The patient's condition is urgent and requires surgery as soon as possible.
The patient was transferred from the hematology department to operating room 3 of the cardiothoracic surgery department.
Jiang Qiang came after hearing the inquiry and immediately conducted a series of examinations on the patient.
He didn't expect the patient to be so young.
He believed in Zhao Yuan's ability, but the patient's uniqueness made his heart clouded.
Jiang Qiang considered whether to invite experts who are good at treating children's heart diseases to participate in this operation.
Zhao Yuan and the anesthesiologist began to discuss the anesthesia plan.
"Atrial fibrillation may occur during the operation, so we have to make alternative plans now."
The anesthesiologist had heard Zhao Yuan's name but didn't know Zhao Yuan's anesthesia level, so he casually said: "Propafenone, 1/kg."
Zhao Yuan frowned, "It doesn't work, are there any other options?"
"Give propafenone again after 20 minutes, and intravenously pump Codalone."
This is a very standard medication regimen!
The anesthesiologist knows everything by heart.
Dr. Shi is a little dissatisfied with Zhao Yuanlue. Does the intern in front of him test himself with basic knowledge?
Zhao Yuan and Jiang Qiang said solemnly, "I will do the anesthesia later during the rescue, okay?"
The room fell silent instantly.
Zhao Yuan’s request is a bit crazy!
Dr. Shi was so angry that he was trembling all over. He had worked in Tianhua for many years, and no matter which operation he performed, he was not complimented. Now he was disliked by a young doctor, and his blood pressure soared!
Jiang Qiang secretly thought that Zhao Yuan was usually tactful.
Why do you seem a little reckless today?
Jiang Qiang emphasized softly: "Dr. Shi is a very experienced anesthesiologist!"
Zhao Yuan explained patiently: "I'm not questioning Dr. Shi's skills. The operation is very difficult. I'm not completely sure. When severe atrial fibrillation occurs, the situation will be extremely serious. There should be only one voice in the operating room, and Dr. Shi and I have
If the opinions are inconsistent, the operation will most likely fail."
Jiang Qiang understands Zhao Yuan's concerns. If severe atrial fibrillation occurs, how to use anesthesia will affect the patient's condition. Any hesitation or dispute will lead to failure of the operation.
Zhao Yuan behaved very strongly at this moment.
Seeing that Jiang Qiang was still hesitating, Zhao Yuan expressed his judgment on the difficulty of the operation:
"The guidewire will enter the patient's body from the tricuspid valve. When operating on the artery, each movement will induce an electrophysiological reflex of the heart.".c
Jiang Qiang is also experienced, and the tip of his nose is sweating. "It is indeed likely to cause severe atrial fibrillation. You need a few minutes!"
"Five minutes, no, three minutes is enough." Zhao Yuan said with firm eyes.
Jiang Qiang was silent for a few seconds, "I'll give you anesthesia! I'll buy you five minutes!"
Zhao Yuan did not expect Jiang Qiang to be willing to anesthetize himself.
Jiang Qiang's level is very high. A doctor of his level is not only proficient in surgery, but also has an extremely high level of anesthesia.
Zhao Yuan breathed a sigh of relief, "Thank you for your support!"
Jiang Qiang patted Zhao Yuan on the shoulder, "Why are you so polite? Relax!"
Knowing that the operation was about to begin, Zhu Haixia took Xu Qin and Huang Gang to the observation room outside the operating room.
There are already people in the room, waiting for the next surgery.
Most of these observers are doctors from cardiothoracic surgery, and some are doctors from emergency surgery and neurosurgery.
In addition to the young doctors, there were also several deputy director-level doctors. After seeing Zhu Haixia, they all came forward to say hello.
Xu Qin secretly wondered that it was unbelievable that so many people were watching on the spot when an intern performed surgery.
"It is said that the success rate of this operation is only 60%."
"This success rate is actually ridiculously high. Even though it is an interventional surgery that involves the heart, you cannot be careless for a moment. If you make a slight mistake, the patient will not be able to get off the operating table."
"I wonder if Zhao Yuan, as rumored, has reached the level of chief physician in cardiac interventional surgery."
