Auto chess in the operating room

Chapter 385
Tang Lou raised his head and smiled slightly: "Add 46mmol of MgSO and 50ml of 65% glucose solution to each liter of Collin's solution, which is the so-called modified Collin's solution. As for the perfusion volume, the perfusion volume is controlled at 60ml/kg, the perfusion pressure is 20mmHg, and the perfusion time lasts for more than 5 minutes."

In addition to the formula, Tang Lou also directly mentioned the improved perfusion plan: "During lung perfusion, low tidal volume ventilation is used to keep the lungs in a half-expanded state, so that the perfusate can be evenly distributed. Compared with the traditional perfusate, the improved Collin's solution , can have a better prognosis, and fewer complications, while also avoiding ventricular dilatation."

After listening to Tang Lou's introduction, all the doctors nodded and recorded it. They really didn't know such details before.

Next, Tang Lou naturally explained in detail the plan adopted by the donor's heart and lung and the recipient's cardiopulmonary resection plan.

Soon, during the consultation, it was decided to perform a heart transplant according to the surgical plan proposed by Tanglou.

And in Harbin City, the capital of Long Province thousands of miles away, in the Second Hospital of Harbin Medical University, the second general consultation on Ye Jian's second heart transplant was also being held.

Professor Liu and Dean Zhang co-chaired it. The chief physician under Professor Liu, Chen Minjie, was also the most vocal this time. He cooperated with Professor Liu's assistant and took the lead in reporting the completed work:
"Professor Liu, Dean Zhang, yesterday afternoon, Ye Jian was transferred to the ICU for monitoring after internal medicine treatment. In the evening, his physical condition has improved."

Listening to Director Chen's report, both Professor Liu and Dean Zhang nodded to indicate to continue.

"After a day and a night of preparation, with the cooperation of the pharmaceutical company and other units, blood warming equipment, a special intraoperative defibrillator, and esophageal ultrasound equipment have been dispatched this morning."

Dr. Chen looked at the equipment and medicine list in his hand, and reported carefully. After talking about what was ready, he continued to add the preparation time for the remaining medicines: "The special blood protein medicine will arrive at the hospital tomorrow at the latest, and the immune rejection medicine can be prepared before evening." complete."

Due to Ye Jian's special situation, in order to be safe, Professor Liu and the expert team specially designed special drug equipment for this second heart transplant.

After Director Chen, the Department of Anesthesiology, ICU, Radiology, and Nephrology also expressed their opinions and preoperative preparations.

After listening to everyone's reports, Professor Liu made a summary: "After this second consultation, the whole plan of the second heart transplant operation was basically demonstrated. Various special equipment and special drugs are also under preparation, except Apart from the hardware, the last issue is the candidates for the chief surgeon, first assistant and other cooperating physicians for this operation."

Hearing Professor Liu's words, the doctors present wanted to be selected, but they didn't want to be selected.

After all, Ye Jian's second heart transplant was another high-level challenge and milestone event in Huaguo's medical history.

The chance of being able to carry out a second heart transplant operation is extremely low. Most of the second heart transplant operations are carried out on patients who have been transplanted for more than ten years. At present, there are very few patients in China who can survive for more than ten years after heart transplantation. .

There are not many international precedents to follow, so for the doctors present, including Professor Liu, the medical treatment available for this operation is almost zero.

Under the premise that there is no medical data and experience to find, Ye Jian's second heart transplant operation is unprecedentedly difficult. At the same time, if the operation can be successful, it will promote the evaluation of heart transplant surgery, overcome the worldwide problems of organ transplantation, improve transplantation technology, Advances in medical science and technology in many aspects such as pathology, pharmacology, and basic medical research are of great significance.

Of course, the doctors present all knew that if they succeed, they will be successful, but the probability of failure is higher. Of course, they are not afraid of failure, but they are worried that due to their poor skills, the whole operation will be dragged down. As a result, the efforts of Professor Liu and all medical teams were in vain.

Dean Zhang and Professor Liu were waiting quietly. They naturally hoped that someone would step forward and take the responsibility.

To be honest, Professor Liu didn't have a 100% favorite candidate in his mind, and he had to choose the big one, so Director Chen could barely participate.

Chen Minjie lowered his head at the moment, feeling a little confused. To be honest, this is a once-in-a-lifetime opportunity for him, but he really has no idea about the second heart transplant operation, especially the operation plan designed by Professor Liu. The difficulty of operation is too high.

Since it is a second operation, the main surgeon and the first assistant must complete the whole set of operations within five hours. Such a short operation requires a high degree of concentration and concentration.

As far as Chen Minjie's basic skills are concerned, he can still do well, but if he is fast and good, he almost feels embarrassed.

"Do you want to recommend yourself?"

Chen Minjie couldn't make a decision right now.

In the consultation room, there was a moment of silence, which was a bit scary.

Regarding this, Professor Liu and Dean Zhang were slightly disappointed, especially Professor Liu looked at it very meaningfully, Chen Minjie who lowered his head and didn't know what to think.

It was very similar to the students in the school, when the teacher asked questions, they turned into quails one by one.

Professor Liu gave a wry smile, and he didn't blame them. It was because this operation was too difficult, and there was no precedent to follow. After all, no one could perform the first operation as if nothing had happened.

Looking at his watch, Professor Liu directly broke the silence:

"Okay, about the candidate for this operation, I will discuss it with Dean Zhang later, and I will inform you of the results. It just so happens that there will be a heart transplant at Union Medical College Hospital. I was originally the one who performed it, because Ye Jian's The reason, I turned it down, but due to my sudden refusal, Director Dong of Xiehe Hospital couldn't find a better replacement for a while, so he chose to go to the battle in person, but Director Dong is still worse than me after all, so he invited me Give him remote guidance."

"It happens to be a difficult heart transplant operation. The patient is older. Compared with Ye Jian's, the difficulty of some operations is not much worse. Now that the plan has been decided, the big guys will go and observe it with me. , the level of heart transplantation in Xiehe Hospital. Maybe, I can get some inspiration from their operation."

Hearing Professor Liu's suggestion, the doctors were of course very happy and relaxed. From their point of view, Director Dong's surgery level is not as good as that of Professor Liu. For a while, the main thing is not to look at Director Dong, but to see Professor Liu How to guide.

Soon, Professor Liu got in touch with Director Dong of Union Medical College Hospital, and the remote surgery guidance system synchronized with the screen of the Union Medical College Hospital's operating room.

"Professor Liu, we are about to start donor heart and lung collection, which is the first step. Please, keep a close eye on it."

After Director Dong said please to the screen, he gave Tanglou an encouraging look: "Doctor Tang is free to do it. I am the surgeon, and Professor Liu from the Second Hospital of Harbin Medical University is the remote guide."

(End of this chapter)