Start as an Emergency Physician

As for the patient Chen Jianguo, his condition is very bad, he has been on a ventilator to maintain his life in the past few days, and he has already entered a coma, waiting for Zhou Yuan to be anesthetized after the operation.

Even if the patient is unconscious, shocked, or unconscious, it is still necessary to apply anesthesia during the operation to prevent the patient from waking up suddenly.

Moreover, there is a fundamental difference between anesthesia and coma.

Anesthesia directly isolates the patient's response to external stimuli, and the coma is only a loss of consciousness, and the stress response is likely to remain

Although comatose patients appear unconscious, this does not mean that such patients do not respond to undesirable nociceptive stimuli in the outside world.

Even comatose patients may have a significant stress response such as increased blood pressure and increased heart rate when they are exposed to nociceptive stimuli, which are harmful to the body, so anesthesia is also required for surgery on such patients.

"Dr. Zhou, get ready. Jiang Li looked at Zhou Yuan.

Zhou Yuan was just standing in the middle of the operating room, but Jiang Li felt the depression he had felt in Professor Chen Jingyu from him.

It's something indescribable, as intangible as temperament, but it's real.

"Let's get started. Zhou Yuan said in a deep voice.

The anesthesiologist stepped forward, glanced at the time, recorded the time of the operation, and started the first dose of anesthesia.

The anesthesia of coma patients is relatively difficult to control, and ordinary people can judge whether the anesthetic dose is appropriate through consciousness, but the coma patient himself is not conscious, how to judge?

Only a rough guess can be made based on some stress responses.

Of course, this guess is actually relatively accurate, even the stress reaction is gone, and the anesthetic effect is naturally excellent.

After about ten minutes, the anesthetic finally took effect, and the anesthesiologist stepped aside.

Zhou Yuan did not hesitate and began the operation the next moment when the anesthesia was completed.

The patient has completed various examinations before the operation, including cardiac catheterization, coronary angiography, etc., which can be regarded as fully prepared.

Compared with the last double lung transplant, the situation this time is much better, whether it is the health status of the donor lung or the condition of the recipient himself, it can be regarded as more optimistic.

Before anesthesia, the patient had completed the intubation, and at this moment the Swan-Ganz catheter was placed in Chen Jianguo's pulmonary artery, and an epidural catheter was preset.

Epidural catheters are not useful intraoperatively and are primarily used for postoperative analgesia.

Chen Jianguo was in a supine position, and his arms were fixed on the anesthesia frame above his head to prevent blocking the surgical field and hindering the operation.

Zhou Yuan held a scalpel in his hand, and after completing the marker, he cut Chen Jianguo's chest cavity in the middle of the upper abdomen along the opening position of the marker, and then began to free the omentum, dividing the omentum into two omentum pedicles in a longitudinal row.

The omentum pedicle is rich in blood vessels, and it is necessary to preserve the blood supply to each vascular pedicle when it is free, and it is necessary to pay special attention because it is prone to injury.

This time, Zhou Yuan's heart was much calmer, and he was able to focus more on the operation.

Zhou Yuan was actually reluctant to operate on his mother's surgery before, but there was no way, he was the only one in the hospital who could do it, and he had to take it.

Doctors are most afraid of patients who are related to them, and there is an unwritten rule among surgeons that they do not operate on their own family or friends.

Because it is their relatives lying on the operating table, it is difficult for doctors to calm down and worry too much about accidents, but often the more worried, the more likely it is to happen.

Because of emotion, the doctor loses his calm and objective judgment, which is an extremely important thing on the operating table.

There was once a famous doctor in neurosurgery, and his mentor's daughter suddenly fell seriously ill and needed surgery, so he found this famous doctor in neurosurgery, and the famous doctor could only follow because of the kindness between him and his teacher.

However, on the operating table, after completing the anesthesia, the famous doctor asked his disciple to prepare the main surgery, and his original words at that time were: I am afraid that the operation will fail and leave a shadow for a lifetime.

The disciple's medical skills were not as good as his, but even so he chose to escape, because he was too afraid of failure and couldn't even concentrate on the operation, so he could only let the disciple replace him.

Zhou Yuan and Chu Chu are not related by blood, and even during that operation, they can only be said to have met in Pingshui, and they have nothing to do with Chu Chu's mother, but the red candy given by Chu Chu really touched Zhou Yuan and made Zhou Yuan have a sense of responsibility for Chu Chu.

But fortunately, the operation ended perfectly.

This time, the patient had nothing to do with Zhou Yuan, and he was able to deal with it more calmly.

Jiang Li served as a helper on the side, assisting in providing the field of surgery and passing the instruments.

"Doctor Zhou, I'll help you transcribe your sternum..."

Zhou Yuan: "No, just give me bone forceps." "

"Doctor Zhou, I'll help you separate your right lung..."

Zhou Yuan: "No, just cut it for me." "

"Doctor Zhou, I'll come..."

"No, just stand next to it. "

Jiang Li was holding a vascular plier in his hand, and was driven to the side by Zhou Yuan, looking confused.

I'm special...

I'm a suke! How can I be like the doctors who came to observe?!

Since the operation, his gloves have not been stained with blood, so he has taken care of taking the instrument in the surgical tray to Zhou Yuan...

"Dr. Jiang, help me pull open my chest wall. Zhou Yuan said.

Jiang Li ran over with an excited face, and finally put his hands into the patient's chest cavity and pulled the chest wall apart.

Half an hour after the operation began, Jiang Li's gloves were finally stained with blood...

The 50-year-old doctor was as excited as an intern who had just stepped onto the operating table, "Dr. Zhou, in fact, I can not only help pull the chest wall, but also cut the lung lobe..."

Zhou Yuan interrupted him: "Pull it better, you can't see the lung lobe." "

Jiang Li immediately straightened his body: "Okay!"

Observing Anatomy: ...

"Damn... How did our Grand Director become like this?"

"I seem to see that I was disgusted by the director when I operated with the director!"

"Look at it, look at the aggrieved little eyes of the director!"

Jiang Li: ???

What the hell...

Is it, the big director, who is too old to lift a knife, or do you think I have bad ears?!

Is it just complaining behind my back!

"Chen Li and Wang Sheng, are you going to be promoted to deputy director recently? Jiang Li said with a smile.

In the operating room, the two senior attending physicians immediately trembled and regretted it.

A doctor's paper is something even more scary than a difficult operation... If you don't choose the right direction, sometimes you won't be able to get an operation that can be written into your thesis for three or four years.

Buying a paper for a million is not uncommon in the medical world...