Big Doctor Live Room

Chapter 999 Cooling Down and Decompressing
Chapter 999 Cooling Down and Decompressing
Two minutes passed in a blink of an eye, and the data from all the monitors in the operating room were normal. Chen Qun was not only in a daze, but could it be that the blood red he saw on the diagnostic panel just now was fake?Perhaps the patient's condition has improved a bit?
Several questions appeared in Chen Qun's mind, but in the end, he didn't have the slightest intention to go to the system space for a review. After all, it was just a "minor operation" for him, and any accidents could be controlled.

Chen Qun no longer hesitated and immediately issued the next order.

"Start suturing the left thoracic artery-left anterior descending branch! Suture No. 8 continuously. Lu... Doctor, please cooperate with me to fix the patient's blood vessels. Also prepare 500CC warm water with a temperature of 25 degrees Celsius and fill it with a large syringe."

Chen Qun took the needle-holding forceps and surgical thread from his girlfriend, turned into a robot, and started suturing simply and quickly. The rhythm and frequency were also consistent, so that people could see clearly and clearly, and let all the doctors watching , all clearly understood that he was performing a demonstration operation.

"Teacher, it's fortunate that Xiao Chen is not in our cardiovascular department, otherwise I, the newly appointed director, will have to step down immediately. In the blood vessels with a lumen of [-] mm, I can complete [-] needles at equal intervals without the slightest trembling. It’s no different from a robot arm. I think it’s good if I can finish eight stitches, and I don’t need to think about the spacing!”

Gu Ning crossed his arms on the stage and sighed.

Yang Xiaoquan knew that even at his peak, he could only complete six or seven injections at most. This is a gap caused by physiological structure and brain circuits, which cannot be imitated. However, he only needs to reduce the amount and follow Chen Qun's posture, which is a standard. The young doctors in the department just have to follow the surgical model.

Originally, I wanted Xiao Chen to give a more reasonable operation model, but this guy gave a perfect standardized action as always, which is simple, feasible, and easy to copy. It is not necessary for the younger generation to learn the essence of Chen Qun, only need to learn the superficial Will suffice.

"The suturing is over, and the blood transfusion begins!"

Chen Qun put down the needle holder and gave instructions to Zhou Lin who was taking care of the extracorporeal circulation system behind him.

"Understood, the blood flow blocking is lifted!"

Lu Yi, who was an assistant, let go of the tweezers in his hand, looked at the tightly stitched blood vessels, and let out a sigh from his heart. "It's too strong, the aortic suture didn't bleed at all, it really is the legendary god of hemostasis. Just with this hand hemostasis technique, you can do any operation with your hands!"

Thinking of this, Lu Yi felt a sense of comprehension in his heart, knowing that in order to make great progress in his skills, he must improve from the most difficult hemostasis technique. Other skills are secondary, as long as he can learn from Chen Like the group, stop the bleeding first, and the accidents during the operation will be minimized.

Maybe even though he doesn't know how to improve this technique, he just needs to pay attention to Chen Qun's movements and ask for advice directly after the operation is completed.

"OK, artificial heart and lung, separate!"

Chen Qun continued to give instructions like teaching, and felt that he had become a teaching machine and had become a habit.If it was a really urgent operation, he would only give a few most critical instructions, and everyone else would cooperate tacitly with each other.Although the assistant doctors who acted with him were all rookies, it didn't have much impact if they cooperated more times.

The moment Zhou Lin turned off the extracorporeal circulation machine, several discordant voices were heard one after another in the operating room.

"Pulmonary artery pressure is rising, pulseless electrical activity index is 40, pulse is 110, pulmonary artery pressure is still rising! Pulseless electrical activity index has risen to 50..."

Before Chen Qun answered, Yang Xiaoquan's voice came from the loudspeaker.

"Xiao Chen, this operation seems to be very successful. How could there be an accident? Do we need to have a new operation and immediately use an open trachea to reduce the pressure of the pulmonary artery?"

Chen Qun looked at the rising data very calmly, shook his head, and gave the answer.

"You don't need either, you just need to pour a little warm water on the heart and pulmonary arteries to cool down! Xiao Lu, do it now!"

Chen Qun signaled the nurse to take off the microscope on his eyes, and looked up to answer the question.

Xiao Lu?

Lu Yi felt that he had really integrated into Chen Qun's core team at this time, and his heartbeat beat a few times, just like the patient's arterial data, which was climbing at a high speed, but the movement in his hand did not hesitate at all. Qun asked the nurse to prepare a large needle just now, and slowly injected water around the heart to cool down.

As warm water was poured on the heart and blood vessels, the buzzers around him immediately stopped buzzing, and Zhou Lin's voice also reported.

"The pulsatile arterial pressure stopped rising, the pulseless electrical activity index dropped to 55,45,40, 35, 70, [-], the arterial blood pressure dropped to [-], and all physiological indexes returned to normal."

Yang Xiaoquan's voice continued to echo in the room.

"Xiao Chen, how did you judge that this is the most likely problem to occur when the artificial heart-lung separation ends? You don't seem to have encountered such an incident in any operation, and you should have no experience in this area!"

For Yang Xiaoquan's question, Chen Qun will not tell the real answer. Perhaps his shameful achievement of beheading thousands of people explains everything. Tens of thousands of simulated patients have died under the scalpel, which is probably impossible for any doctor. of.

But of course Chen Qun had prevarications, and directly gave the answer that made Yang Xiaoquan dumbfounded.

"For a heart surgeon, the most critical ability is whether he can see a problem, whether it is serious or not. This kind of observation and judgment is the foundation. If the foundation is wrong, no matter how good the operation is , is also useless. Although I have no experience in this field, I know this problem is often there. I paused for 2 minutes, just to avoid similar problems, but it still happened, so I just need to do a little Small measures, rather than a second operation, increase the burden on patients."

"Then why did you think that this might happen just now, and prepare first?"

Yang Xiaoquan asked this question straight to the point, and immediately made all the professors and doctors prick up their ears, listening to Chen Qun's answer.Prevention is often caused by the doctor's cautious personality, but to be able to judge the specific situation requires extensive clinical experience.Chen Qun's way of thinking is different from that of ordinary people, which is recognized by everyone. Although he does not have his "mental illness", he can still learn from his way of thinking.

"The increase in blood pressure just now is most likely due to the slowing down of blood flow caused by the contracture of the left internal thoracic artery. After all, we removed a blood vessel at that position, which will inevitably lead to a stress response in the matrix. For a while, the left internal thoracic artery There is blood backlash in the coronary artery area. Therefore, what we need to do is to pour warm water on the periphery to stop the contraction of the arterial blood vessels, and it will naturally return to its original state.”

Yang Xiaoquan turned his head and gave a conclusion to a group of doctors and professors with a smile.

"At the beginning, you thought that this operation was not of much value for observation, but now you know where the value is. This is a new application of the old method. Remember, the next time arterial blood pressure is too high during coronary artery bypass surgery, just pour a little water on the heart. The problem is solved, no need to use a knife."

(End of this chapter)