This doctor is very stable
Chapter 666 Exciting Vascular Sutures 【For subscription, ask for a monthly ticket. 】
Chapter 666 Exciting Vascular Sutures 【For subscription, ask for a monthly ticket. 】
Lin Ran nodded, this is a battle, a battle of his own.
Li Yulong, who was standing opposite Lin Ran, also said, "Lin Ran, why don't I take care of the suturing of the left coronary artery! It should be faster if both sides are together."
In fact, if there is multi-vessel blockage in heart bypass surgery, if fast suturing is required, both sides must be sutured at the same time, which saves time.
Lin Ran was thinking whether it would be faster to sew up the two blood vessels by himself, or if both of them sewed up at the same time.
Lin Ran just tested it. Under normal conditions, he can suture a blood vessel in about 5 minutes. That is to say, it takes about 10 minutes for him to suture the coronary arteries on both sides. If he does his best, it should be 2 minutes faster. .
"Dean Li, how long does it take you to suture a coronary artery?"
"About 10 minutes."
How could Li Yulong not know about his own sewing speed?
Lin Ran shook his head slightly, "That's still mine!"
The blood vessel suture didn't change hands halfway, so Lin Ran could only do it by himself.
Zhang Yang looked at Lin Ran and felt that Lin Ran's self-confidence was overwhelming!
Lin Ran's rejection of Li Yulong's proposal shows that he is confident that he can suture two coronary arteries within 10 minutes!
Lin Ran refused, and Li Yulong didn't say much, he believed that Lin Ran must be thinking of the patient.
"Blocker, prepare to close extracorporeal circulation, prepare for blood transfusion."
There is still part of the patient's blood in the extracorporeal circulation, so blocking the extracorporeal circulation is equivalent to losing the blood in the extracorporeal circulation.
Therefore, after the operation is completed, this part of the blood must be replenished to the patient.
The tense and exciting moment has begun.
I saw that the nurse had just turned off the extracorporeal circulation, and the patient's life monitor immediately beeped.
Fast, hard, accurate...
The blocker in Lin Ran's hand was ready to bite on the patient's right coronary artery.
One, two, block complete!
However, this is only one side of the block.
Lin Ran stretched out his hand, and the equipment nurse slapped the blocker tacitly.
"Snapped……"
There was a pleasant high-five as the blocker changed hands.
Fast, fast, precise!
The blocker seemed to have eyes in Lin Ran's hand, and it landed on the place not far from the connection between the patient's left coronary artery and extracorporeal circulation with incomparable accuracy.
"Come again!"
Lin Ran didn't dare to stop for a moment, and quickly completed the second block.
Only 50 seconds passed, yes, Lin Ran completed the blockage of two coronary arteries in less than a minute!
"This... this is too fast!"
Zhang Yang on the side looked dumbfounded. This was a blocked blood vessel, not a water pipe switch. A little carelessness may cause the blood vessel to rupture, especially this patient is still a patient with three highs, and the blood vessel is probably extremely fragile!Therefore, you should act gently and cautiously when blocking.
It was the first time he saw Lin Ran blocking the method so quickly.
Totally unreasonable!
Outside the operating room, the lights in the live conference room were still on, but there was no sound.
Everyone was stunned to see Lin Ran's quick blocking technique.
This is too stupid.
Lin Ran's performance in terms of income from this station is really amazing!
Amazing to the point of refreshing their three views.
However, Lin Ran on the live screen did not stop because of the successful blockage of the coronary artery.
Instead, speed up and directly disconnect the link between extracorporeal circulation and coronary arteries.
Blood appeared, and after a quick wipe, Lin Ran waved the scissors non-stop and began to trim the stump of the coronary artery.
The rhythm is so fast that people forget to breathe.
Having just finished trimming the blood vessels, Lin Ran immediately put the scissors in his hand into the tray in front of the nurse.
"Small needle holder, vascular suture needle, absorbable thread."
After receiving the needle holder, Lin Ran immediately clamped the suture needle, and started the most dangerous suture of blood vessels.
While requiring speed, one success is also required.
Otherwise, the consequences would be unthinkable.
The patient's wealth and life were all on Lin Ran's body.
Needle drop, gripping, thread drawing, knotting...
Lin Ran's hand speed was so fast that afterimages appeared!
Compared with the suture of the blood vessel at the other end just now, it is much faster.
This shows that Lin Ran's amazing suture of blood vessels just now was not the result of his full efforts!
This young man is terrible.
Needle drop could be heard in the operating room. Feeling Lin Ran's extremely tense operation rhythm, everyone held their breath involuntarily, for fear that the sound of breathing would disturb Lin Ran.
One stitch, two stitches, three stitches.
Every stitch is in order.
If he hadn't seen it with his own eyes, it would be really hard to imagine how Lin Ran could suture at such a high speed while ensuring the quality of the stitching.
2 minutes.
From needle drop to thread cutting.
It took eight stitches to suture a tiny blood vessel, and Lin Ran only took 2 minutes!
