Anesthesiologist Zhang Tinghai came down to the ward again to see the patient before the operation. Before entering the ward, he first went around to the doctor's office to look for someone: "Is Dr. Xie here?"
The doctor in the office raised his head and knew who he was. The question was which Dr. Xie he was looking for.
"Xie Wanying." Zhang Tinghai said her name.
Anesthesiologist looking for an intern?
"Is Dr. Zhang looking for Teacher Tao?" He Guangyou came over and asked him, "Mr. Tao is in the office. I want to confirm with you the anesthesia conditions during the last cardiothoracic surgery performed by Teacher Lu and whether there are any heart problems."
Zhang Tinghai didn't want to chat with the Buddha, mainly because he had repeated the conversation several times, and the more he asked, the more frustrated and unconfident he became, so he refused: "I talked to him about all the situations during the last operation. "
It seemed that the anesthesiology department was full of confidence, so He Guangyou had no choice but to let him go and report back to Tao Zhijie.
wrong. The anesthesiology department is actually very stressful. Xie Wanying has heard the senior sister say this because everyone is afraid of Zhang Huayao watching in the operating room. The director of Guozhi's emergency department has a great reputation. How big it is, you need to know that Guozhi and Guoxie are hospitals under the same unit, and their relationship is extraordinary. The two hospitals sometimes transfer doctors to serve as each other's hospital leaders. For example, a certain vice president of the National Association of China was originally a doctor at Guozhi. Everyone is worried that one day, Zhang Huayao will come to the National Association to become the leader.
When I performed anesthesia for Zhang Huayao's mother's surgery, I didn't do it well. The leader took it to heart and made it difficult to say anything about it in the future. Because of this, Zhang Tinghai hasn't had a good night's sleep in two weeks, saying he often has nightmares.
Doctors sometimes feel very strange, as if they can predict the future of life.
Teacher Lu's anesthesia for cardiothoracic surgery was just a small test, and this surgery outside of hepatobiliary surgery was the real deal. Surgeons and anesthesiologists must put all their belongings aside.
Knowing that the patient's anesthesiologist came to see her, Xie Wanying called back to ask what the situation was.
"Let me ask you." Zhang Tinghai opened his mouth and asked her, "Zhang Huayao asked you what plan you wanted to prevent bleeding, and what did you write to him? I asked Tao Zhijie, and Tao Zhijie said no."
Don't lie to him about that Buddha, it is related to an important operation.
Xie Wanying wanted to report something to Teacher Zhang, so Senior Brother Tao was telling the truth. Teacher Zhang thinks what she wrote is nonsense and won’t say more.
"You said it was unlikely that there would be major bleeding." Zhang Tinghai analyzed her words based on his experience as an anesthesiologist. "Could it be because Teacher Lu's heart was not in good condition, and could there be a bile-cardiac reflex during the operation."
In hepatobiliary surgery, the bile-cardiac reflex is a relatively common intraoperative rescue condition, and it is related to the rich vagus nerve in the inner wall of the gallbladder and the surrounding bile ducts. The surgical instrument pulls the gallbladder and bile duct, stimulating the splanchnic nerves on the inner wall of the gallbladder. After the excitement is transmitted to the parasympathetic low-level center of the brain's medulla oblongata, it is then transmitted to the heart through the vagus nerve. The patient's heart rate slows down, his blood pressure drops, or even cardiac arrest. The operation is stopped urgently and performed. Intraoperative rescue.
A severe bile reflex can undoubtedly lead to death. Clinically, there have been cases where cardiothoracic surgery failed to save the patient despite opening the chest and performing cardiac massage. This shows how high the risk is once the bile-cardiac reflex occurs.
"As long as it is an operation, there are risks." Xie Wanying said that various accidents occur frequently in every surgical operation.
