Doctor: I picked up attributes in the hospital

Chapter 13 Behaving Well
After a while, the patient was brought in. Along with the patient was Song Chen, the chief physician of the Department of Cardiac Surgery.

As soon as Song Chen came in, he first saw the familiar Gao Jun, and then saw Zhao Heng standing beside Gao Jun.

"Old Gao, is this the intern you brought? When did the anesthesiology department have interns?"

Song Chen looked at Zhao Heng with some doubts and asked.

"No, it's my assistant."

Gao Jun said.

As for the main character, Zhao Heng, he was fiddling with various life monitoring instruments at the moment.

To be honest, it is actually quite simple to do local anesthesia, but if you want to do general anesthesia like today, there are quite a lot of practical instruments.

Blood pressure, heartbeat, blood oxygen, blood sugar, and carbon dioxide content, blood biochemistry, these data must be monitored in real time.

And these vital indicators must be maintained at a stable level during the operation, which requires extremely precise medication throughout the operation. For now, it depends entirely on the experience of the anesthesiologist.

"Your assistant? Do you have an assistant?"

Hearing this, Song Chen was even more puzzled.

"Hey! I can't have an assistant?"

Gao Jun said angrily.

The feeling of anesthesiologists in the operating room is that they are not taken seriously, that is, the feeling that everyone needs you very much, but they don't value you so much.

"That's not what I mean."

Song Chen also felt that there was something wrong with what he said, so he explained it.

However, she just glanced at Zhao Heng and didn't care.

Senior anesthesiologists, logically speaking, also need assistants, but it is difficult to find such assistants, and it is rare to be able to get them all.

So, after a moment of surprise, Song Chen didn't pay too much attention.

"Xiao Zhao, now I will teach you how to prepare an anesthetic. This anesthetic is composed of analgesics and muscle relaxants, and the most important thing is the dosage..."

Gao Jun began to tell Zhao Heng about the preparation and use of anesthetics.

It can be seen that he is very concerned about teaching Zhao Heng.

Zhao Heng also listened very carefully, because the things Gao Jun taught were all his precious experience in practice for many years, and ordinary doctors had nowhere to learn them.

Moreover, after learning these things, not only in anesthesia, but also in other aspects, they are actually widely used. Although there are many departments in the hospital, the specific application should not be so isolated.

When Gao Jun was teaching Zhao Heng his experience, Zhao Heng saw a white light group suddenly appear in front of Gao Jun.

Seeing this familiar scene, Zhao Heng's previous guess confirmed that as long as he was taught by others, he could still gain experience.

With a thought, Zhao Heng skillfully collected the white light ball.

"Ding, I found [Vital Function Regulation (Pharmacology) (Proficient)]..."

Very natural, pick up, blend.

After merging with this light group, Zhao Heng discovered that this Gao Jun really has something.

You must know that during the operation, not only should the patient be analgesic, but also the important indicators of the patient's breathing, blood pressure and blood sugar must be kept at the most appropriate level.

And Gao Jun's experience in this area can be said to be top-notch.

When talking about specific medications, Gao Jun suddenly wanted to test Zhao Heng. Of course, it was also to show his level.

After thinking about it, Gao Jun asked Zhao Heng.

"Xiao Zhao, the operation to be performed today is a heart bypass, so let me ask you, what should you pay attention to in the anesthesia for this heart operation?"

Hearing Gao Jun's question, Zhao Heng fell into deep thought for a moment. He was reviewing the fusion experience from Gao Jun.

Song Chen, who was standing aside, looked at Zhao Heng indifferently, seeing Zhao Heng's silence, she didn't think Zhao Heng could answer.

Because ordinary doctors, although they also know some anesthesia knowledge, but the key points of anesthesia for heart surgery are not understood by ordinary doctors at all.

Even Song Chen, it was because she was a heart surgery doctor, and after doing a lot of heart surgery, she gradually understood.