Beyond imagination, it directly refreshes everyone's understanding of vascular suture.
Lin Ran didn't dare to stop at the thread trimming and changing positions.
The patient is still in a state of no heartbeat and blood supply.
Ending the no-heartbeat state early will relieve the patient's life-threatening situation earlier.
The sutures on Lin Ran's hands became faster and faster, and Li Yulong could only lift Lin Ran's blood vessels.
Others can't do it at all.
Another 2 minutes.
Or just half a minute!
The left coronary artery was completely sutured by Lin Ran.
It is important to know that the size of the left coronary artery is much smaller than that of the right coronary artery.
Anyone who has done sewing knows that the smaller the thing, the harder it is to sew, and the thinner the sewing needle, the harder it is to sew.
However, the difficulty of suturing the blood vessels seems to have failed for Lin Ran.
After cutting the thread, Lin Ran immediately put the needle holder in his hand into the tray in front of the nurse.
Immediately began to withdraw the blocker on the coronary artery.
"Don't miss it!"
Lin Ran was also thinking silently in his heart, although he had enough confidence in his suturing skills.
But this kind of extremely fast suture of blood vessels is the first time he has done it.
The right coronary artery blocker was retrieved, and the left coronary artery was retrieved.
No leaks!
At the moment when the occluder is removed, blood from the coronary artery flows through the original great saphenous artery.
It can be seen with the naked eye that it is slowly filling up, gradually restoring the sense of saturation and roundness.
This is the manifestation of blood flowing from the heart through the coronary arteries.
When blood flows, it will definitely put pressure on the blood vessel wall.
Lin Ran's super-high-speed stitching just now withstood the test of blood pressure!
It was seen that there were no ruptures and side leakage in the sutures of the two coronary arteries.
Lin Ran also breathed a sigh of relief, but he said afterwards, "Inject adrenaline, restore the temperature of the heart, and wake up the vitality of the heart!"
Success or failure depends on whether the patient's heartbeat can recover autonomously.
In heart bypass surgery, there is never a shortage of cases where the patient's heart does not wake up after the operation is completed.
As Lin Ran spoke, he immediately took off the low-temperature accessories covering the heart.
The nurse injected epinephrine directly into the intravenous line prepared in advance.
PS: I recommend the old brother Danqing's book, "Come on!Orthopedic doctor
Chinese medicine, you big brothers can go to help some collections, look, anyway, it is still a new book period, so it can be spent in vain.
The link port is in the writer's words below.
"come on!Orthopedic Traumatology Doctor" Traditional Chinese medicine will never be outdated, and there is a lot to do in orthopedics.
(End of this chapter)
Lin Ran nodded, this is a battle, a battle of his own.
Li Yulong, who was standing opposite Lin Ran, also said, "Lin Ran, why don't I take care of the suturing of the left coronary artery! It should be faster if both sides are together."
In fact, if there is multi-vessel blockage in heart bypass surgery, if fast suturing is required, both sides must be sutured at the same time, which saves time.
Lin Ran was thinking whether it would be faster to sew up the two blood vessels by himself, or if both of them sewed up at the same time.
Lin Ran just tested it. Under normal conditions, he can suture a blood vessel in about 5 minutes. That is to say, it takes about 10 minutes for him to suture the coronary arteries on both sides. If he does his best, it should be 2 minutes faster. .
"Dean Li, how long does it take you to suture a coronary artery?"
"About 10 minutes."
How could Li Yulong not know about his own sewing speed?
Lin Ran shook his head slightly, "That's still mine!"
The blood vessel suture didn't change hands halfway, so Lin Ran could only do it by himself.
Zhang Yang looked at Lin Ran and felt that Lin Ran's self-confidence was overwhelming!
Lin Ran's rejection of Li Yulong's proposal shows that he is confident that he can suture two coronary arteries within 10 minutes!
Lin Ran refused, and Li Yulong didn't say much, he believed that Lin Ran must be thinking of the patient.
"Blocker, prepare to close extracorporeal circulation, prepare for blood transfusion."
There is still part of the patient's blood in the extracorporeal circulation, so blocking the extracorporeal circulation is equivalent to losing the blood in the extracorporeal circulation.
Therefore, after the operation is completed, this part of the blood must be replenished to the patient.
The tense and exciting moment has begun.
I saw that the nurse had just turned off the extracorporeal circulation, and the patient's life monitor immediately beeped.
Fast, hard, accurate...
The blocker in Lin Ran's hand was ready to bite on the patient's right coronary artery.
One, two, block complete!
However, this is only one side of the block.
Lin Ran stretched out his hand, and the equipment nurse slapped the blocker tacitly.
"Snapped……"
There was a pleasant high-five as the blocker changed hands.
Fast, fast, precise!
The blocker seemed to have eyes in Lin Ran's hand, and it landed on the place not far from the connection between the patient's left coronary artery and extracorporeal circulation with incomparable accuracy.
"Come again!"
Lin Ran didn't dare to stop for a moment, and quickly completed the second block.
