I Can See Health

Vol 2 Chapter 761: Emergency surgery?

   Chapter 761 Emergency surgery?

  I don't know who spread the news, Lu Chen plans to vigorously develop TAVR surgery in the hospital, and even set up a TAVR team.

   At this moment, the entire Cardiology Department exploded.

  Most young doctors are eager to try, and even some veterans want to join Lu Chen's team.

  TAVR is currently a brand new field and has a very bright future.

   The most important thing is that coronary stents have begun to be collected centrally, the price has dropped significantly, and coronary intervention has gradually declined. TAVR surgery is a sweet pastry.

   In just one afternoon, more than ten people came to look for Lu Chen.

   All are self-recommended doctors who want to join Lu Chen's TAVR team.

   In addition, many people came over through other doctors in the department.

   This made Jin Miao feel a sense of crisis, especially afraid that someone would take his place.

   However, Lu Chen did not promise anyone for the time being.

  Although he is willing to teach TAVR surgery, the students would rather be short than abused.

   Once absorbed into your own team, you have to be responsible for your own "students".

  …

   As for the condition of the surgery patient, it has greatly improved from before the surgery.

   In CCU, there is no family escort.

  The old lady is different from ordinary old people, and she doesn't feel afraid at all.

   "Professor Lu, have you started a family yet?" The old lady pulled Lu Chen's hand, unwilling to let it go.

   In order to avoid the next nagging, Lu Chen could only quickly say: "It's done, it's done."

   "Oh, what a pity." The old lady was quite disappointed, "My granddaughter, she looks good and has a good temper. She is still a graduate student."

  Lu Chen: "..."

   He still admires these old ladies. They are all lying on the hospital bed, thinking about being a matchmaker for others.

   After comforting the old man a few words, Lu Chen went home from get off work.

  …

That night.

  Guanghai Central Hospital.

  CCU Ward.

   Today's night shift seems extra busy.

   It is 8pm now, and five patients have come to the CCU ward.

  The doctors and nurses on duty are all busy.

   After a while, the two nurses got together and chatted quietly.

   "Xiao Rong, look, the doctor on duty today is too hot."

  The nurse named Xiaorong nodded quickly, "Doctor Zhang should go to the temple to worship, I heard that every time he goes to work, he has to send someone away, and he is called black impermanence."

   "Oh, don't scare me!" Another nurse exclaimed in surprise, "There are two very sick patients on my bed!"

   "Then I'm fine. The beds are all in stable condition, and one is waiting for surgery tomorrow." Xiao Rong grinned.

   The beds she manages are full, and there is no need to admit new patients at night.

   "Forget it, I won't talk to you anymore, I'll go check the room again."

   After saying this, the little nurse left.

  Xiao Rong is sitting in the ward, ready to pick up his mobile phone and scan today's circle of friends.

   At this moment, in the silent ward, the sound of the monitor alarm sounded abruptly.

   Xiaorong was startled, and quickly followed the sound.

  At some point, the 35-bed patient was already sitting on the bed.

   His face was pale, panting heavily, and cold sweat was oozing out of his forehead.

   Seeing that the situation was not right, Xiaorong put down his mobile phone, ran forward immediately, and shouted in the direction of the doctor's office, "34 beds for rescue!"

  As a CCU nurse, her professionalism is still very good. She checks the patient's status at the first time, and has all the ambulance and defibrillator ready.

   Increase the oxygen intake and prepare rescue medication.

   Inquire about the patient's status, take another blood pressure, and wait for the doctor to come.

  The doctor on duty rushed over immediately.

   He recognized the patient in front of him at a glance, the one who was going to have TAVR surgery tomorrow.

   orthopnea, shortness of breath, sweating profusely.

   "Damn it, isn't it an acute heart failure attack?"

  The doctor on duty will examine the patient in the shortest possible time.

   The lungs are full of moist rales, and the blood oxygen is less than 90% in the state of oxygen inhalation.

   The most alarming thing for the doctor on duty is that the patient's blood pressure can no longer be maintained!

   Acute heart failure attack is not scary, the most fear is the collapse of blood pressure!

   Heart failure requires diuresis, and low blood pressure requires fluid replacement.

   These two are in conflict with each other!

   "One pump of norepinephrine!" The doctor on duty immediately began to issue emergency medical orders.

   "Push another furosemide!"

   "The patient's blood oxygen cannot be maintained, prepare for endotracheal intubation!"

  …

   After half an hour of rescue, tracheal intubation, and then on a ventilator, the vital signs of the 35-bed patient finally stabilized.

   "Like this, can I still have surgery tomorrow?" The doctor on duty shook his head slightly.

   After thinking about it, he still informed Director Shi Langqin of the patient's condition as soon as possible.

   At this time, Shi Langqin was entertaining Dean Dai Wansong who had come from afar.

   The two hadn't seen each other for many years, and they were chatting happily.

   "Old Shi, I think if you came to the Magic Capital with me back then, the development would definitely be better than me!"

  Dai Wansong drank a small glass of white wine and his face turned slightly red.

   "Guanghai is not bad!" Shi Langqin said with a smile, "Anyway, I must earn no less than you!"

   "You ah you..." Dai Wansong shook his head with a smile, "What do you need so much money for, just enough."

  Shi Langqin shook his head slightly, just as he was about to say something, the phone suddenly rang.

   "Sorry, I'll take a call."

   Seeing that it was a call from the department, Shi Langqin still picked it up.

   "Professor Shi, the 35-bed patient in the CCU just suffered from acute heart failure!"

  The voice from the phone made Shi Langqin nervous immediately, "How is the person now?"

   "Intubated, barely guaranteed a life."

  Shi Langqin was silent.

   This patient is the one he is going to have surgery on tomorrow.

  It happened just today!

   "Okay, I'll go back to the hospital to have a look later."

   hung up the phone, Shi Langqin's face was solemn.

   "What's the matter?" Dai Wansong immediately noticed his abnormality.

   "Tomorrow's surgery may not be possible." Shi Langqin said solemnly, "The patient suffered from acute heart failure just now and has been intubated."

   "I said it before, this patient is at a very high risk." Dai Wansong said calmly, "You said before that you would have to wait for the operation next week, and the patient will definitely not be able to wait. Now we can talk about whether we can make it through tomorrow."

   "Hey, it's too late to say anything now." Shi Langqin shook his head helplessly.

   "It's not too late!"

   Dai Wansong's sudden words really made Shi Langqin stunned in place.

   "You can do emergency TAVR!"

  Shi Langqin was astonished when he heard the words, "Can you all do emergency care in the Demon Capital now?"

   Emergency surgery is several orders of magnitude more risky than normal surgery!

   Uncontrollable factors increase, and the patient is in the state of tracheal intubation, and the ventilator will affect the delivery of the valve.

   "There was a case before." Dai Wansong nodded slightly, "We can try it!"

   "Great, let's hurry back to the hospital."

   Then, Shi Langqin immediately took Dai Wansong and returned to Guanghai Central Hospital.

   (end of this chapter)

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