering the operating room, Zhou Can changed his clothes and entered the operating room, and saw that the patient was already lying on the stage.

It was Director Feng who gave the patient anesthesia, accompanied by an anesthetist and two students.

Zhou Can also belonged to Director Feng's student, so he came up to greet him familiarly.

"Boy, it's not bad! It's already capable of major surgery innovation!"

Director Feng seldom compliments others, nor does he have a smiling face.

But Zhou Can, Shangguan Xueluo, and Qu Zi were exceptions.In the anesthesiology department, as long as they study hard and have some strength, Director Feng likes them.

Dr. Guan was almost trained by Director Feng as his successor before.

It's a pity that his growth is not as good as Director Feng expected. Zhou Can can clearly feel that the status of official doctors in the anesthesiology department has been greatly reduced.

This is true of any department, those who are capable will go.

If you don't advance, you will retreat.

Doctor Guan was still working hard, but after an accident, he became much less courageous.Many high-risk surgeries are approached conservatively.

At present, the cardiothoracic surgery department performs some major surgeries above grade [-]. As long as the risk is higher, almost no chief surgeon is willing to cooperate with official doctors.

Because the probability of the surgical plan being rejected is too high.

Anesthesiologists are too adventurous and prone to accidents.Too conservative will cause patients and surgeons to miss many surgical opportunities.

There is a degree in this that needs to be grasped.

If Dr. Guan cannot get out of the influence of being too cautious, he will not be able to grow rapidly.

It will be ruthlessly eliminated by the general trend of development.

In terms of personal relationship, Zhou Can and Dr. Guan are like old friends.

Zhou Can also looked for opportunities, and told Dr. Guan three or four times, explicitly or secretly, so that Dr. Guan could relax the standards appropriately when encountering surgeries with reasonable risks.But the official doctor only agreed verbally, and did not put it into action.

Later, Zhou Can never mentioned it again.

Adults are stubborn.

Never try to wake up a person who is pretending to be asleep, otherwise it will be easy to turn against each other.

Zhou Can understood these principles of life very early on, and after a few times of persuasion to no avail, naturally he would not persuade him any more.

Anesthesiology is developing quite well now.

People like Qu Zi and Shangguan Xueluo are growing rapidly.

The entire anesthesiology department is full of talents from bottom to top, and the development momentum is quite gratifying.

The Department of Anesthesiology can develop so well, thanks to Director Xie of the Department of Surgery.He gave a lot of support and help to the anesthesiology department.

In this regard, we must admire Director Xie's foresight.

He may have realized early on that the department of anesthesiology and surgery formed a symbiotic relationship.Only when the anesthesiology department develops well can the surgery room have a strong comrade-in-arms.

And other major departments also maintain a good relationship with the anesthesiology department because they all have the need for anesthesia support.

As a result, the anesthesiology department is a bit difficult to recruit, and it can be regarded as a duck to water in the hospital.

The reform of the anesthesiology department that has been put on the agenda will be a huge test for people like officers and doctors.Because the current model of the anesthesiology department is to eat from the big pot, and when the order is received, it will be distributed to each anesthesiologist fairly.

If the department has special requirements, if someone is appointed, as long as they can be arranged, they will generally agree.

Dr. Guan is now facing the embarrassing situation that few departments appoint him to perform anesthesia operations.It's good that there is no reform, and we can eat a big pot of rice along with it.

After the reform, if you can't receive orders, it will be difficult to mess up.

Either transfer to the intensive care department, or see which department's intensive care unit is still short of people, and transfer to be the bed doctor in the intensive care unit.

Anesthesiologists are destined to be full of thorns and endless adventures since they choose the path of anesthesia medicine.

Whether you are an anesthesiologist or a doctor in intensive care medicine, you need to take risks for all kinds of patients all the time.

"Do you need a heart stop?"

Director Feng asked Zhou Can.

He already knew that the entire operation plan was designed by Zhou Can, and he must ask Zhou Can face to face some key questions during the operation.

"As long as there are no major accidents, the heart does not need to be stopped. But extracorporeal circulation needs to be prepared, and it needs to be used for vascular bypass. In case of severe heart fibrillation, sudden cardiac arrest and other unpredictable things, extracorporeal circulation can also be used at critical moments. Buy time to save patients."

Zhou Can replied.

"Then there is no problem. The patient has already entered anesthesia. Except for the unstable blood pressure, other signs are fairly stable. Let's start."

Director Feng is quick to do things.

Never grind and talk nonsense.

……

Surgery began soon.

This operation needs to be carried out in two steps. First, a vascular bypass is performed to ensure the blood supply of the patient's aortic branch.Then place the bracket.

It seems like a simple bridge, but it is a test of the doctor's skills and the cooperation of the whole team.

For major operations, medical assistants, nurses, and anesthesiologists must cooperate tacitly.It simply cannot be done by one person.

Zhou Can brought Qiao Yu and others over to watch this time, also intending to let them know how an excellent surgical team should cooperate with the chief surgeon to complete the entire operation.

He has an invisible leadership position in the operating room of cardiothoracic surgery.

After the operation started, everyone including Director Xueyan started to operate with him as the core, like a precision machine.

There is a clear division of labor and tacit cooperation during the operation.

