I can see health

Chapter 762 I Asked an Expert
Guanghai Central Hospital.

Cardiology CCU ward.

At this time, the nurse Xiao Rong did not dare to be dazed, but stared closely at the patient on the hospital bed.

If there is any problem with this, the patient really cannot be saved!
Now, when she thinks back to what she said just now, she really regrets it!
doctor's office.

Shi Langqin, Dai Wansong and other digital bigwigs gathered together.

The reason is the patient with "severe aortic stenosis" who just had heart failure.

"Fortunately, the nurse found it in time. The first time the patient had a heart failure attack, she immediately called for rescue." The doctor on duty introduced the condition, "But when I arrived, the patient was already sitting up and breathing, and his blood oxygen saturation and blood pressure were not good. gone."

Dai Wansong listened silently, without speaking, and kept flipping through the patient's hospital treatment in his hand.

half an hour.

"Dean Dai, can... can you do it?" Shi Langqin looked at Shi Langqin at the side with hopeful eyes.

This time, he decided to perform the difficult TAVR surgery before the conference to build momentum.

If it fails, it may damage his subsequent deployment, and even affect the selection of his chairman.

"Yes." Dai Wansong nodded slightly and paused, "However, the risk of the operation is extremely high, and the patient may not be able to get off the operating table. You need to discuss this clearly with the patient's family. The family members bear the risk, and we will start preparing for the operation!"

"Great, with your words, then I can rest assured."

Shi Langqin was determined.

"The family members, I will go and talk to them in person!"

He immediately took the doctor on duty to the doctor-patient communication room, preparing to explain the risks of surgery to the patient's family.

……

As for Dai Wansong, he was not idle either.

The reason why he dared to agree to Shi Langqin was of course because there had been similar cases before.

Although there are few cases of emergency TAVR surgery, he has cooperated with Lu Chen in several cases.

What impressed Dai Wansong the most was the operation of "pausing the ventilator" to input the valve to the designated position.

At that time, it was astonishing!

Lu Chen's magical hand is even close to the level of the world's top magicians.

In that operation, Lu Chen was the main surgeon and Dai Wansong was the first assistant.

Afterwards, Dai Wansong encountered several similar emergency TAVR operations one after another.

At first, he would invite Lu Chen to perform the operation together.

Later, Dai Wansong simply asked Lu Chen's opinion online.

After a comprehensive assessment, a reasonable surgical plan is assigned to the patient based on the patient's opinion.

Don't look at it as just a surgical plan, but there are many ways in it!
Taking the surgical approach as an example, the shape of the leaflets, the degree of calcification, whether there is fusion, and the diameter of the valve ring need to be evaluated based on ultrasound before surgery.

After tracheal intubation, the anatomy of the aortic root needs to be determined through the esophagus, and the course of the carotid artery, femoral artery, abdominal aorta, and ascending aorta should be evaluated to further rule out related contraindications and select a suitable approach.

Generally, operators who do not have extensive experience are prone to detours, or even choose the wrong path, so that the best time for surgery is delayed.

The patient's risk is so high, Dai Wansong still asks Lu Chen's opinion habitually.

After collecting the patient's medical records, he took a photo and sent it to Lu Chen.

……

Lu Chen was looking up papers when he suddenly received a message from Dai Wansong.

However, he is used to it now.

Dean Dai usually consults his opinions when encountering interesting or difficult surgeries.

As the dean, it was extremely rare for him to lower his face and ask for his own opinion.

Similarly, Lu Chen is also happy to answer, not only can earn a wave of gratitude, but also build a good relationship with Dean Dai.

After receiving the operation information from Dean Dai, Lu Chen began to study it.

"Severe aortic stenosis, rapid atrial fibrillation, acute attack of heart failure!"

"The patient has refractory heart failure and is poorly controlled by drugs. The patient is at risk of cardiogenic shock and sudden cardiac death at any time. There are indications for emergency TAVR surgery!"

Dai Wansong couldn't help but nodded when he received Lu Chen's reply.

As expected of Lu Chen, he judged the patient's condition immediately.

"Lu Chen, we have also decided to perform emergency TAVR surgery here." Dai Wansong immediately said, "I have made a plan myself, and you can see where there is anything that needs to be modified..."

Lu Chen quickly evaluated Dai Wansong's operation plan again, and found out many problems.

"Dean Dai, I just checked the internal strength, circumference and area of ​​the patient's left ventricular outflow tract, as well as the calcification of the outflow tract. You may need to pay attention to the risk of postoperative conduction block in the patient."

Dai Wansong frowned slightly: "Well, I will prepare a temporary pacemaker and put it on the stage for backup."

"In addition, I measured the angle between the left ventricle of the patient's aorta and it exceeded 70 degrees. Considering the transverse heart, you must pay attention to the angle of valve delivery during the operation."

"Okay." Dai Wansong recorded every point of Lu Chenjiang.

"Finally, Dean Dai, you should also know that for patients who have used a ventilator, the ventilator may affect the operation when the valve enters at the end, so it may have to pause for a few seconds."

Dai Wansong couldn't help but smiled: "Don't worry, this point is still fresh in my memory!"

"Well, that's about it." Lu Chen said, "Dean Dai, the plan you made is generally correct."

Dai Wansong smiled, Lu Chen, a cunning little guy, really took care of his emotions.

There are many loopholes in his plan. Although it is not a big problem, after Lu Chen's modification, the occurrence of complications can be greatly slowed down.

"Thank you, Lu Chen." Dai Wansong said, "Let's get together when we have time, you have helped me a lot!"

"Okay." Lu Chen smiled, "But I have left the magic city now, and I will find you as soon as I go back."

"Lu Chen left Shanghai?" Dai Wansong was taken aback.

He knew that Dr. Lu Chen had graduated, so he thought Zhang Shuqing would keep him no matter what he said.

But, Lu Chen actually left? !

If he had known, he would have come to dig a corner and get Lu Chen to the Central Hospital of Shanghai.

Then their hospital will take off!

Just when Dai Wansong was about to continue questioning Lu Chen, Shi Lang came back unexpectedly.

"Old Dai, the family members have agreed, let's start the operation!"

Seeing this, Dai Wansong took back his cell phone.

"Okay, I just sent the patient information to a TAVR expert and asked for his opinion." Dai Wansong smiled, "The success rate of the operation has improved a lot!"

"Old Dai, someone who even you call an expert?" Shi Langqin asked in surprise.

"That's right, TAVR surgery has developed rapidly in Shanghai in recent years, and his contribution is not small!" Dai Wansong continued.

"I really want to get to know each other." Shi Langqin became interested.

"Don't worry, there is a chance." Dai Wansong said, "Let's deal with this patient's surgery first today."

"Okay." Shi Langqin had a solemn expression, and immediately ordered everyone to start preparing for the operation.

For this operation, Dai Wansong was the main surgeon, and Shi Langqin was the first assistant.

(End of this chapter)