Medical road Qingyun
Chapter 185
The child's condition is urgent and surgery needs to be performed as soon as possible.
The patient was transferred from the hematology department to operating room 3 of the Department of Cardiothoracic Surgery.
When Jiang Qiang heard the inquiry, he immediately conducted a series of examinations on the patient.
He didn't expect the patient to be so small.
He believed in Zhao Yuan's level, but the special nature of the patient clouded his heart.
Jiang Qiang considered whether to invite a specialist who specializes in treating children's heart diseases to participate in the operation.
Zhao Yuan and the anesthesiologist began to discuss the anesthesia plan.
"Atrial fibrillation may occur during the operation, so we have to prepare an alternative plan now. The
anesthesiologist had heard of Zhao Yuan's name, but he didn't know Zhao Yuan's anesthesia level, so he said casually: "Propafenone, 1mg/KG."
Zhao Yuan frowned, "There is no effect, is there any other option?" "
Give propafenone again after 20 minutes, and give Da Long an intravenous pump." "
This is a very standard medication regimen!
Doctor Shi was a little dissatisfied with Zhao Yuan, did the intern doctor in front of him test himself with basic knowledge? Zhao
Yuan and Jiang Qiang said with solemn expressions, "When the rescue comes, I will do anesthesia, is it okay?"
The room fell silent instantly.
Zhao Yuan's request was a little crazy!
Doctor Shi was trembling with anger, he had worked in Tianhua for many years, no matter which operation he had not been flattered, but now he was disgusted by a young doctor, and his blood pressure soared directly
! Jiang Qiang secretly thought that Zhao Yuan usually handled things well.
Jiang Qiang emphasized softly: "Dr. Shi is a very experienced anesthesiologist!"
Zhao Yuan patiently explained: "I don't question Dr. Shi's level, the operation is very difficult, I am not completely sure, when there is severe atrial fibrillation, the situation will be extremely serious." There should be only one voice in the operating room, and if Dr. Shi and I don't agree, there is a high probability that the operation will fail.
Jiang Qiang understands Zhao Yuan's concerns, if there is severe atrial fibrillation, how to use anesthesia will affect the patient's condition, and once hesitation or dispute, it will lead to the failure of the operation.
Zhao Yuan was very strong at this moment.
Seeing that Jiang Qiang was still hesitating, Zhao Yuan said his judgment on the difficulty of
the operation: "The guidewire will enter the patient's body from the tricuspid valve, and during the arterial operation, every movement will induce the heart's electrophysiological reflex.
Jiang Qiang is also experienced, and the tip of his nose is sweating, "There is indeed a high probability of causing severe atrial fibrillation, you need a few minutes!" "
Five minutes, no, three minutes is enough." Zhao Yuan said with a resolute look in his eyes.
Jiang Qiang was silent for a few seconds, "I'll anesthetize you! Help you buy five minutes!" Zhao Yuan didn't expect Jiang Qiang
to be willing to anesthetize himself.
Jiang Qiang's level is very high, and a doctor of his level is not only proficient in surgery, but also has an extremely high level of anesthesia.
Zhao Yuan breathed a sigh of relief, "Thank you for your support
!" Jiang Qiang patted Zhao Yuan on the shoulder, "What's polite? Relax!"
Knowing that the operation was about to start, Zhu Haixia took Xu Qin and Huang Gang to the observation room outside the operating room.
There were already people in the room, all waiting for the next operation.
Most of these observers are doctors in cardiothoracic surgery, and some are doctors in emergency surgery and neurosurgery.
In addition to the young doctors, there were also several doctors at the deputy director level, and after seeing Zhu Haixia, they came forward to say hello.
Xu Qin secretly wondered that it was unbelievable that an intern was doing surgery and attracting so many people to observe on the spot.
"It is said that the success rate of this operation is only 60 percent.
"This success rate is actually ridiculously high. Although it is an interventional operation, it involves the heart, and the patient cannot be sloppy for a moment, and the slightest mistake will not allow the patient to get off the operating table.
"I don't know if Zhao Yuan is like the rumors, cardiac interventional surgery has reached the level of chief physician.
