I can see health

Chapter 893 The Difficulty of Joint Surgery

Hospital bed.

The patient suffered sudden acute heart failure, which surprised the audience outside the venue and in the live broadcast room.

But as the client, the chief surgeon, Lu Chen, was calm and composed.

He has long expected that the patient is very likely to develop acute heart failure during the operation.

He has prepared accordingly.

This patient with heart failure is usually unable to lie down.

A semi-recumbent position is required to maintain heart function.

Once lying down, blood return increases, increasing the burden on the heart.

During the operation, the patient must maintain a long-term lying flat position in bed.

After a long time, heart failure will definitely recur!

"Maintain blood pressure."

"Push furosemide."

"Use IABP immediately!"

Lu Chen commanded the operator to operate calmly.

Jin Miao and Gu Xinyue immediately got busy.

The IABP machine was pushed in.

After the patient's femoral artery was punctured, Lu Chen installed this auxiliary device on the patient's body.

IABP machines can maintain the heart function of patients.

The application at this time is mainly for the smooth completion of the operation.

Lu Chen took a deep breath and directed Jin Miao to start the TAVR operation.

Gu Xinyue made soy sauce on the sidelines.

No, it's handing various equipment at the side.

"After TAVR surgery, TMVR surgery must be performed as soon as possible, and the operation time should be shortened as much as possible to maintain the stability of the patient's cardiac function to the greatest extent."

Lu Chen said in a deep voice.

He understood the difficulty of this operation, but the movements of his hands were not slow at all.

The biggest difficulty in joint surgery is the issue of time.

Only by shortening the time as much as possible can the patient's heart function be maintained to the greatest extent.

The guide wire and catheter passed smoothly.

Balloon pre-expansion, balloon expansion!
The artificial valve is ready.

This series of operations dazzled everyone in the live broadcast room and catheterization room.

Some of the audience in the live broadcast room recognized Lu Chen.

"Isn't this Lu Chen who shared surgical cases at Kyoto Medical College a few years ago?"

"Yes, let me just say, it looks familiar, so it's him!"

"He is too strong! Let me just say, who can do this kind of operation!"

For a time, everyone was amazed.

Lu Chen is back from Mayo!

But this time, what Te brought back was Mayo's top clinical surgery!
The surgical platform in the hospital is spread in a small area of ​​the magic city.

But at this moment, the servers of Yunhua Hospital are already full.

The operation screen is very laggy.

Just like putting PPT.

The audience in the live broadcast room were anxious.

This is a witness to history!
It would be quite a pity if you missed it.

Therefore, people kept calling Yunhua Hospital to ask questions about the live broadcast room.

Zou Liqian immediately received feedback from the hospital staff.

Even he himself didn't expect Lu Chen's live broadcast to have such a big influence.

He immediately notified the information department to add servers.

……

Here in the operating room.

Lu Chen's operation has reached the most critical time.

Balloon inflation is complete.

The prosthetic valve is delivered.

Under Lu Chen's guidance, Jin Miao started his own operation.

"Pay attention to the wall, and the problem of paravalvular leakage."

Lu Chen instructed.

Jin Miao's operation was cautious.

He understands the importance of this operation.

Lu Chen was able to give him this opportunity.

He was very excited, but also under a lot of pressure.

In fact, Jin Miao has performed hundreds of TAVR operations.

He is also No.1 in the surgical team of Guanghai Central Hospital.

But for this new technique.

He has no experience and lacks guidance.

To put it bluntly, his surgical ability is excellent, but he lacks proper guidance.

And Lu Chen is currently playing this role.

"Send it forward, the position of the valve must be appropriate to avoid paravalvular leakage."

"Okay, that's it. Release the valve!"

The prosthetic valve in the aorta was successfully delivered.

But the operation is only half done.

The patient's mitral valve was still moderately stenotic.

"Leave the rest to me."

Lu Chen took over Jin Miao's position.

Jin Miao has relatively little experience in TMVR surgery.

Not to mention this joint operation.

Jin Miao also did not have enough confidence to finish.

"Watch my movements carefully." Lu Chen said while operating, "After the successful TAVR operation, it will be beneficial to the mitral valve, but when we performed the TMVR operation, certain changes occurred accordingly."

Surgery is a process of practice makes perfect.

However, many key skills still need to be understood by individuals.

Jin Miao's talent is good.

As long as Lu Chen told him the key points, he would probably be able to understand a thing or two.

Of course, it is Jin Miao's blessing to meet a director like Lu Chen who teaches without reservation.

Most leaders are still worried that their subordinates will surpass themselves.

As the saying goes, teach the apprentice and starve the master to death.

This is the reason.

However, Lu Chen has no worries in this regard.

He wished that someone around him could keep up with his pace.

……

Intraoperative.

Lu Chen looked solemn.

While paying attention to the patient's vital signs, he inflated the balloon.

"It can't continue to expand, and if it continues to expand, the blood vessel will be at risk of tearing."

Lu Chen reminded Jin Miaodao.

Jin Miao nodded, staring at Lu Chen's operation intently.

This kind of close observation is of great benefit to him, and the growth rate of surgical skills is also very fast.

The live broadcast room, as well as the people outside the duct, held their breath at this moment, staring at Lu Chen's operation.

This kind of difficult operation is undoubtedly a thrilling performance for experts.

"Release the valve!"

When Lu Chen gave the last order, everyone's hearts were raised.

This step is related to the success or failure of the entire operation.

In the angiogram, the valve smoothly reaches the heart along the blood vessel.

Lu Chen operated the delivery valve lever and twisted it lightly.

The valve is slowly released.

"Director, the valve is well attached!"

Just as Jin Miao finished speaking, he saw the ECG monitor next to the operating table.

The patient's blood pressure and heart rate continued to drop!

The ear-piercing siren sounded continuously.

Lu Chen immediately stopped the operation, frowned and said, "What's going on?"

"Director, the patient's blood pressure and heart rate are both gone! He's suffering from heart failure again!"

Although connected to the IABP machine, the patient's heart is still so fragile.

"Increase the concentration of vasoactive drugs!"

"Ice bag head protection!"

Lu Chen's hands stopped moving, but he was still giving other doctor's orders.

In this situation, Lu Chen is a little bit stuck.

It will be some time before the valve is released.

During this period, it is likely to lead to further development of heart failure.

But if you don't continue to operate, the previous efforts will be in vain!
"Director, what should we do next?!"

Jin Miao suppressed his inner tension, and the patient's condition seemed to exceed everyone's expectations.

(End of this chapter)