Chapter 1151: 【1151】The concerns of anesthesiologists

   Chapter 1151 [1151] Anesthesiologist's concerns

  Anesthesiologist Zhang Tinghai went to the ward again to see the patient before surgery. Before entering the ward, he went around the doctor's office to find someone: "Is Dr. Xie there?"

   The doctor in the office raised his head and knew who he was. The question was which Doctor Xie he was looking for.

   "Xie Wanying." Zhang Tinghai revealed his name.

   Anesthesiologist looking for an intern?

   "Dr. Zhang looking for Teacher Tao, right?" He Guangyou came over and asked him, "Mr. Tao is in the office. I want to confirm with you the anesthesia situation of Teacher Lu's cardiothoracic surgery last time, whether there is any heart problem."

Zhang Tinghai didn't want to chat with that Buddha, mainly because he repeated the chat back and forth several times, the more he asked, the more embarrassing he would feel, and he refused, "I talked to him about all the circumstances of the last operation. "

   It seemed that the anesthesiology department was full of confidence, so He Guangyou had to let him go, and turned around to report to Tao Zhijie.

wrong. The anesthesiology department is actually under a lot of pressure. Xie Wanying has heard the elder sister say this, because everyone is afraid of Zhang Huayao staring in the operating room. The director of the emergency department of Guozhi is very famous. How big is it? You must know that Guozhi and Guoxie belong to a hospital under the same unit, and the relationship is extraordinary. Two hospitals sometimes transfer doctors to each other to serve as the hospital leaders of the other. Like a certain vice president of the current National Association, he was originally a doctor of Guozhi. Everyone is worried that one day, if you are not careful, this Zhang Huayao will come to the National Association to be the leader.

   Anesthesia for Zhang Huayao's mother's operation. If she didn't do it well, it was remembered by the leaders, and it is difficult to say in the future. For this reason, Zhang Tinghai hadn't slept well for two weeks, saying that he often had nightmares.

  The feeling of the doctor is sometimes strange, as if he can predict life.

  Mr. Lu's anesthesia for cardiothoracic surgery is just a small test. This surgery outside the liver and gallbladder is the real trick. Surgeons and anesthesiologists must have all their belongings ready for use.

   Knowing that the patient's anesthesiologist came to look for her, Xie Wanying called back and asked what was the situation.

   "I'll ask you." Zhang Tinghai opened his mouth and asked her, "Zhang Huayao asked you what bleeding prevention plan you want, and what did you write to him. I asked Tao Zhijie, Tao Zhijie said no."

   That Buddha must not lie to him, it is an important operation.

   What Xie Wanying wrote to Mr. Zhang is to report to the senior brother, so the senior brother Tao is telling the truth. Teacher Zhang thought that what she wrote was nonsense and not much to say.

   "You said it is unlikely that there will be heavy bleeding." Zhang Tinghai analyzed her words based on the experience of the anesthesiologist, "Could it be because Mr. Lu's heart is not very good, will there be a gall-heart reflex during the operation."

   In hepatobiliary surgery, the bile-cardiac reflex is a relatively common intraoperative rescue situation for patients, which is related to the inner wall of the human gallbladder and the rich vagus nerve in the surrounding bile ducts. The surgical instrument pulls the gallbladder and bile duct, stimulates the splanchnic nerve in the inner wall of the gallbladder, and the excitement is transmitted to the lower parasympathetic center of the medulla oblongata of the brain, and then transmitted to the heart through the vagus nerve. Intraoperative rescue.

  Severe gall-heart reflex will undoubtedly lead to death. There have been clinical cases where cardiothoracic surgery cannot be saved by opening the chest cavity for cardiac massage. It can be seen how high the risk of gall-cardiac reflex occurs.

   "As long as it is an operation, there are risks." Xie Wanying said that in every surgical operation, various unexpected situations frequently occur.

   (end of this chapter)