"It is rumored outside that he once used the intervention method to take out two bullets from the patient's body, if the matter is true, Zhao Yuan's level is beyond doubt. "
There is a picture in the operating room.
Seeing the position of several doctors, everyone immediately knew the division of labor of each doctor.
Soon, someone noticed that something was wrong, "I'm not mistaken, Director Jiang actually stood in the position of an anesthesiologist." "
The anesthesiologist, while playing an important role in an operation, is not at the heart of an operation.
Director Jiang's move was tantamount to assisting Zhao Yuan!
Not only did everyone talk about it.
Xu Qin's heart directly set off a monstrous wave.
The people she looked down on were treated so highly by the director of cardiothoracic surgery.
Huang Gang was also shocked by an electric shock!
In the operating room, preparations were in place.
Zhao Yuan gave a doctor's order, "Director Jiang, please give 20ml + cediran 0.32mg, intravenously."
Jiang Qiang quickly began to carry out Zhao Yuan's order.
He was beating a drum in his heart, cediran is a fast and strong new drug, which can strengthen myocardial contraction, slow down the heart rate, have a fast effect, and have little accumulation.
For an adult, 0.32 mg is not much, but for a four-year-old child, it is more than the dosage.
Zhao Yuan saw that Jiang Qiang began to push the medicine, and emphasized: "Give 0.32mg after an hour."
Jiang Qiang secretly sighed, that is, he helped Zhao Yuan to do anesthesia
, if he was replaced by Dr. Shi, he would never allow such a large amount, because according to common sense, it is easy to cause digitalis poisoning.
Jiang Qiang trusted Zhao Yuan very much, and he believed that Zhao Yuan would not be unaware of the dangers of large doses.
He nodded lightly at Zhao Yuan, indicating that he had received it.
Zhao Yuan was secretly grateful to Jiang Qiang
, and he did not hesitate to carry out the doctor's orders, which was based on his trust in himself.
Therefore, I can't let him down.
......
Outside the operating room, a man in a suit hurried in.
When the child's mother saw her husband appear, she couldn't break down anymore, and her worry and despair turned into tears, and she instantly turned into tears.
The man was on a business trip and learned that his son had an accident and rushed back.
"Where's the baby?"
The
man took his wife into his arms, "Don't worry, he is strong and will definitely get better." The
wife pushed the man away and said with a nervous expression, "I heard just now that the chief surgeon seems to be very young, and he is even an intern. The
man was slightly stunned, "Tianhua is a big hospital, won't it mess around?"
The wife gritted her teeth, "You better help ask." The
man nodded, "I'll go find Academician Zhu." The
man dialed Zhu Haixia's phone, "Academician Zhu, is it a particularly young doctor who operated on my son?"
Zhu Haixia did not hide it, "The doctor is very young, but his level does not need to be questioned." The operation has begun!You can wait for the results with confidence!
" Hanging up the phone, the man shook his head at his wife and smiled bitterly, "The operation has begun, and there is no way to change the main knife." In addition, Academician Zhu also made a package ticket, and the operation will definitely be a complete success.
Zhu Haixia knew the purpose of the man's call.
The man is a well-known young entrepreneur in Baiyun City, and he found Zhu Haixia's team through many connections. As for the child's bone marrow, he also used a lot of network resources to find it.
Although Zhu Haixia knew that Zhao Yuan's strength was not bad, she was still faintly worried at the moment.
If the surgery fails, the hospital will be in trouble.
After all, the catheter is falling off, and it is related to the hospital.
Zhao Yuan went to the operating table.
Soon, the ECG monitor began to sound alarms frantically.
Whether it's inside the operating room or outside the operating room, everyone raises their hearts to their throats.
Jiang Qiang pushed a branch potion into the child's body.
"Do you still need to use Da Danolone?"
"It's okay, give another 75mg."
Adrenaline, static push.
Don't slow down isoproterenol.
Zhao Yuan gave orders one after another.
Dr. Shi, who was watching the operation, turned pale.
The dosage of Zhao Yuan's medicine is too scary.
The key is that one dares to say it, and the other dares to do it!
