Anesthesiologist Zhang Tinghai came to the ward to see the patient again before the operation. Before entering the ward, he went to the doctor's office to look for someone: "Is Doctor Xie here?"

The doctor in the office looked up, knew who he was, and wondered which Dr. Xie he was looking for.

"Xie Wanying." Zhang Tinghai said the name.

Anesthesiologist looking for an intern?

"Doctor Zhang, are you looking for Teacher Tao?" He Guangyou came over and asked him, "Teacher Tao is in the office. He wants to confirm with you the anesthesia conditions during Teacher Lu's cardiothoracic surgery last time, and whether there are any heart problems."

Zhang Tinghai didn't want to chat with that Buddha, mainly because he had talked about the same thing over and over again. The more he asked, the more upset he would feel. He refused and said, "I have already discussed all the details of the last operation with him."

It seemed that the Anesthesiology Department was full of confidence, so He Guangyou had to let the person go and turned back to report to Tao Zhijie.

Wrong. The anesthesiology department is actually under great pressure. Xie Wanying has heard this from her senior sister, because everyone is afraid of Zhang Huayao watching in the operating room. The title of the director of the emergency department of Guozhi is very big. How big is it? You have to know that Guozhi and Guoxie are hospitals under the same unit, and their relationship is extraordinary. The two hospitals sometimes transfer doctors to serve as the leaders of each other's hospitals. For example, a certain vice president of Guoxie was originally a doctor of Guozhi. Everyone is worried that one day, if they are not careful, this Zhang Huayao will come to Guoxie to be a leader.

Zhang Tinghai did not do a good job of anesthetizing Zhang Huayao's mother during surgery, and his superiors took it to heart. As a result, Zhang Tinghai has not had a good night's sleep for two weeks, and he often has nightmares.

...

...

Doctors sometimes have a strange feeling, as if they can predict life's future.

The anesthesia for cardiothoracic surgery was just a trial run for Dr. Lu, but this hepatobiliary surgery was the real deal. The surgeon and anesthesiologist had to bring out all their skills to prepare.

Upon learning that the patient's anesthesiologist was coming to see her, Xie Wanying called back to ask what was going on.

"Let me ask you something." Zhang Tinghai asked her, "Zhang Huayao asked you for a plan to prevent bleeding. What did you write for him? I asked Tao Zhijie, and he said he didn't have any."

That Buddha must not lie to him or hide anything from him, as this is an important operation.

What did Xie Wanying write to Teacher Zhang? She had to report to her senior brother, so Senior Brother Tao was telling the truth. Teacher Zhang thought what she wrote was nonsense, so he didn't say much.

"You said that heavy bleeding is unlikely." Zhang Tinghai analyzed her words based on his experience as an anesthesiologist. "Maybe it's because Professor Lu's heart is not in good condition. Will there be a gallbladder-cardiac reflex during the operation?"

In hepatobiliary surgery, the gallbladder-cardiac reflex is a common situation that requires intraoperative rescue of patients. It is related to the rich vagus nerves in the gallbladder wall and the surrounding bile ducts. The surgical instruments pull the gallbladder and bile ducts, stimulating the visceral nerves in the gallbladder wall. After the excitement is transmitted to the parasympathetic lower center of the medulla oblongata, it is transmitted to the heart through the vagus nerve. The patient's heart rate slows down, blood pressure drops, and even cardiac arrest occurs. The operation is urgently stopped and intraoperative rescue is performed.

Severe gallbladder-cardiac reflex can undoubtedly lead to death. In clinical practice, there have been cases where patients could not be saved even after cardiothoracic surgery opened the chest and performed cardiac massage. This shows how high the risk is once gallbladder-cardiac reflex occurs.

"Any surgery involves risks," said Xie Wanying, adding that every surgical operation is prone to unexpected situations.