I can see health

Chapter 761 Emergency surgery?

I don't know who sent the news, Lu Chen plans to vigorously develop TAVR surgery in the hospital, and even form a TAVR team.

This time, the entire cardiology department exploded.

Most young doctors are eager to try, even some old qualified doctors want to join Lu Chen's team.

TAVR is currently a brand-new field with great promise in the future.

The most important thing is that the centralized procurement of coronary stents has begun, the price has dropped sharply, and coronary intervention has gradually declined. TAVR surgery is a favorite.

In just one afternoon, more than a dozen people came to look for Lu Chen.

All are self-recommended doctors who want to join Lu Chen's TAVR team.

In addition, many people came here through other doctors in the department.

This made Jin Miao feel a sense of crisis, especially afraid that someone would take his place.

However, Lu Chen did not agree to anyone for the time being.

Although he is willing to teach TAVR surgery, the students would rather be short than excessive.

Once absorbed into your own team, you have to be responsible for your "students".

……

As for the condition of the surgical patient, it has been greatly improved compared to before the operation.

In the CCU, there are no family members to accompany them.

The old lady was different from ordinary old people, she didn't feel afraid at all.

"Professor Lu, are you married yet?" The old lady held Lu Chen's hand, unwilling to let go.

In order to avoid further nagging, Lu Chen could only quickly say, "It's done."

"Hey, what a pity." The old lady was quite disappointed, "My granddaughter is good-looking and has a good temper. She is still a graduate student."

Lu Chen: "..."

He still admires these old ladies, they are all lying on the hospital bed, and they still want to be matchmakers for others.

After comforting the old man with a few words, Lu Chen went home from get off work.

……

That night.

Guanghai Central Hospital.

CCU ward.

Today's night shift seems to be extraordinarily busy.

It's eight o'clock in the evening, and five patients have already come to the CCU ward.

All the doctors and nurses on duty are busy.

After working for a while, the two nurses got together to chat quietly.

"Xiao Rong, look, the doctor on duty today is too popular."

The nurse named Xiaorong nodded quickly, "Dr. Zhang should go to the temple to worship. I heard that every time he goes to work, he has to send someone away. He is called Heiwuchang."

"Oh, don't scare me!" Another nurse said in surprise, "There are two seriously ill patients on my bed!"

"Then I'm fine. The condition on the bed is stable, and one is waiting for surgery tomorrow." Xiao Rong grinned.

The beds she manages are already full, and there is no need to admit new patients at night.

"Forget it, I won't talk to you anymore, I'll go round the room again."

After saying this, the little nurse left.

Xiaorong was sitting in the ward, ready to pick up his mobile phone and check today's circle of friends.

At this moment, in the silent ward, the alarm sound of the monitor suddenly sounded.

Xiaorong was startled, and quickly followed the sound.

At some point, the patients on bed 35 were already sitting on the bed.

His face was pale, he was panting heavily, and cold sweat was already oozing from his forehead.

Seeing that the situation was wrong, Xiao Rong put down his cell phone, ran forward immediately, and shouted in the direction of the doctor's office, "34 beds for rescue!"

As a CCU nurse, her professionalism is still very good. She checks the patient's status at the first time, and prepares all the ambulance and defibrillator.

Increase the amount of oxygen uptake and prepare rescue medication.

Ask about the patient's status, take another blood pressure, and wait for the doctor to arrive.

The doctor on duty rushed over immediately.

At a glance, he recognized the patient in front of him, who was going to undergo TAVR surgery tomorrow.

Sitting breathing, shortness of breath, sweating profusely.

"Damn it, it's not an acute heart failure attack, is it?"

The on-duty doctor takes the shortest time to examine the patient.

The lungs are full of moist rales, and the blood oxygen is less than 90% in the state of oxygen inhalation.

What scares the doctor on duty the most is that the patient's blood pressure cannot be maintained!

Acute heart failure attack is not terrible, the most feared thing is the collapse of blood pressure!
Heart failure requires diuresis, and low blood pressure requires fluid replacement.

These two are in conflict with each other!
"Pump in a shot of norepinephrine!" The doctor on duty immediately began to issue emergency medical orders.

"Push another furosemide!"

"The patient's blood oxygen cannot be maintained, prepare for endotracheal intubation!"

……

After half an hour of rescue, endotracheal intubation, and then on a ventilator, the vital signs of the 35-bed patient finally stabilized.

"Looking like this, can we still have surgery tomorrow?" The doctor on duty shook his head slightly.

After thinking about it, he still notified Director Shi Langqin of the patient's condition as soon as possible.

At this time, Shi Langqin was entertaining Dean Dai Wansong who came from afar at the hotel.

The two hadn't seen each other for many years, and they were chatting happily.

"Old Shi, I think if you came to Shanghai with me back then, your development would definitely be better than mine!"

Dai Wansong drank a small glass of white wine, his face flushed slightly.

"Guanghai is not bad!" Shi Langqin said with a smile, "Anyway, I must earn no less than you!"

"You, you..." Dai Wansong shook his head with a smile, "What do you need so much money for, as long as you have enough money."

Shi Langqin shook his head slightly, and was about to say something when the phone rang suddenly.

"Sorry, I'll take a call."

Seeing that it was a call from the department, Shi Langqin still picked it up.

"Professor Shi, the 35-bed patient in the CCU just suffered acute heart failure!"

The voice on the phone made Shi Langqin nervous immediately, "How is he doing now?"

"Intubated, barely guaranteed a life."

Shi Langqin was silent.

This patient is exactly the one he is going to undergo surgery on tomorrow.

It happened that something happened today!
"Okay, I'll go back to the hospital later."

After hanging up the phone, Shi Langqin's face was serious.

"What's wrong?" Dai Wansong immediately noticed his abnormality.

"Tomorrow's operation may not be possible." Shi Langqin said in a deep voice, "The patient suffered from acute heart failure just now, and has already been intubated."

"As I said before, the risk of this patient is extremely high." Dai Wansong said indifferently, "You said before that you would have to wait until next week for surgery, and the patient must not be able to wait. Now it's up to you whether you can make it through tomorrow."

"Hey, it's too late to say anything now." Shi Langqin shook his head helplessly.

"It's not too late!"

Dai Wansong's sudden words really made Shi Langqin stunned.

"Emergency TAVR can be done!"

Shi Langqin was astonished when he heard this, "Can you do emergency treatment in the capital now?"

Compared with ordinary surgery, the risk of emergency surgery is several orders of magnitude higher!

Uncontrollable factors increase, and the patient is intubated, and the ventilator will affect the delivery of the valve.

"There was a case before." Dai Wansong nodded slightly, "We can try!"

"Great, let's hurry back to the hospital."

Afterwards, Shi Langqin immediately pulled Dai Wansong back to Guanghai Central Hospital.

(End of this chapter)