I Can See Health

   Chapter 418 Passed the assessment!

   Everyone turned their attention to Lu Chen.

   A question arose in everyone's heart, who gave him the courage to this young man in front of him?

   "You don't want the chance for a second assessment?" Qin Sifeng asked rhetorically.

   "Yes, of course it is the best." Lu Chen smiled, "If not, then I have to win this patient for myself!"

   "Good boy!" Qin Sifeng smiled and patted Lu Chen's shoulder, "Are you so sure?"

  Lu Chen nodded slightly, but his eyes were unquestionable.

  Pericardiocentesis, which is also one of his most assured operations!

  …

   Outside the classroom.

   "Director, what do you mean, Lu Chen wants to have a pericardiocentesis?" Fang Ruzhang was a little surprised.

   To be honest, the current specialties are becoming more and more refined.

   Operations such as pericardiocentesis and thoracic puncture are all performed in specialized ultrasound intervention rooms.

  The Cardiology Department performs pericardiocentesis in the ward itself. This opportunity is getting less and less, because the current doctor-patient relationship cannot tolerate any risk.

   Fang Ruzhang has not done a pericardiocentesis himself for a long time, let alone this kind of puncture without effusion, the difficulty will only be higher!

   "Yeah, didn't you see that he has been positioned with cardiac ultrasound?" Wanjingshuidao, "He wants to pass the pericardiocentesis, put the catheter into the epicardium, and then perform ablation."

   "But our assessment this time is about electrophysiological interventional surgery, not puncture?" Fang Ruzhang was stunned, "Is this a problem?"

   At this time, Yao Jie on the side made a sound.

   Although she knew that it was not suitable to speak out in this situation, she still kept saying it.

   "Senior Brother Lu Chen, he, he passed through blindly before!"

   "Huh?" Fang Ruzhang looked back at Yao Jie, "What did you say? Blind penetration? Blind penetration of pericardiocentesis?"

   "Yes." Yao Jie nodded, "It was in the elevator..."

   Yao Jie briefly explained the situation at that time, Fang Ruzhang and Wan Jingshui looked at each other, and both could see the shock in the other's eyes.

  It is one thing to be able to pierce, but it is another to dare to wear it!

   And it’s still blind wear!

   It takes a lot of courage for Lu Chen to be able to blindly wear in that situation.

   "Everyone in the Cardiology Department knew about this..." Yao Jie emphasized in a low voice.

   "Yeah, how could I forget that he is the champion of the National Medical Skills Competition..." Fang Ruzhang shook his head slightly.

   "It seems that I still underestimate him!"

  Wan Jingshui focused his attention on the big screen again. Now he is more and more interested in this student named Lu Chen!

  Perhaps, he can really succeed...

  …

   Catheter room.

   After informing the patients and their families of the related risks and obtaining the consent of the operation, Lu Chen began to perform pericardiocentesis under the guidance of Qin Sifeng.

  Others came to the conduit room and watched the situation inside through the glass windows.

   "This kid is really tough!" The chief surgeon in the No. 1 operating room shook his head helplessly, "Actually, if Professor Qin insists on giving him a second chance to be assessed, then I can't object!"

"Don't say it, I look at this student's eyes, his calmness is really not pretending." Another doctor said, "Besides, it's not that you didn't see the speed of his blood vessel puncture before. This kind of technical level, to pericardiocentesis, is it still easy to grasp?"

  The doctor in operating room No. 3 thought for a second, and this is not rude.

   Everyone was thinking about the difficulty of pericardiocentesis, but they had forgotten the speed and accuracy of Lu Chen's vascular puncture!

   "Yu Hewei, do you think Lu Chen can do it?"

   The other assessment students gathered around Yu Hewei. Now Lu Chen's grades determine their ranking.

   From the heart, most of them didn't want Lu Chen to pass the assessment.

   Yu Hewei narrowed his eyes, he stared at Lu Chen in the catheterization room, "I hope Lu Chen can pass."

   Only in this way will he have a sense of urgency.

  Otherwise, he has been leading by a large margin in the training class, and he is a little slack.

  …

   At this point, Lu Chen had washed his hands again and put on gloves.

   "Have you chosen the puncture point?" Qin Sifeng stood beside him and said softly.

   "Well, I marked it." Lu Chen marked the right atrium of the patient's heart.

