Doctor: start with the heart

Chapter 42 Aortic Replacement
The next day.

nine in the morning.

Seventh operating room.

At this moment, Sun Lei had already made preoperative preparations and lay quietly on the operating table.

In the operating room, Wang Ming led Zhao Xu and Sun Chang to complete this very difficult large-scale operation.

Outside the operating room and in the demonstration classroom, the doctors who were not operating at this time, and the doctors who were resting in the emergency department, almost all gathered here, watching the real-time broadcast of the electronic screen in the operating room.In the demonstration classroom, as an exception, several people from the program group, led by Sister Yang, recorded this significant and difficult operation within the scope allowed by the hospital.

"The blood pressure and heart rate are normal, and the operation can be started."

The anesthesiologist looked at the life monitor and said to Wang Ming.

"Ah."

Wang Ming nodded to the anesthesiologist.

"Xiao Zhao, Xiao Sun, this operation is no small matter, cheer up."

Wang Ming said to Zhao Xu and Sun Chang very seriously, originally this operation could be performed by the cardiac surgery department, but Wang Ming also wanted to make some money, and he didn't go to the emergency department as soon as he entered the hospital, he came to the emergency department to do it Before the director, he had been the deputy director of cardiac surgery for several years. Although such an operation was difficult, Wang Ming was confident in completing it.

Therefore, if such an operation can be performed in the emergency department now, then the emergency department will show its face this time, which is of extraordinary significance.

If this operation can be successfully performed, in the eyes of the medical staff in the hospital, the emergency department will not only be a miscellaneous impression that they can order everything and are not good at anything!
"Okay, Director."

Zhao Xu and Sun Chang looked at each other and nodded at the same time. Although they are assistants, if they can follow up with such an operation, they will be able to write an SCI paper.

Especially when Zhao Xu was about to take the postgraduate entrance examination, if he could publish his SCI paper now, he could lie flat during his postgraduate period.

Let alone a graduate student, such a difficult aortic replacement is enough for a doctoral dissertation.

"Intubation of the right atrium is started and cardiopulmonary bypass is established."

The operation officially started, and Wang Ming also became serious.

For aortic valve replacement, the standard approach is a median thoracic incision. First, the aorta and right atrium must be intubated to establish extracorporeal circulation.

After cardiopulmonary bypass was started, the aortic root was cannulated and the right superior pulmonary vein was cannulated to drain the left ventricle.

So much has been introduced above, in simple terms, it is to establish extracorporeal circulation to temporarily replace the blood supply function of the aorta.

Of course, this process is also a test of the stability of the doctor's hands. After all, it is a major artery. As long as the hands shake a little, the consequences will be unimaginable.

"Xiao Zhao, come intubate."

Wang Ming looked at Zhao Xu and said to him.

He could see Zhao Xu's previous performance. In terms of fine manipulation of his hands, even now, he could only be better than Zhao Xu in a few areas that required experience.

To be honest, Wang Ming felt that he was not necessarily better than Zhao Xu for basic skills such as aortic intubation.

At this moment, show the classroom.

"Doctor Su, why did Director Wang ask Dr. Zhao to operate it from the beginning? Didn't it mean that the operation is very difficult?"

Sister Yang, who was standing in front of the real-time broadcast screen and watching the live broadcast of the operation, saw that Wang Ming had asked Zhao Xu to operate it from the beginning, and asked Su Xiao who was standing beside him a little puzzled.

"Yes, it's because the operation is difficult, so Dr. Zhao was asked to do it."

Su Xiao has always been a Ph.D. student who returned from studying abroad. He has a relatively high level and rich experience. He can see Wang Ming's plan at a glance.

"why?"

Sister Yang was even more puzzled.

In her opinion, the director is the most powerful, so why let the doctors under him operate first? !
"The director is just rich in experience and able to make decisions. As far as the basic skill of aortic intubation is concerned, Dr. Zhao is the strongest in the operating room, otherwise the director would not let him do it."

Su Xiao thought for a while and said.

Clinically, especially in the operating room, one is one and the other is two.

Therefore, when Wang Ming asked Zhao Xu to come, he must have thought that he could do better than himself.

"That's amazing, senior!"

Standing aside, Zhou Xiaoling couldn't help but look at the figure undergoing surgery on the screen, eyes full of little stars.

"Hey, isn't this Doctor Zhao's level too high?!"

Sister Yang was a little tongue-tied. Her previous impression of Zhao Xu was that he was a celebrity in front of the director's eyes. He was also popular on the Internet and was a good resident of the show. She never thought that Zhao Xu's actual level could be so high.

"In this case.."

However, in a blink of an eye, Sister Yang felt her eyes light up again, and the next hot spot and material were available again!
The camera pans back to the operating room.

Zhao Xu is intubating the aorta. His movements are very proficient and accurate, and his strength is even more precise. As far as this operation is concerned, he is basically a surgeon who has been practicing for decades level to have.

"Xiao Zhao, the stability of your hands is absolutely amazing. Except for my teacher, I have never seen one that is more stable than yours."

Seeing Zhao Xu's perfect, almost medical-like operation, Wang Ming said in admiration.

"Hey, this is talent, and even mortals can't envy me."

Sun Chang said with a sigh.

"Uh...it's okay..."

Hearing what the two said, Zhao Xu raised his head and glanced at them. This was the blessing of the system, and of course it was not comparable to ordinary people.

Soon, Zhao Xu completed the cannulation and drainage of the aorta.

"Well, pretty good. Time is at least 15 minutes faster than expected."

Wang Ming looked at Zhao Xu very satisfied and said.

Doing such a difficult major surgery may encounter some unexpected situation. Moreover, the long time of extracorporeal circulation will also affect the patient's physical function. Therefore, it can be said that Zhao Xu won the 15 minutes. is very important!
Extracorporeal circulation has already started, and the next step is to separate the gap between the aorta and the pulmonary artery. This process must be done with great care. If the strength is not well controlled, the aortic wall will be damaged.

Naturally, Wang Ming took Zhao Xu and Sun Chang to do this operation.

No matter how strong Zhao Xu's basic skills were, he still had a certain distance from Wang Ming in terms of surgical experience. After all, Wang Ming's clinical experience had been accumulated over decades.

"To separate the aorta and pulmonary artery, the most important thing is to determine the anatomical position of the right coronary artery from the right sinus of Freund. You see, this is the fat pad on the surface of the right sinus of Freund, which is an important sign for identification. "

While leading the two to undergo surgery, Wang Ming imparted his many years of experience to them. It can be said that although he usually looks very strict, he has to be said to be a very qualified and excellent teacher.

"Uh-huh."

Zhao Xu and Sun Chang nodded again and again. This kind of experience is very valuable. The most important thing about being a surgeon is not how hard you can endure or how many operations you can perform.

The most important thing is that you can perform operations that others cannot perform. Therefore, Zhao Xu and Sun Chang are very focused at this time, because what Wang Ming taught them at this time is enough technology and experience to survive.

Suddenly, Wang Ming stopped his actions and explanations, and frowned deeply.

"What's the matter, Director?"

Seeing Wang Ming frowning suddenly, Sun Chang and Zhao Xu couldn't help asking in unison.

In the demonstration classroom, everyone watched Wang Ming frown and stop his movements while watching the real-time broadcast screen, feeling very puzzled.

In the end what happened?
This is everyone's doubts at the moment.

(End of this chapter)