Jiang Qiang did not hesitate in the face of Zhao Yuan's medical advice!
The patient was transferred from the hematology department to operating room 3 of the Department of Cardiothoracic Surgery.
When Jiang Qiang heard the inquiry, he immediately conducted a series of examinations on the patient.
He didn't expect the patient to be so small.
He believed in Zhao Yuan's level, but the special nature of the patient clouded his heart.
Jiang Qiang considered whether to invite a specialist who specializes in treating children's heart diseases to participate in the operation.
Zhao Yuan and the anesthesiologist began to discuss the anesthesia plan.
"Atrial fibrillation may occur during the operation, so we have to prepare an alternative plan now. The
anesthesiologist had heard of Zhao Yuan's name, but he didn't know Zhao Yuan's anesthesia level, so he said casually: "Propafenone, 1mg/KG."
Zhao Yuan frowned, "There is no effect, is there any other option?" "
Give propafenone again after 20 minutes, and give Da Long an intravenous pump." "
This is a very standard medication regimen!
Doctor Shi was a little dissatisfied with Zhao Yuan, did the intern doctor in front of him test himself with basic knowledge? Zhao
Yuan and Jiang Qiang said with solemn expressions, "When the rescue comes, I will do anesthesia, is it okay?"
The room fell silent instantly.
Zhao Yuan's request was a little crazy!
Doctor Shi was trembling with anger, he had worked in Tianhua for many years, no matter which operation he had not been flattered, but now he was disgusted by a young doctor, and his blood pressure soared directly
! Jiang Qiang secretly thought that Zhao Yuan usually handled things well.
Jiang Qiang emphasized softly: "Dr. Shi is a very experienced anesthesiologist!"
Zhao Yuan patiently explained: "I don't question Dr. Shi's level, the operation is very difficult, I am not completely sure, when there is severe atrial fibrillation, the situation will be extremely serious." There should be only one voice in the operating room, and if Dr. Shi and I don't agree, there is a high probability that the operation will fail.
Jiang Qiang understands Zhao Yuan's concerns, if there is severe atrial fibrillation, how to use anesthesia will affect the patient's condition, and once hesitation or dispute, it will lead to the failure of the operation.
Zhao Yuan was very strong at this moment.
Seeing that Jiang Qiang was still hesitating, Zhao Yuan said his judgment on the difficulty of
the operation: "The guidewire will enter the patient's body from the tricuspid valve, and during the arterial operation, every movement will induce the heart's electrophysiological reflex.
Jiang Qiang is also experienced, and the tip of his nose is sweating, "There is indeed a high probability of causing severe atrial fibrillation, you need a few minutes!" "
Five minutes, no, three minutes is enough." Zhao Yuan said with a resolute look in his eyes.
Jiang Qiang was silent for a few seconds, "I'll anesthetize you! Help you buy five minutes!" Zhao Yuan didn't expect Jiang Qiang
to be willing to anesthetize himself.
Jiang Qiang's level is very high, and a doctor of his level is not only proficient in surgery, but also has an extremely high level of anesthesia.
Zhao Yuan breathed a sigh of relief, "Thank you for your support
!" Jiang Qiang patted Zhao Yuan on the shoulder, "What's polite? Relax!"
Knowing that the operation was about to start, Zhu Haixia took Xu Qin and Huang Gang to the observation room outside the operating room.
There were already people in the room, all waiting for the next operation.
Most of these observers are doctors in cardiothoracic surgery, and some are doctors in emergency surgery and neurosurgery.
In addition to the young doctors, there were also several doctors at the deputy director level, and after seeing Zhu Haixia, they came forward to say hello.
Xu Qin secretly wondered that it was unbelievable that an intern was doing surgery and attracting so many people to observe on the spot.
"It is said that the success rate of this operation is only 60 percent.
"This success rate is actually ridiculously high. Although it is an interventional operation, it involves the heart, and the patient cannot be sloppy for a moment, and the slightest mistake will not allow the patient to get off the operating table.
"I don't know if Zhao Yuan is like the rumors, cardiac interventional surgery has reached the level of chief physician.