Only 50 seconds passed, yes, Lin Ran completed the blockage of two coronary arteries in less than a minute!
"This... this is too fast!"
Zhang Yang on the side looked dumbfounded. This was a blocked blood vessel, not a water pipe switch. A little carelessness may cause the blood vessel to rupture, especially this patient is still a patient with three highs, and the blood vessel is probably extremely fragile!Therefore, you should act gently and cautiously when blocking.
It was the first time he saw Lin Ran blocking the method so quickly.
Totally unreasonable!
Outside the operating room, the lights in the live conference room were still on, but there was no sound.
Everyone was stunned to see Lin Ran's quick blocking technique.
This is too stupid.
Lin Ran's performance in terms of income from this station is really amazing!
Amazing to the point of refreshing their three views.
However, Lin Ran on the live screen did not stop because of the successful blockage of the coronary artery.
Instead, speed up and directly disconnect the link between extracorporeal circulation and coronary arteries.
Blood appeared, and after a quick wipe, Lin Ran waved the scissors non-stop and began to trim the stump of the coronary artery.
The rhythm is so fast that people forget to breathe.
Having just finished trimming the blood vessels, Lin Ran immediately put the scissors in his hand into the tray in front of the nurse.
"Small needle holder, vascular suture needle, absorbable thread."
After receiving the needle holder, Lin Ran immediately clamped the suture needle, and started the most dangerous suture of blood vessels.
While requiring speed, one success is also required.
Otherwise, the consequences would be unthinkable.
The patient's wealth and life were all on Lin Ran's body.
Needle drop, gripping, thread drawing, knotting...
Lin Ran's hand speed was so fast that afterimages appeared!
Compared with the suture of the blood vessel at the other end just now, it is much faster.
This shows that Lin Ran's amazing suture of blood vessels just now was not the result of his full efforts!
This young man is terrible.
Needle drop could be heard in the operating room. Feeling Lin Ran's extremely tense operation rhythm, everyone held their breath involuntarily, for fear that the sound of breathing would disturb Lin Ran.
One stitch, two stitches, three stitches.
Every stitch is in order.
If he hadn't seen it with his own eyes, it would be really hard to imagine how Lin Ran could suture at such a high speed while ensuring the quality of the stitching.
2 minutes.
From needle drop to thread cutting.
It took eight stitches to suture a tiny blood vessel, and Lin Ran only took 2 minutes!
Beyond imagination, it directly refreshes everyone's understanding of vascular suture.
Lin Ran didn't dare to stop at the thread trimming and changing positions.
The patient is still in a state of no heartbeat and blood supply.
Ending the no-heartbeat state early will relieve the patient's life-threatening situation earlier.
The sutures on Lin Ran's hands became faster and faster, and Li Yulong could only lift Lin Ran's blood vessels.
Others can't do it at all.
Another 2 minutes.
Or just half a minute!
The left coronary artery was completely sutured by Lin Ran.
It is important to know that the size of the left coronary artery is much smaller than that of the right coronary artery.
Anyone who has done sewing knows that the smaller the thing, the harder it is to sew, and the thinner the sewing needle, the harder it is to sew.
However, the difficulty of suturing the blood vessels seems to have failed for Lin Ran.
After cutting the thread, Lin Ran immediately put the needle holder in his hand into the tray in front of the nurse.
Immediately began to withdraw the blocker on the coronary artery.
"Don't miss it!"
Lin Ran was also thinking silently in his heart, although he had enough confidence in his suturing skills.
But this kind of extremely fast suture of blood vessels is the first time he has done it.
The right coronary artery blocker was retrieved, and the left coronary artery was retrieved.
No leaks!
At the moment when the occluder is removed, blood from the coronary artery flows through the original great saphenous artery.
It can be seen with the naked eye that it is slowly filling up, gradually restoring the sense of saturation and roundness.
This is the manifestation of blood flowing from the heart through the coronary arteries.
When blood flows, it will definitely put pressure on the blood vessel wall.
Lin Ran's super-high-speed stitching just now withstood the test of blood pressure!
It was seen that there were no ruptures and side leakage in the sutures of the two coronary arteries.
Lin Ran also breathed a sigh of relief, but he said afterwards, "Inject adrenaline, restore the temperature of the heart, and wake up the vitality of the heart!"
Success or failure depends on whether the patient's heartbeat can recover autonomously.
In heart bypass surgery, there is never a shortage of cases where the patient's heart does not wake up after the operation is completed.
As Lin Ran spoke, he immediately took off the low-temperature accessories covering the heart.
The nurse injected epinephrine directly into the intravenous line prepared in advance.
PS: I recommend the old brother Danqing's book, "Come on!Orthopedic doctor
Chinese medicine, you big brothers can go to help some collections, look, anyway, it is still a new book period, so it can be spent in vain.
The link port is in the writer's words below.
"come on!Orthopedic Traumatology Doctor" Traditional Chinese medicine will never be outdated, and there is a lot to do in orthopedics.
(End of this chapter)
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