She answered so readily, which showed that this student was confident. Du Yeqing's eyes flashed with Dao Rui, and he instructed: "Do as she says, and adjust your heart rate to 50 beats per minute."
Dr. Pang adjusted the heart-lung machine and the patient's heart rate started to rise again.
There was bleeding again, and the surgical team had already noticed it. The separation forceps were immediately inserted accurately into the bleeding area to separate the invisible crack. It happened that this crack led to the right ventricle, very close to the tumor attached to the ventricular wall on the CT film. The surgeon immediately removed the foreign body and initially predicted that it was a thrombus with the naked eye. For safety reasons, it was sent to the pathology department for rapid pathology screening. When suturing, the chief surgeon instructed the extracorporeal circulation technician: "Continue to follow the heart rate she said."
Xie Wanying was nervous when she was suddenly entrusted with an important task by the teacher.
I can't answer casually like I'm answering an academic question. I stood up and repeatedly observed the hand movement data of the review teacher and the monitor data to estimate the rhythm of the surgeon's needle insertion. After thinking it over, I suggested to Teacher Pang: "You can try to slow down your heart rate to 35 beats per minute. Teacher Du's movements are small but fast."
Dr. Pang adjusted the heart-lung machine so that the patient's heart rate was close to the rate she said.
Everyone looked at the monitor screen, watching the surgeon insert the needle almost at the same time as the right ventricle contracted, and the needle was lifted at the same time as the right ventricle relaxed. This scene was quite magical and wonderful.
All I can say is that Ye Qing did the right thing. It is a good thing to recruit a student who can touch his own head into the operating room.
After repairing the right ventricle, we come to the key left ventricle. According to the plan, a coronary artery bypass grafting will be performed here. First, a section of the internal mammary artery will be taken to prepare the bridge. With the IVUS as a forerunner, the surgeon has a preliminary judgment on which coronary artery has problems. Now we use esophageal ultrasound to determine whether there is a coronary artery fistula. The position of the esophageal ultrasound probe in the esophagus can be adjusted, and different lengths of penetration into the esophagus can detect different parts of the heart and large blood vessels. To detect the left ventricle, the probe needs to penetrate about 30 centimeters into the esophagus. The ultrasound machine screen will show a four-chamber section of the heart, where you can see the valves, the left and right ventricles, and the left ventricular outflow tract.
...
...
The anesthesiologist operated and the surgeon observed. There was no abnormal blood flow signal on the ultrasound screen. If the result was correct, it proved that there was no fistula and only a bypass was needed.
There was a moment of silence in the operating room, and everyone was wondering whether Ye Qing's premonition was correct.
"Yingying, what do you think?"
It was Senior Brother Shen who turned around and asked her another question.
The senior brother asked her because time was tight. Anyway, her answer was that if the surgeon thought it was okay, then use it. Xie Wanying did not hesitate and answered directly: "Try to withdraw the probe about 1 cm."
The anesthesiologist was very fast and retracted the probe without the surgeon's instructions.
Doctors in big hospitals are very decisive and will respond within seconds to any attempt that does not involve great risk.
As he stepped back, a trace of abnormal blood flow signal appeared on the screen.
Huh, the operating room was filled with sighs of relief. Because they knew that Du Yeqing's experience and intuition were unlikely to be wrong, it would be fatal if they could not find the problem quickly. For doctors, apart from the operation during surgery, the most difficult thing was to find evidence to start with.
If there is a fistula, the area is precisely treated, plugging the leak and bridging the area. The surgeon takes the prepared gasket and places it on the fistula for suturing.
After the two parts of the operation were completed, the time was fixed at thirty-three minutes, which was almost magical.
Continue read on readnovelmtl.com
