world famous doctor

Chapter 61 Coronary artery bypass grafting

The door of the intervention room was opened by the itinerant nurse just now.

Zhou Chen and Kong Wenchao turned their heads to look at the same time.

The itinerant nurse waved at Zhou Chen, and said anxiously:
"The interventionist called you in."

Zhou Chen stood up, straightened his clothes, and raised his eyebrows.

If I knew this earlier, why waste so much time.

Kong Wenchao on the side looked up at Zhou Chen in a daze, not knowing why.

Zhou Chen entered the intervention room.

Outside the isolation area, I took out a pair of slippers from the shoe cabinet and put them on, then went to the dressing room and changed into sterile clothes.

The itinerant nurse instructed Zhou Chen: "All the watches and mobile phones on your body are not allowed to be brought in."

In order not to delay the patient's treatment time, Zhou Chen changed his clothes quickly.

In less than a minute, he walked out of the locker room.

After a long corridor, Zhou Chen and the itinerant nurse came to the operating area of ​​the intervention room.

The intervening doctor and the nurses in the operating room cast strange glances at Zhou Chen at the same time.

Zhou Chen was surprisingly calm.

He glanced at everyone lightly, and said in a reproachful tone:
"Failed PCI surgery?"

As he spoke, he walked to the operating table step by step, and looked down at Yuan Lili.

The interventional doctor who was operating on Yuan Lili looked gloomy at the moment.

"Young man, what's your name?" The intervening doctor asked coldly.

"Zhou Chen."

"To make a long story short, we asked you to come in so that you could observe and learn from the sidelines." The interventional doctor added.

Anyone can hear this, and there is another meaning:
The most important purpose of letting Zhou Chen enter the operating room is to let him watch from the sidelines. If there are any intraoperative measures that cannot be performed during the operation, I hope Zhou Chen can stop it immediately to avoid another PCI surgery like before. Failure is all in vain.

As for why the intervening doctor trusted Zhou Chen so much, it was unknown.

Perhaps it was because Zhou Chen had accurately predicted Yuan Lili's condition twice before.

See a doctor in advance.

Prediction of PCI failure in advance.

Another interventional doctor looked at Zhou Chen carefully and asked with a serious face:

"Do you also understand interventional surgery?"

Zhou Chen was noncommittal.

Of course, he didn't know how to answer him.

If you want to understand, you also understand.

Zhou Chen can use the praise he has obtained to exchange for various medical methods in the famous doctor system at any time.

If he didn't understand, he really didn't understand.

Zhou Chen is also a person who has just graduated from a medical university, and has not yet undergone regular training and practice. How could he understand such a difficult operation?
Furthermore, given his current level as a senior physician, it should not be said that the likes he has received are not enough to exchange for PCI surgery or coronary artery bypass surgery.

Even if he could redeem this technology, Zhou Chen, who lacked clinical experience and a low level of doctor, would not be able to do it.

Without too much delay, the operating room began to get busy again.

After the anesthetist gave Yuan Lili general anesthesia, she was routinely intubated at room temperature.

And at the same time, adjust the patient's heart rate below 80 beats per minute by controlling the depth of anesthesia.

The doctors began to perform off-pump coronary artery bypass grafting for Yuan Lili.

The interventional surgeon makes a midline incision from the patient's sternum, takes the lima and anastomoses the lad, then punches a hole in the side wall of the ascending aorta, and performs the proximal anastomosis of the grafted vein.

The interventional doctor holds his breath, concentrates, and strives for perfection in every step of the operation.

Zhou Chen stood aside, watching intently.

This is also the first time he has been to the scene to observe the operation.

Or observe such a major operation of thoracotomy and bypass surgery.

For other interns, I am afraid it will take one or two years to have this opportunity, or even longer.

Zhou Chen reorganized the operation steps of the famous doctor system exchange in his mind.

There is really nothing to say compared to the operations of these interventional doctors.

Doctors in big hospitals are doctors in big hospitals, with rich clinical experience, and the lancet in their hands does not tremble at all.

So calm, calm and admirable.

Zhou Chen nodded secretly, like an old professor supervising a group of students.

Time passed little by little.

From time to time, the nurse wiped the sweat from the forehead of the intervening doctor.

Although the intervening doctor had experienced various accidents during the operation before, he quickly adjusted his state again.

Suture the pericardial traction line...elevate the heart...reveal two target blood vessels.

This is an extremely critical step in the surgery.

Because opcab lacks extracorporeal circulation support, exposing the target blood vessels, moving the heart, and installing a fixator are likely to cause hemodynamic disorders.

Therefore, whether to maintain hemodynamic stability at this step has become the key to the success of the operation.

The atmosphere in the operating room suddenly became tense.

Except for the sound of various instruments and the sound of those medical equipment, it was extremely quiet.

Human lives are at stake, no one dares to speak casually.

Once the treatment process of the interventional doctor is disrupted, it is likely to cause the loss of a life.

Not only the intervening doctors, but also the medical assistants on the side, other itinerant nurses, equipment nurses and others all maintained a high degree of concentration and a high degree of tacit understanding.

To successfully complete a major operation, the most tacit teamwork must be ensured.

The progress of the PCI surgery just now was not smooth, because the failure of the PCI surgery almost caused unimaginable consequences.

The expressions on the faces of all the medical staff were a little dignified.

Under the instructions of the interventionalist, they placed the patient in a trendelenburg position to increase left and right cardiac preload to increase blood pressure and cardiac output.

This is just one of the techniques for maintaining intraoperative circulatory stability.

There were also two interns who were studying with interventional doctors. They were dumbfounded and stood aside.

Zhou Chen frowned as he thought about it, and couldn't help but feel a little worried. When the doctors turned the heart to a vertical position to expose the target blood vessels, they should gradually increase the speed of the turning angle. It should not be too fast or too slow.

Only in moderation can the heart have a certain adaptation process, so as not to cause a sudden drop in blood pressure.

After 1 minute, Zhou Chen was relieved.

His worry is completely unnecessary.

The interventional doctors during the operation were careful in every step and every movement was precise and impeccable.

Zhou Chen secretly felt happy for Yuan Lili lying on the operating table.

With so many highly skilled doctors operating on her, it seems that today she is expected to be cured.

The itinerant nurse kept wiping the sweat from the forehead of the interventional doctor, and their clothes were almost soaked.

Such a major operation consumes a lot of energy and physical strength of doctors.

Doctors often like to say a word when joking in private on weekdays.

To be a doctor, you must be as strong as a cow, have a very good physique, and have extraordinary endurance.

Otherwise, for a major surgery, at least a few 10 minutes, and at most a dozen hours, you have to stand up and do a surgery, and you have to keep thinking, concentrate on it, and complete it in the fullest state. Not good, how can I bear it?

(End of this chapter)