"There are rumors outside that he once used interventional methods to remove two bullets from a patient's body. If this is true, there is no doubt about Zhao Yuan's level."
A picture appears in the operating room.
Seeing the positions of several doctors, everyone immediately knows the division of labor of each doctor.
Soon, someone noticed something was wrong, "I saw that right, Director Jiang is actually standing in the position of the anesthesiologist."
Although the anesthesiologist plays an important role in an operation, he is not the core of the operation.
Director Jiang's move is tantamount to giving Zhao Yuan support!
Not only did everyone talk about it.
Xu Qin's heart immediately stirred up huge waves.
The person she looked down upon was treated so highly by the chief director of cardiothoracic surgery.
Huang Gang also felt like he was getting an electric shock!
In the operating room, preparations are complete.
Zhao Yuan gave the doctor's order, "Director Jiang, please give 20 cedilans for intravenous injection."
Jiang Qiang quickly began to carry out Zhao Yuan's orders.
He was beating a drum in his mind. Cidilan is a fast-acting new drug that can strengthen myocardial contraction and slow down the heart rate. It has fast action and low accumulation.
For an adult, it is not much, but for a four-year-old child, it is already excessive.
When Zhao Yuan saw Jiang Qiang starting to push the medicine, he emphasized: "I'll give it in an hour."
Jiang Qiang sighed secretly, that is, he helped Zhao Yuan with anesthesia,
If it were Dr. Shi, he would never allow such a large dosage, because according to common sense, it can easily lead to digitalis poisoning.
Jiang Qiang has great trust in Zhao Yuan. He believes that Zhao Yuan will not be unaware of the dangers of taking large doses of medicine.
He nodded slightly towards Zhao Yuan to express that he had received it.
Zhao Yuan was secretly grateful to Jiang Qiang,
He carried out the doctor's orders without hesitation, which was based on his trust in himself.
Therefore, I cannot let him down.
Outside the operating room, a man in a suit hurried over.
When the child's mother saw her husband appear, she couldn't bear it any longer. Worry and despair turned into tears, and she instantly became a tearful person.
The man was on a business trip, and when he learned that his son had an accident, he rushed back.
"Where's the baby?"
"Already in the operating room."
The man held his wife in his arms and said, "Don't worry, he is strong and he will get better."
The wife pushed the man away and said nervously, "I heard just now that the surgeon in charge seems to be very young, even an intern."
The man was slightly startled, "Tianhua is a big hospital, so you won't do anything random, right?"
The wife gritted her teeth and said, "You'd better ask for help."
The man nodded, "I'll go find Academician Zhu right now."
The man dialed Zhu Haixia's phone number and said, "Academician Zhu, was it a particularly young doctor who performed the surgery on my son?"
Zhu Haixia did not hide anything, "The doctor is very young, but there is no doubt about his skill. The operation has already begun! You can rest assured and wait for the results!"
After hanging up the phone, the man shook his head at his wife and smiled bitterly, "The operation has already begun, and there is no way to change the surgeon. In addition, Academician Zhu has also guaranteed that this operation will be a complete success."
Zhu Haixia knew the purpose of the man's call.
The man is a well-known young entrepreneur in Baiyun City. He found Zhu Haixia's team through many connections. As for the child's bone marrow, he also used a lot of human resources to find it.
Although Zhu Haixia knew that Zhao Yuan was quite capable, she was still a little worried at the moment.
If the operation fails, the hospital will be in a lot of trouble.
After all, the catheter falling off has something to do with the hospital.
Zhao Yuan went to the operating table.
Soon, the ECG monitor began to sound alarms frantically.
Whether in the operating room or outside the operating room, everyone's heart is in their throats.
Jiang Qiang pushed a tube of Zhidi potion into the child's body.
"The Dragon Returns"
Do you want to use it?"
"It's okay, give me another 75.
Adrenaline, intravenous injection.
Don’t slow down the isoproterenol.”
Zhao Yuan issued instructions one after another.
Dr. Shi, who was watching the operation, turned pale.
The dosage of medicine Zhao Yuan took was too scary.
The key is, one dares to say it and the other dares to do it!
Jiang Qiang faced Zhao Yuan's medical advice without any hesitation!
