MTL - I Can See Health-v3 Chapter 893 Difficulty of joint surgery

  Chapter 893 The Difficulty of Combined Surgery

   on a hospital bed.

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

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

   He had long anticipated that the patient was highly likely to develop acute heart failure during surgery.

   He has prepared accordingly.

   This heart failure patient cannot lie down normally.

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

   Once you lie down, the blood flow increases, which increases the burden on the heart.

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

   After a long time, heart failure will definitely happen again!

   "Maintain blood pressure."

   "Push furosemide."

   "Use IABP now!"

  Lu Chen calmly commanded the operation.

  Jin Miao and Gu Xinyue got busy immediately.

  The IABP machine was pushed in.

  Lu Chen installed this auxiliary device on the patient's body after the patient's femoral artery puncture.

  IABP machine can maintain the patient's cardiac function.

   is applied at this time, 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 is making soy sauce on the side.

   No, he was handing all kinds of equipment beside him.

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

  Lu Chen said in a deep voice.

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

   The biggest difficulty in joint surgery is the time issue.

   The time is as short as possible in order to maintain the patient's heart function to the greatest extent possible.

  Guide wire and catheter passed smoothly.

   Balloon pre-dilation, balloon dilation!

  The prosthetic valve is ready.

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

Some of the viewers 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, I'll just say it, it looks familiar, so it's him!"

   "He's too strong! I'll just say, who can do this kind of surgery!"

   For a time, everyone was amazed.

  Lu Chen is back from Mayo!

   And this time, what Te brought back was Mayo's top clinical surgery!

   The surgical platform in the hospital spreads in a small area in the magic capital.

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

   The surgery screen is very stuck.

   is like putting a PPT.

  The audience in the live broadcast room was very anxious.

   This is a historical witness!

   If you missed it, it would be quite a pity.

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

  Zou Ligan received feedback from the hospital staff immediately.

   Even he himself never thought that Lu Chen's live broadcast could have such a big influence.

   He immediately notified the information section and added a server.

  …

  This side of the operating room.

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

  Balloon dilation ended.

  Prosthetic valve delivery begins.

   Under the guidance of Lu Chen, Jin Miao started his own operation.

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

   Lu Chen instructed.

  Jin Miao's operation was careful.

   He understood the importance of this operation.

  Lu Chen was able to give him this opportunity.

   He was very excited, but also very stressed.

   In fact, Jin Miao has also performed hundreds of TAVR surgeries.

   He is also the first member of the surgical team of Guanghai Central Hospital.

   But for this new type of spell.

   He has no experience and no guidance.

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

   And Lu Chen is currently playing this role.

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

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

   Prosthetic valve delivery to the aorta was successful.

   But the surgery was only half done.

   The patient's mitral valve was still moderately stenotic.

   "The rest, leave it to me."

  Lu Chen took over from Jin Miao.

Jin Miao has relatively little experience with the   TMVR technique.

   Not to mention this kind of combined surgery.

  Jin Miao also didn't have enough confidence to finish it.

   "Look carefully at my movements." Lu Chen said while operating, "After the successful TAVR operation, it will benefit the mitral valve to a certain extent, but when we performed the TMVR operation, certain changes have also occurred accordingly."

   Surgery is a process that practice makes perfect.

   However, many key skills still need to be comprehended by oneself.

  Jin Miao's talent is good.

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

   Of course, it was a blessing for Jin Miao to meet Lu Chen, a director of unreserved teaching.

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

   As the saying goes, the apprentice of the church, the master starved to death.

   is the truth.

   However, Lu Chen had no such worries.

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

  …

   During surgery.

  Lu Chen's expression was solemn.

   He performed balloon dilation while noting the patient's vital signs.

   "Can't continue to expand, and if you expand again, there is a risk of tearing the blood vessels."

  Lu Chen reminded Jin Miao.

  Jin Miao nodded, he stared intently at Lu Chen's operations.

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

  The live broadcast room and the crowd outside the catheter room were also holding their breaths at the moment, staring at Lu Chen's operations.

   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 angiography, the valve smoothly reaches the heart along the blood vessels.

  The delivery valve rod operated by Lu Chen, twist it lightly.

The    valve is released slowly.

   "Director, the valve sticks well!"

   Just as Jin Miao finished saying this, he saw the ECG monitor beside the operating table.

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

  The piercing alarm sound is also constantly ringing.

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

   "Director, the patient's blood pressure and heart rate are not good! 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 brain protection!"

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

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

   There will be some time before the valve is released.

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

   But if you don't continue, your 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)