Start with an emergency physician

Chapter 140

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"What's the difference?"Sun Lele was stunned. Is this a good choice?

The anesthesiologist said,"Intravenous anesthesia is more thorough, but it takes a long time to take effect. Inhalation anesthesia takes effect quickly and recovers quickly."

Sun Lele:"Then I'd rather have intravenous anesthesia. I always feel that gas anesthesia will make my breathing very uncomfortable."

The anesthesiologist smiled and put a mask on Sun Lele.

The gas anesthetic took effect quickly and Sun Lele fainted.

"Is this something you can choose?"

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

Lu Chenxi stared at the anesthesiologist:"Report to me, I'm the chief surgeon."

Anesthesiologist:"Oh, I'm used to it."

Lu Chenxi glanced at Zhou Yuan helplessly and said:"Let the operation begin."

The personnel involved in this operation are:

Chief surgeon: Lu Chenxi

First assistant: Zhou Yuan

Second assistant: a thoracic surgeon

Third assistant: a thoracic surgeon

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

After Zhou Yuan completes his doctoral thesis and obtains his doctoral degree, his path to promotion will become very fast.

After all, without even a doctoral degree, outsiders only think that Zhou Yuan is some kind of second generation. With a doctoral degree, it is basically equivalent to standing at the forefront of the medical community, with the power to conduct independent research, etc. At that time, he will rely entirely on technology to make a living.

""Scalpel."

Zhou Yuan handed over the scalpel.

Lu Chenxi was once a surgeon at Renhe Thoracic Surgery Department, so his surgical skills were impeccable. He was quite skilled at making midline incisions in the anterior chest, sawing the sternum, opening the pericardium, exposing the heart, etc.

"How is it, isn’t it amazing?" Lu Chenxi said as he blocked the ascending aorta.

Zhou Yuan:"Amazing."

Lu Chenxi smiled and said,"If you are so amazing, why don’t you follow Director He and just follow me?"

Before Zhou Yuan could say anything, Lu Chenxi added:"……If it doesn't work, I'll follow you."

Zhou Yuan:"Do your surgery."

""Okay."

Lu Chenxi snorted coldly and regained his cold expression.

"Tissue scissors"

"Vascular clamp."

After removing the damaged mitral valve, Lu Chenxi began to measure the size of the valve ring with a valve ring 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 based on the patient's age, etc.

"Needle-holding forceps, straight scissors."

Lu Chenxi began to suture again.

Atraumatic suture needle plus small polyester pad, the needle enters the atrial surface, passes through the valve ring, and exits the ventricular surface.

Zhou Yuan stared at Lu Chenxi's fingers.

Slender and jade- like, it is not an exaggeration to describe them as slender jade fingers. Lu Chenxi noticed Zhou Yuan's eyes, and her face suddenly blushed,"Zhou Yuan, give me No. 0 polyester thread……"

Zhou Yuan raised his head:"……I'm helping you stretch the myocardium, thread?"

Lu Chenxi was silent.

"No matter what, I won’t let you pull it, you have to use the thread."

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

This bastard surgeon actually dared to tease my handsome assistant.

Haha, his surgical skills are okay, but I didn’t expect him to be this kind of person!

Lu Chenxi lowered his head, completed the valve replacement, and began to sew.

The interrupted vertical mattress suture method is used here.

Lu Chenxi pierced the skin with a needle, and at eight millimeters from the edge of the wound, he brought the two wounds together, then crossed the incision, passed the needle through the skin on the other side, and then pierced the skin for the second time on the same side of the incision, returned to the opposite side, and tied a knot.

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

""Ant forceps."

Lu Chenxi clamped the sutures with ceremonial forceps to prevent them from crossing.

Then, Lu Chenxi passed all the mattress sutures through the suture ring of the artificial valve in turn, tightened the sutures, fixed the artificial valve, and then tied the sutures.

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

Lu Chenxi breathed a sigh of relief.

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

""Release the aortic clamp." Lu Chenxi instructed Zhou Yuan.

Zhou Yuan silently released the clamp.

"Not bad." Lu Chenxi looked at Zhou Yuan with appreciation.

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

The heart thumped and resumed its powerful beating.

Because of the low-temperature extracorporeal circulation, the patient's body temperature was controlled at around 17 degrees. As the heart resumed beating, the patient's body temperature gradually rose.

When the body temperature rose to 35 degrees, the anesthesiologist stopped the extracorporeal circulation.

Zhou Yuan and Lu Chenxi began to remove the blood drainage and blood supply catheters.

At the end of the operation, Lu Chenxi left a small opening under the pericardium, which was used for postoperative drainage.

"The operation is complete."After the layered sutures were completed, Lu Chenxi breathed a sigh of relief again.

……

In the elevator, the two thoracic surgeons were preparing to return to the thoracic surgery department, while Zhou Yuan and Lu Chenxi were preparing to return to the emergency department.

"Are you two from the emergency department?" Thoracic Surgeon A asked

"This technology is too awesome.……"Department of Thoracic Surgery

"Especially this girl, she is much better than me when I was young! She is so steady, I want to recruit you to our thoracic surgery department!"

Lu Chenxi smiled politely.

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

I am also very good at passing instruments and clamping blood vessels.

"Boys should practice more and strive to be the lead surgeon. I heard that your emergency department has a new doctor named Zhou Yuan, who is about the same age as you. You should learn more from him. Young people should work hard! Learn the skills quickly!"

Zhou Yuan:……

"Ding Dong.

The elevator stopped.

"We are at the thoracic surgery department. We are leaving first. Boy, why don't you say anything? Be brave."

Zhou Yuan stared at A and B as they left the room and said,"Long live Hydra!"

Dong.

The elevator door closed.

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

""Doctor brother! Brother Zhou!"

What surprised Zhou Yuan was that Fanfan came to the hospital again.

Moreover, this time he brought his father with him.

"What happened to you?"Zhou Yuan asked.