Seeing Zhao Heng's pensive look, Gao Jun didn't interrupt him. During the learning process, he never attended the meeting. Among them, independent thinking is also very important.

"Teacher, I thought of it."

After a while, Zhao Heng raised his head, looked at Gao Jun and said.

"Did you think of it?"

Hearing Zhao Heng's words, Gao Jun was a little surprised.

Originally asked this question, he was sure that Zhao Heng would not be able to answer it.

Waiting for him to explain it to Zhao Heng in detail, won't he be able to establish the prestige of the teacher!
Even Song Chen looked at Zhao Heng in surprise.

"Well, teacher."

Zhao Heng nodded seriously.

"Cough cough, then tell me, don't worry, speak boldly, if something is wrong, the teacher will correct it for you."

Gao Jun said.

Although I don't think Zhao Heng can answer it, it's a good thing that young people have their own thoughts.

"For cardiac surgery anesthesia, routine monitoring must be done first, including invasive arterial blood pressure monitoring, central venous pressure monitoring, five-lead ECG monitoring, pulse oximetry monitoring, nasal temperature and rectal temperature monitoring, intraoperative arterial blood gas analysis, and ACT monitoring. , In addition, it is necessary to monitor the depth of anesthesia, and the depth of anesthesia monitoring includes BIS and Narcotrend. For patients with pulmonary hypertension or right ventricular dysfunction, pulmonary artery catheter monitoring can be used, and TEE can also be used if conditions permit. and PiCCO to monitor intraoperative hemodynamic indicators and guide intraoperative fluid replacement and the use of vasoactive drugs.”

Zhao Heng extracted the experience and knowledge in his mind, and talked without haste.

Zhao Heng answered sternly, but Gao Jun and Song Chen's eyes widened involuntarily.

Especially Gao Jun opened his mouth even more.

"Old Gao, this little Zhao graduated from anesthesiology?"

Song Chen asked with some doubts.

As soon as an expert makes a move, he will know if there is one. Zhao Heng's answer is not only professional, but also very in-depth.

If it is not a senior anesthesiologist, it is impossible to answer it.

"Ahem, Xiao Zhao, you answered very well. It can be seen that you have worked hard at ordinary times. However, this TEE and PiCCO do not have this condition for the time being."

Zhao Heng's answer far exceeded Gao Jun's expectations, and the TEE and PiCCO he mentioned are the most cutting-edge inspection methods in the world. If you don't often read the most cutting-edge medical literature, you can't think of it at all. of.

"Then tell me, how does this patient use medicine for anesthesia?"

After hearing Zhao Heng's answer, Song Chen suddenly became interested and couldn't help asking.

She wanted to hear Zhao Heng's opinion on anesthesia during surgery.

Hearing Song Chen's question, Zhao Heng pondered for a while, organized his words, and then slowly said: "For this patient, I think intravenous anesthesia based on propofol should be used."

"Oh? Tell me why you use propofol?"

Song Chen said with bright eyes.

"Using propofol through intravenous infusion or intravenous injection, usually within 40 seconds, the patient will fall asleep, which is conducive to the induction and maintenance of anesthesia. Propofol has a fast onset of action, fast disappearance, and fast metabolism. When the operation is about to At the end, as long as the drug is stopped, the patient can wake up quickly and achieve a very good state of general anesthesia. It can be said that for patients undergoing cardiac surgery, this is the anesthesia method with the least side effects.”

Zhao Heng replied professionally.

"That's right, you're right. This propofol was chosen by Director Huang before the surgery. Xiao Zhao, if you can think of this, you are born with dry anesthesia."

Gao Jun nodded very satisfied with Zhao Heng's answer.

It can be said that Zhao Heng's performance far exceeded his expectations.

Originally, he thought that it might take at least two or three years to bring Zhao Heng out.

But now listening to Zhao Heng's answer, Gao Jun knew that as long as he spent a few months and imparted more experience, Zhao Heng would be able to perform anesthesia independently.

This is simply amazing!
(End of this chapter)