Anesthesiologist Zhang Tinghai came down to the ward again to see the patient before the operation. Before entering the ward, he first went around to the doctor's office to look for someone: "Is Dr. Xie here?"
The doctor in the office raised his head and knew who he was. The question was which Dr. Xie he was looking for.
"Xie Wanying." Zhang Tinghai said her name.
Anesthesiologist looking for an intern?
"Is Dr. Zhang looking for Teacher Tao?" He Guangyou came over and asked him, "Mr. Tao is in the office. I want to confirm with you the anesthesia conditions used during Teacher Lu's last cardiothoracic surgery and whether there are any heart problems."
Zhang Tinghai didn't want to chat with the Buddha, mainly because he had repeated the conversation several times, and the more he asked, the more frustrated and unconfident he became. He refused and said, "I talked to him about all the situations during the last operation.
"
It seemed that the anesthesiology department was so confident that He Guangyou had no choice but to let him go and report back to Tao Zhijie.
Wrong. The anesthesiology department is actually very stressful. Xie Wanying heard this from her senior sister, because everyone is afraid of Zhang Huayao watching in the operating room. The director of the Guozhi Emergency Department is very famous. How big is it? You need to know how big the country is.
Zhi and Guo Xie are hospitals under the same unit, and they have an unusual relationship. The two hospitals sometimes swap doctors to serve as leaders of each other's hospital. For example, a certain vice president of Guo Xie now was originally a doctor from Guo Zhi. Everyone is worried.
One day, by accident, this Zhang Huayao will come to the National Association to become the leader.
The anesthesia given to Zhang Huayao's mother for surgery was not done well, and the leader kept it in mind, making it difficult to talk about it in the future. Because of this, Zhang Tinghai has not had a good night's sleep in two weeks, saying he often has nightmares.
The doctor's feeling is sometimes very strange, as if he can predict the future of life.
Mr. Lu's anesthesia for cardiothoracic surgery was just a small test, and this surgery outside the liver and gallbladder was the real deal. Surgeons and anesthesiologists must put all their belongings aside.
Knowing that the patient's anesthesiologist came to see her, Xie Wanying called back to ask what the situation was.
"Let me ask you." Zhang Tinghai opened his mouth and asked her, "Zhang Huayao asked you what plan you wanted to prevent bleeding, and what did you write to him? I asked Tao Zhijie, and Tao Zhijie said no."
Don't lie to him about that Buddha, it's an important operation.
Xie Wanying wanted to report what she wrote to Teacher Zhang, so what Senior Brother Tao told was the truth. Teacher Zhang thought what she wrote was nonsense, so she stopped talking.
"You said it was unlikely that there would be major bleeding." Zhang Tinghai analyzed her words based on his experience as an anesthesiologist. "Could it be because Teacher Lu's heart was not in good condition, and could there be a bile-cardiac reflex during the operation."
In hepatobiliary surgery, the bile-cardiac reflex is a relatively common intraoperative rescue condition of patients. It is related to the rich vagus nerve in the inner wall of the gallbladder and the surrounding bile ducts. The surgical instruments pull the gallbladder and bile ducts, stimulating the splanchnic nerves in the inner wall of the gallbladder, causing excitement.
After being transmitted to the parasympathetic low-level center of the brain's medulla oblongata, it is then transmitted to the heart through the vagus nerve. The patient's heart rate slows down, his blood pressure drops, or even cardiac arrest. The operation is stopped urgently and intraoperative rescue is performed.
Severe bile and cardiac reflexes will undoubtedly lead to death. Clinically, there have been cases where cardiothoracic surgery could not save the patient even if he opened the chest and performed cardiac massage. This shows how high the risk of bile and cardiac reflexes is.
"As long as it is an operation, there are risks." Xie Wanying said that various accidents occur frequently in every surgical operation.
