This kind of decision made by Zhou Sheng also carries huge risks.
Especially when the patient is unconscious and the patient's family members are not present.
If something happens and the family members make a fuss, it's very likely that they won't even have to work as a doctor in this life.
The consequences may be even worse than those of Tang Aiyun before.
But Zhou Yisheng is not afraid. He has just completed the main level dungeon, and with the systematic help in the implementation, he is confident to mend this broken heart!
Not to mention the 90% rescue success rate. The success rate is even lower than this, and Zhou Yisheng has also dealt with it in the dungeon.
People born on Monday are not afraid and have confidence.
Although Su Quan was a little worried, he also had some confidence in Zhou Yisheng. His brother was not a reckless person. Since he dared to do this, he must have his reasons. At the moment, saving people was the most important thing, so he didn't say anything more.
I asked Cao Xin to push the patient for a chest X-ray.
Contact anesthesia and the operating room on Monday.
The emergency chest X-ray department was also very fast. Zhou Yisheng found the operating room that day and the chest X-ray was already out.
Chest X-ray showed massive bleeding in the chest...
At this time, Zhousheng's system scan is being followed up.
The patient's heart is still bleeding.
The probability of rescue has dropped to 80%.
As predicted by Zhou Sheng, as the bleeding continues, the chance of rescue will gradually decrease.
Now that the time had come without delay, Zhou Yisheng made a prompt decision and notified Su Quan and Cao Xin to perform emergency surgery.
It's a big deal.
At this time, Su Quan reminded from the side: "Should we wait until the family members are contacted? If the patient cannot get off the operating table, we..."
Zhou Sheng is fully aware of the current situation and there must be no further delay.
Every time you delay, life passes by.
He said solemnly: "I'll sign it, and I'll be responsible for any problems."
Legally speaking, if neither the patient nor his family members are able to sign, the person in charge of the medical institution can sign.
In the emergency center, the biggest person in charge is Director Jiang.
If it is during the day when Director Jiang is on duty, and the patient is unconscious and cannot find his family members, and needs surgical rescue, he must ask Director Jiang to sign.
However, due to the special nature of emergencies, many surgeries need to be performed urgently.
Therefore, during the night shift, the most powerful person is the team leader on duty.
Although the team leader does not have a high level, he has considerable power.
But this kind of power is no joke.
Signing represents a kind of responsibility. If something happens, you will be responsible.
If Liu Zhengqing was the team leader in the past, he would definitely not dare to sign for this kind of surgery. Even if Zhou Shengsheng told him that he could do it, Liu Zhengqing would not dare.
Dean Cheng gave Zhou Yi the position of group leader.
This gives Zhou Yisheng greater room for development.
The current position of team leader comes into play at this moment.
Zhou Sheng doesn't need to ask anyone for instructions now, he can decide on the operation.
"What are you doing standing still? Get ready quickly. You will be the second assistant, and Cao Xin will be the third assistant."
Su Quan was stunned. He had to undergo a thoracotomy and may need a heart attack. For such a major operation, he felt a little guilty as the second assistant!
He hesitated for a moment and said: "Team Leader Zhou, I have never had this kind of surgery. Why don't you ask Teacher Bai and the others to come over, and I will be a soy sauce and be the third assistant?"
Zhou Shengsheng's eyes widened and he said: "What, are you scared? Are you a softie? I'm the surgeon, you can just stand aside and help. Teacher Bai is doing appendix surgery, and it will take time for others to come, so you are the one to do it."
Su Quan couldn't stand being so aroused, and thought to himself, when have I, Su Quan, ever been a softie? Since you are not afraid of being the surgeon all your life, what should I be afraid of as a second assistant?
He straightened his back: "I'm afraid of a hammer! Come on!"
Zhou Sheng patted Su Quan on the shoulder and said, "Don't look forward or backward, just rush forward and it's over."
Having said this, he looked at Cao Xin again and said, "How are you?"
Of course Cao Xin had no problem. Externally, thanks to Cao Xiangwen's aura, he had been on stage several times. He knew that the third assistant was almost here to visit and study.
So he immediately nodded in agreement.
The surgical team was established.
Emergency rescue surgery.
There was no time to do any research on the plan before surgery.
Even inspections can be saved, try to save as much as possible.
After the patient is pushed into the operating room.
On Monday, Su Quan and Cao Xin changed into surgical clothes and followed them in.
Thoracic surgery requires general anesthesia and tracheal intubation to assist breathing.
Anesthesiologists are responsible for these.
The injured patient has already had a femoral vein catheter placed in the operating room, which saves a lot of time for anesthesia.
Anesthesia induction started: dexamethasone 10 mg, midazolam 2 mg, rocuronium 50 mg, etomidate 12 mg, fentanyl 0.1 mg for rapid induction intubation. Tracheal intubation went smoothly and machine-controlled breathing was performed.
After intubation, the blood pressure was 45/36 mm hg, and the heartbeat was 85 beats/min. Phenylephrine 500 μg, ephedrine 20 mg, and epinephrine 80 μg were administered in divided doses. The blood pressure increased slightly and the heartbeat increased slightly.
The anesthesiologist assessed the patient's condition and determined that surgery was possible.
The following work was left to Zhou Sheng.
In reality, Zhou Zhou underwent extracardiac surgery for the first time in his life.
For Zhou Sheng, it is also a big challenge.
Although this heart repair surgery seems very urgent, the difficulty is not considered to be the top level of extracardiac surgery. Compared with heart transplantation and multi-valve replacement, it is still a lower level of surgery.
However, for operations such as heart transplantation, before the operation, a large number of auxiliary examinations can be carried out, such as photography, CT, MRI, and a lot of films can be taken, and the operation plan can also be studied slowly.
For example, where to perform the surgery, how big the surgical incision is, etc., you can study these carefully and be confident.
Nowadays, in rescue surgery, the only option is to open the chest first and wait until the heart is seen before proceeding to the next step.
This tests the operator's adaptability and judgment.
Zhou Yisheng has an inherent advantage here.
That is even without prior inspection.
During the surgery on Monday, as long as the auxiliary scanning function is turned on.
You can clearly know the patient's physical condition.
This is much better than photography and CT.
Thoracotomy.
There are two options for incision.
One is a midline incision in the chest, which can well expose the four chambers of the heart and the ascending aorta. If necessary, extracorporeal circulation can be established, and it can also be extended downward to the upper abdomen for laparotomy.
The other is the left anterolateral thoracotomy, which does not require special instruments to open the sternum. It is quick and easy to enter the chest. Once the cardiac tamponade is relieved and the bleeding is controlled, the sternum can be transected to extend the incision to increase the exposure of the surgical field.
Internal bleeding caused by a car accident like this.
Because not a lot of checks were done.
A midline incision on the chest is a good choice. After dealing with the heart problem, you can also perform a laparotomy to explore whether there are other bleeding points.
But there are advantages and disadvantages. This kind of surgery requires opening the sternum, which wastes a lot of time.
Zhou Sheng received systematic help and the bleeding point was identified.
So he planned to open the chest from the left front and outside.