Start From Emergency Doctor

Chapter 142

The anesthesiologist came up, “Do you prefer intravenous injection or gas inhalation anesthesia?”

“What’s the difference?” Sun Lele was taken aback, this one can still be chosen?

The anesthesiologist said: “Intravenous anesthesia is more thorough, but the effect is slow, inhalation anesthesia takes effect quickly, and the recovery is quick.”

Sun Lele: “Then I should still have intravenous anesthesia. I always feel that gas anesthesia will make my breathing very uncomfortable.”

The anesthesiologist smiled and put on a mask on Sun Lele.

The gas anesthetic soon took effect, and Sun Lele fainted.

“Can this be chosen for you?”

The anesthesiologist glanced at Sun Lele, and then said to Zhou Yuan: “After the tracheal general anesthesia is complete, extracorporeal circulation can be established.”

Lu Chenxi stared at the anesthesiologist: “Report to me, I am the chief surgeon.”

Anesthesiologist: “Oh, I’m used to it.”

Lu Chenxi glanced at Zhou Yuan helplessly, and said, “Let’s start the operation.”

The personnel involved in this operation are:

Chief Sword: Lu Chenxi

One help: Zhou Yuan

Second assistant: a thoracic surgeon

Misuke: A thoracic surgeon

Lu Chenxi has been promoted to the attending physician and is fully capable of handling the operation in front of him26.

After Zhou Yuan completes his doctoral dissertation and obtains his doctorate, his promotion path will become very fast.

After all, I don’t even have a doctorate. The layman only thinks that Zhou Yuan is a second-generation. Having a doctorate is basically equivalent to standing at the forefront of the medical profession and having the power to conduct independent research and so on. Rely on technology to eat.

“Scalpel.”

Zhou Yuan handed the scalpel.

At any rate, Lu Chenxi was also a knife used by Renhe Thoracic Surgery, so the level of surgery has nothing to say.

The midline incision on the front chest, the longitudinal sawing of the sternum, the happy bag, the revealing of the heart, etc., are all quite easy.

“How about it, amazing?” Lu Chenxi said while blocking the ascending aorta.

Zhou Yuan: “Awesome.”

Lu Chenxi smiled: “If you are so powerful, stop talking to Director He, just follow me?”

Before Zhou Yuan could speak, Lu Chenxi added: “…It’s really impossible. I’ll follow you.”

Zhou Yuan: “Do your surgery.”

“okay.”

Lu Chenxi snorted coldly, and returned to that cold expression again.

“Tissue shears.”

“Vascular clamp.”

After removing the damaged mitral valve, Lu Chenxi began to measure the size of the annulus with an annulus measuring device.

Ten years have passed, and the patient’s physical condition has also changed. It is necessary to re-select the appropriate valve size and type according to the patient’s age and so on.

“Needle holding pliers, straight cut.”

Lu Chenxi started stitching again.

Non-traumatic suture needles and small polyester gaskets are inserted into the atrial surface, pass through the annulus, and exit the needle on the ventricular surface.

Zhou Yuan stared at Lu Chenxi’s fingers.

Slender and jade, it is not an exaggeration to describe it with green fingers.

Lu Chenxi noticed Zhou Yuan’s gaze, and her frosty face suddenly blushed, “Zhou Yuan, give me No. 0 polyester thread…”(Read more @ wuxiax.com)

Zhou Yuan raised his head: “…I’m helping you pull the heart muscle, how can I give you a thread?”

Lu Chenxi was silent.

“It doesn’t matter, if you don’t let you pull, you have to wire.”

The equipment nurse angrily gave the polyester thread to Lu Chenxi.

This bastard’s chief sniper actually dared to molest our handsome little Yisuke.

Haha, the surgical technique is okay, I didn’t expect to be such a person!

Lu Chenxi lowered her head, completed the valve replacement, and started sutures.

The suture used here is an interrupted vertical mattress suture method.

Lu Chenxi pierced the skin with a needle, aligning the wound on both sides at 8 mm from the edge of the wound, and then went over the incision, piercing the needle from the other side of the skin, and pierced the skin a second time through the incision on the same side. Go to the opposite side and tie the knot.

The intermittent vertical mattress suture method has better tensile strength than the horizontal mattress suture, and has less impact on the blood supply of the wound edge, so it is suitable for use here.

“Ant pliers.”

Lu Chenxi clamped the sutures with ceremonial pliers to prevent the sutures from crossing together.

Then, Lu Chenxi passed all the mattress sutures through the seam of the artificial valve in turn, tightened the sutures, fixed the artificial valve, and ligated the sutures.

After this step, the mitral valve replacement surgery is basically completed.

Lu Chenxi breathed a sigh of relief.

As there was gas in the left heart cavity from the air, Lu Chenxi used a thin catheter to exhaust the gas, and then began to suture the left atrium incision.

“Relax the aortic blocking clamp.” Lu Chenxi commanded Zhou Yuan.

Zhou Yuan silently relaxed the blocking clamp.

“Not bad.” Lu Chenxi glanced at Zhou Yuan appreciatively.

“Vent needle.”

After receiving it, Lu Chenxi inserted a vent needle into the root of the ascending aorta.

The heart thumped and resumed its powerful beating.

Due to the low-temperature cardiopulmonary bypass, the patient’s body temperature is controlled at about 17 degrees. As the heart resumes beating, the patient’s body temperature gradually rises.

When the body temperature rose to thirty-five degrees, the anesthesiologist stopped the cardiopulmonary bypass.

Zhou Yuan and Lu Chenxi began to remove the blood and give the blood catheter.

At the end of the operation, Lu Chenxi kept a small mouth below the pericardium, which was used for postoperative drainage.

“The operation is complete.” Lu Chenxi breathed a sigh of relief again after the layered sutures were completed.

…

In the elevator.

Two thoracic surgeons are preparing to return to thoracic surgery, while Zhou Yuan and Lu Chenxi are preparing to return to the emergency department.

“You two are in the emergency department?” Thoracic surgeon A asked.

“This technique is too awesome…” The thoracic surgeon Yi said.

“Especially this girl, she is much better than when I was younger! I have a firm hand. I want to dig you into our thoracic surgery department!”

Lu Chenxi smiled politely.

Zhou Yuan also smiled politely: Why don’t you praise me?

I handed the device, and it was very good when I clamped the blood vessel.

“The boy needs to practice more and try to be the master. I heard that you have a Zhou Yuan in the emergency department, and they are about the same age as you. You should learn more, young people have to work hard! Learn techniques!”

Zhou Yuan:…

“Ding Dong.”

The elevator stopped.

“The thoracic surgery is here, let’s go out first, boy, why don’t you say a word? Be bold.”

Zhou Yuan stared at A and B who were leaving the house silently, and said, “Long live the Hydra!”

Boom.

The elevator doors are closed.

Not long after returning to the emergency department, Zhou Yuan saw a pair of father and son patients in the lobby.

“Brother Doctor! Brother Zhou!”

To Zhou Yuan’s surprise, Fanfan came to the hospital again.

Moreover, this time he brought his father.

“What’s wrong with you?” Zhou Yuan said.