Everyone is the master of this surgery, and ownership needs to be maintained at all times.

If someone steals and plays cunning, or chooses the light and fears the heavy, or shirks when encountering a slightly risky operation, or finds a crisis and leaves it alone, with an indifferent attitude that is none of my business.

It can lead to problems or even failure of the operation.

After the death of director Hu Kan, Zhou Can also established this invisible leadership bit by bit through his own efforts.

It is important to note that this leadership position is not static.

If Director Xueyan is the chief surgeon, then Zhou Can and the others will revolve around Director Xueyan.

Whoever performs the surgery is the core of the surgical team.

But because every time there is a problem in a major operation, as long as Zhou Can is on the scene, he is the absolute main force for rescue.Tackle and overcome difficulties to complete some extremely difficult surgical tasks.All these made Zhou Can's image a bit taller, and finally became the township stone in everyone's mind.

This invisible leadership is not available to other cardiothoracic surgeons.

Only Director Hu Kan has such a status.

After Zhou Can dissected the patient, he saw the dissection zone in the thoracic and abdominal cavity and felt deeply afraid.

This patient is very lucky to be alive.

"Director Le, help me block the blood flow of this branch."

"no problem."

Zhou Can quickly cut open the branch vessels, and then performed an anastomosis.

His surgery is fast.

The anastomosis of artificial blood vessels with the patient's blood vessels is a test of the doctor's skills.

If the fit is not good, it is very prone to various problems.

In particular, the central pressure of the aorta is very high, and the impact force after bleeding is quite terrifying.

If the anastomosis is not in place, it can break through directly.

His suture, ligation, and anastomosis experience points are all increasing rapidly.

Ligation is rapidly approaching level six.

One, two... five branch blood vessels are all anastomosed with artificial blood vessels.

The next step is to exhaust the air inside, and then do the aortic bypass.

Occasionally, check for anastomosing bowel, blood vessels, and, if necessary, do a water injection test.

In particular, some surgeons who are not particularly skilled perform anastomosis of some key parts, and the water injection test can detect problems in advance.

After the intestines and blood vessels are anastomosed, leakage occurs, which is a disastrous consequence.

There are also some patients whose blood vessels harden and become brittle, or the intestines are severely adhered and become as fragile as tofu.These all require special care.

Once it fits well, it is easy to break.

It is necessary to take various measures in advance to ensure the safety of the anastomosis.

An hour and a half later, Zhou Can finally completed the aortic bypass.Looking at the newly established blood path, he was full of expectations.

Just waiting for the blood test.

His ligation technique is infinitely close to level six, as long as there is another difficult major surgery, he should be able to advance.

The benefits of this innovative surgery are unimaginable.

Especially that confidence and a deeper understanding of life.

"Success or failure depends on one action, I hope there is no problem. Let the blood flow!"

Loosen the ligated blood vessel, and the blocked blood enters the artificial blood vessel like a raging tide, quickly forming a secondary pathway.

The test lasted more than 5 minutes, and it was still stable without any problems.

Cheers erupted in the operating room.

The success of the bypass means that more than half of the operation has been successful.

The next step is to place the stent.

Zhou Can was not in a hurry to close his abdomen, but was mainly worried about the rupture of the aortic dissection zone.

In case it really breaks, you can rescue and manually stop the bleeding at any time.

Placing a stent was much more difficult than expected.

However, his current implantation technique and injection technique have both reached level six, so it is safe to say that there is no danger.

In the end, the longest cardiovascular stent in history was successfully placed.

So far, the surgery is complete.

The patient's hidden danger of aortic dissection can be completely eliminated.

Next, there is the most critical step.

After the cardiovascular stent is placed, the blood inlet of the branch vessel is also blocked.At this time, it is necessary to rely on Zhou Can's vascular bypass for the patient to provide blood supply.

Everyone held their breath and focused, staring at the patient.

The newly built secondary blood line has been tested and is unobstructed.However, after the blood inlet of the branch blood path is closed by the stent, it is still unknown whether the bypassed blood supply can meet the needs of the organs.

In theory, because the human body walks upright, the lower the blood vessels go, the more difficult it is for blood to flow.

For example, one of the most common problems is that when it is cold, the feet often start to get cold.

Because the feet are the lowest point of human blood supply.

This is true whether sitting or standing.

Only when lying flat can the blood flow of the feet maintain a more relaxed state.

Ten minutes passed, and the patient's body did not seem to have undergone any bad changes.

"Director Feng, how is the patient's condition?"

Director Xueyan was even more anxious than Zhou Can.

No one could understand the pressure she was under as the head of the department.This innovative operation is too important to the department.

"The patient's vital signs are stable, and he should have passed the first wave of tests. It shows that Xiao Zhou's operation plan is completely feasible." Director Feng was also tense.

As long as there is a condition in the patient's body, he will give corresponding rescue as soon as possible.

"Can the wound be sutured?"

"Wait a minute, only 10 minutes have passed now, wait another 10 minutes, I will test the nerves of the patient's limbs. Then observe the urine discharge to determine whether the operation is successful."

Director Feng did not relax his vigilance, but continued to observe the patient's condition.

Time passed in a minute and a second.

While waiting, everyone has already started discussing some key points and ingenious ideas of this operation.

(End of this chapter)