"It is rumored outside that he once used the intervention method to take out two bullets from the patient's body, if the matter is true, Zhao Yuan's level is beyond doubt. "
There is a picture in the operating room.
Seeing the position of several doctors, everyone immediately knew the division of labor of each doctor.
Soon, someone noticed that something was wrong, "I'm not mistaken, Director Jiang actually stood in the position of an anesthesiologist." "
The anesthesiologist, while playing an important role in an operation, is not at the heart of an operation.
Director Jiang's move was tantamount to assisting Zhao Yuan!
Not only did everyone talk about it.
Xu Qin's heart directly set off a monstrous wave.
The people she looked down on were treated so highly by the director of cardiothoracic surgery.
Huang Gang was also shocked by an electric shock!
In the operating room, preparations were in place.
Zhao Yuan gave a doctor's order, "Director Jiang, please give 20ml + cediran 0.32mg, intravenously."
Jiang Qiang quickly began to carry out Zhao Yuan's order.
He was beating a drum in his heart, cediran is a fast and strong new drug, which can strengthen myocardial contraction, slow down the heart rate, have a fast effect, and have little accumulation.
For an adult, 0.32 mg is not much, but for a four-year-old child, it is more than the dosage.
Zhao Yuan saw that Jiang Qiang began to push the medicine, and emphasized: "Give 0.32mg after an hour."
Jiang Qiang secretly sighed, that is, he helped Zhao Yuan to do anesthesia
, if he was replaced by Dr. Shi, he would never allow such a large amount, because according to common sense, it is easy to cause digitalis poisoning.
Jiang Qiang trusted Zhao Yuan very much, and he believed that Zhao Yuan would not be unaware of the dangers of large doses.
He nodded lightly at Zhao Yuan, indicating that he had received it.
Zhao Yuan was secretly grateful to Jiang Qiang
, and he did not hesitate to carry out the doctor's orders, which was based on his trust in himself.
Therefore, I can't let him down.
......
Outside the operating room, a man in a suit hurried in.
When the child's mother saw her husband appear, she couldn't break down anymore, and her worry and despair turned into tears, and she instantly turned into tears.
The man was on a business trip and learned that his son had an accident and rushed back.
"Where's the baby?"
The
man took his wife into his arms, "Don't worry, he is strong and will definitely get better." The
wife pushed the man away and said with a nervous expression, "I heard just now that the chief surgeon seems to be very young, and he is even an intern. The
man was slightly stunned, "Tianhua is a big hospital, won't it mess around?"
The wife gritted her teeth, "You better help ask." The
man nodded, "I'll go find Academician Zhu." The
man dialed Zhu Haixia's phone, "Academician Zhu, is it a particularly young doctor who operated on my son?"
Zhu Haixia did not hide it, "The doctor is very young, but his level does not need to be questioned." The operation has begun!You can wait for the results with confidence!
" Hanging up the phone, the man shook his head at his wife and smiled bitterly, "The operation has begun, and there is no way to change the main knife." In addition, Academician Zhu also made a package ticket, and the operation will definitely be a complete success.
Zhu Haixia knew the purpose of the man's call.
The man is a well-known young entrepreneur in Baiyun City, and he found Zhu Haixia's team through many connections. As for the child's bone marrow, he also used a lot of network resources to find it.
Although Zhu Haixia knew that Zhao Yuan's strength was not bad, she was still faintly worried at the moment.
If the surgery fails, the hospital will be in trouble.
After all, the catheter is falling off, and it is related to the hospital.
Zhao Yuan went to the operating table.
Soon, the ECG monitor began to sound alarms frantically.
Whether it's inside the operating room or outside the operating room, everyone raises their hearts to their throats.
Jiang Qiang pushed a branch potion into the child's body.
"Do you still need to use Da Danolone?"
"It's okay, give another 75mg."
Adrenaline, static push.
Don't slow down isoproterenol.
Zhao Yuan gave orders one after another.
Dr. Shi, who was watching the operation, turned pale.
The dosage of Zhao Yuan's medicine is too scary.
The key is that one dares to say it, and the other dares to do it!
Jiang Qiang did not hesitate in the face of Zhao Yuan's medical advice!
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