   "Then let's get started."

  Qin Sifeng is like a door god, standing beside Lu Chen, ready to take over his job at any time.

  Lu Chen took a breath and adjusted his state.

  In my mind, the process of piercing continued to appear.

   Anesthesia, puncture, needle insertion, and catheterization.

Every step of    appears so clearly in my mind.

   After the anesthesia, Lu Chen began to puncture.

  This puncture is different from conventional pericardiocentesis.

   When pericardiocentesis is performed with effusion, the puncture needle is a little deeper, and there is no big problem.

   But Lu Chen, once the puncture site is a few tenths of a millimeter deep, it may damage the myocardial tissue!

   At this moment, Lu Chen moved.

   He is holding a puncture needle in his right hand, at the place marked on the body surface, the needle is inserted!

  Lu Chen stared at the operating needle in his hand and pushed it slowly.

  Qin Sifeng was not idle by the side, he held the heart ultrasound probe to "guide the way" for Lu Chen's puncture.

   This is also a double-layer insurance!

  Lu Chen can understand the dynamics of the puncture needle through the real-time image of the ultrasound.

   "It's in position!" Lu Chen felt some resistance and immediately stopped the needle injection.

   On the screen of the ultrasound machine, the puncture needle also successfully reached the predetermined position.

   "Huh..." Lu Chen breathed a sigh of relief in his heart.

   It seemed like a simple operation, but Lu Chen's palms were sweating.

  The remaining step is to enter the catheter.

  Lu Chen didn't dare to relax at all, he took the catheter handed over by the nurse and slowly inserted it into the puncture needle.

   Under the guidance of the CARTO cardiac three-dimensional electrophysiological navigation system, he sent the catheter to the opposite side of the previous ablation site on the endocardial surface.

   After the catheter was in, the puncture needle was withdrawn.

   "Okay!" Lu Chen whispered, "The puncture was successful!"

   Qin Sifeng nodded slightly and cast an admiring look at Lu Chen.

   Don’t look at these few steps, but the operations involved are not simple.

   Technique, force direction, position, there can be no error in every point!

  Outside the conduit, everyone was silent.

   No one expected that Lu Chen's puncture would be so easy.

  Yu Hewei looked at Lu Chen in the catheterization room with a smile on his lips, "Lu Chen, you really didn't disappoint me! The second stage will be interesting!"

   in the classroom shown.

  Fang Ruzhang also realized that Yao Jie's blind pericardial piercing is somewhat credible!

  Lu Chen's skilled operation skills are no longer comparable to those of ordinary attending physicians or deputy chief physicians.

   Without years of clinical practice, it is absolutely impossible to have such proficiency!

  Wan Jingshui also shook his head slightly and sighed, "I really don't know how Lu Chen trained?! Can the Second Academy of Jinghua cultivate such outstanding talents?"

  …

   Catheterization lab, in operating room No. 3.

When the    catheter reached the designated position, Lu Chen started the discharge operation.

  This time, after the discharge ablation, the ventricle disappeared immediately!

   In order to avoid the previous situation, Lu Chen consolidated and ablated several times, and the effect was significantly better than before.

   A small amount of premature beats still appeared during the extended observation time of several minutes, which was consistent with the preoperative appearance.

  Lu Chen calmly adjusted the position of the catheter, and the fragmentation late potential was mapped at a position slightly outside and below, which indicated that the place was closer to the origin!

   Continue the discharge ablation, and after consolidation again, the room has finally completely disappeared!

   However, the operation is not over yet.

  After ablation, induction experiments must be performed to ensure that the arrhythmia does not easily recur.

  Lu Chen stopped the discharge, and asked the patient to hold his breath while injecting isoproterenol to try to induce ventricular early.

   After observing again for more than 20 minutes, on the ECG monitor, I didn't see a morning!

   Lu Chen walked off the operating table only when he was in normal sinus rhythm.

   The ablation of the "internal and external" pincer attack was successful!

   The duct room at this time.

   "Lu Chen, congratulations, you passed the test!"

   Everyone was stunned for a few seconds. With Qin Sifeng taking the lead, the entire catheterization room burst into prolonged applause!

   After get off work, I have to drink with the boss, no way!

   I have gained weight recently...

   Today is only two shifts, everyone go to bed earlier.

   (end of this chapter)