C999 Cooling Decompression
cooling decompression
Two minutes passed in the blink of an eye. All of the monitors in the operation room displayed the same data. Chen Qun was not only a little dazed, could it be that the trace of blood-red he saw on the diagnosis panel was fake? Perhaps the patient's condition had improved a little?
A few questions surfaced in Chen Qun's mind, but in the end, he did not have any intention of checking his System Space. After all, to him, this was just a "minor surgery";
Chen Qun no longer hesitated and immediately issued his next command.
"Left thoracic artery - left anterior descending branch beginning suture! Line 8 was sutured continuously. Lu... Doctor, you cooperate with me to fix the patient's blood vessels. Also prepare 500CC warm water, which is at a temperature of 25 degrees Celsius, and place it in the big Syringe. "
Chen Qun took the needle holder and the surgical thread that his girlfriend handed to him, turned into a robot, and simply and quickly began to sew. Chen Qun took the needle holder and the surgical thread that his girlfriend handed to him, turned into a robot, and simply and quickly started sewing.
"Teacher, it's a good thing that Chen is not in our department. Otherwise, I, as the newly appointed director, would have to step down immediately." Among the blood vessels within fifteen millimeters of the lumen, there was a gap of fifteen needles which could be completed without the slightest tremor. It was no different from the arm of a machine. I feel that it would be great if I could complete the eight needles, but as for the spacing, there's no need to consider it! "
Koo Ning, who was standing on the stage with his arms crossed, exclaimed.
Yang Xiaoquan knew that even at his peak, he could at most complete 6 or 7 needles. This was the difference between physiological structure and brain circuits, and it was impossible to imitate it. However, as long as he reduced the number of needles according to Chen Qun's posture, it would be a standard surgical procedure.
Originally, he wanted Chen to give him a more reasonable operation method, but this guy gave him a perfect standard operation method as usual. It was simple, feasible, and easy to replicate.
"Suture completed, blood vessel transfusion started!"
Chen Qun put down the needle holder and issued an order to Zhou Lin, who was taking care of the extracorporeal circulation system.
"Understood. Dismiss the blood flow!"
Looh Yi let go of the tweezers in his hand and sighed as he looked at the tightly sewn veins. This was way too strong, not even a single drop of blood could be seen from the seams of his aorta. He was indeed the legendary god of hemostasis. Just by using this technique to stop the bleeding, any surgery would be easy! "
Thinking about this, Looh Yi had a hint of understanding in his heart. He knew that in order to make great progress in his technique, he must improve from the aspect of the most difficult hemostasis technique, the other techniques were secondary. As long as he could learn how to stop the bleeding first, then the accident during surgery would be minimized.
Maybe he didn't know how to upgrade the technique, but as long as he paid attention to Chen Qun's movements, he would be able to consult him after the surgery.
"OK, artificial heart and lungs, separate!"
Chen Qun continued to instruct him as if he was teaching, and he felt like he had become a teaching machine. In a real emergency operation, he would only give a few crucial instructions, and the rest was a tacit understanding of each other. Although the assistant doctors who were working with him were all rookies, the more they worked together, the less of an impact it would have.
The moment Zhou Lin turned off the extracorporeal circulation mechanism, a few dissonant voices sounded in the operation room.
"Pulmonary artery pressure (PAP) is increasing, pulse-free electrical activity index (PSI) 40, pulse 110, pulmonary artery pressure (PAP) is still rising!". (TL: PAP/PAP/PAP/PAP/PAP/PAP/PAP/PAP/PAP/PAP/PAP/PAP/PAP/PAP/PAP/PAP/PAP/PAP/PAP/PAP/PAP/PAP/PAP Pulse free electrical activity index rose to 50... "
Before Chen Qun could answer, Yang Xiaoquan's voice came through the loudspeaker.
"Chen, this operation looks very successful, how could there be an accident? Do we need to reoperate and immediately use tracheostomy to reduce pulmonary artery pressure? "
Chen Qun calmly looked at the numbers that continued to rise and shook his head as he gave his answer.
"There is no need for either. You only need to pour a little warm water over the heart and the pulmonary arteries to cool them down! Little Lu, execute it immediately! "
Chen Qun signaled the nurse to remove the microscope from his eyes and answered the question.
Little Lu?
Looh Yi felt that he had really become one of the core members of Chen Qun at this moment. His heart started to beat faster and faster, just like the patient's arterial data, but his hands didn't hesitate at all. He picked up the large syringe Chen Qun had the nurse prepare earlier and slowly injected the water around the heart to cool it down.
As the warm water was poured onto his heart and blood vessels, the buzzers all around immediately stopped beeping. Zhou Lin's voice also reported on the side.
"Pulsatile pulse pressure stopped rising. Pulse free electrical activity index dropped to 55, 45, 40, 35. Arterial blood pressure dropped to 70. All physiological indexes returned to normal."
Yang Xiaoquan's voice continued to reverberate in the room.
"Chen, how did you determine that this is the most common problem at the end of artificial heart and lung separation? "You don't seem to have experienced such an incident in any surgery. You probably don't have that kind of experience!"0
As for Yang Xiaoquan's question, Chen Qun would never tell him the truth. Perhaps the shameful achievement of his Ten Thousand Slaughter was the proof of everything. No doctor would be able to do that since tens of thousands of patients had already died under the scalpel.
But of course, Chen Qun had an excuse. He directly gave an answer that Yang Xiaoquan didn't know whether to laugh or cry.
"For a heart Surgery Doctor, the most important ability is whether or not they can see through a problem. Whether or not it's a serious problem, this kind of observation and judgement is the basis. If the foundation was wrong, the operation would be useless no matter how well it was done. Although I have no experience in this area, I know that this problem is a common problem. I paused for two minutes to avoid similar problems, but the result still happened, so I only need to do a little bit of work, not perform a second operation to increase the burden on the patient. "
"Then why did you think that such a situation could happen just now? Why did you prepare yourself?"
Yang Xiaoquan asked the question straight to the point. Immediately, all the doctors and professors pricked up their ears and listened to Chen Qun's answer. The prevention was often caused by a doctor's cautious nature, but to be able to determine the specific situation required a lot of clinical experience. Chen Qun's way of thinking was different from an ordinary person's. It was widely accepted that even without his "mental state", one could still learn from his thinking.
"The increase in blood pressure just now was probably due to the slowing of the blood flow caused by the contracture of the left internal thoracic artery. After all, if we took a blood vessel at that location, it would inevitably lead to a stress reaction in the matrix. For a moment, blood would return to the area of the left coronary artery. So, what we need to do is to pour warm water on the periphery, stop the contracture of the arteries, and naturally restore them to their original state. "
Yang Xiaoquan turned around and smiled at the group of doctors and professors as he gave his conclusion.
"At first you didn't think there was much value in watching this operation, but now you know where it is. This is the old way of using it. Remember, the next time you have an overpressure artery during a coronary artery bypass surgery, just pour a little water over your heart and you'll be able to solve the problem without the need for a knife. "
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