Anesthesiologist Zhang Tinghai once again ca downstairs to see a patient before surgery, and before entering the patient ward, he first made a detour to the doctor’s office to find soone: "Is Dr. Xie here?"
The doctor in the office lifted their head, knowing who he was, but questioning which Dr. Xie he was looking for.
"Xie Wanying," Zhang Tinghai stated the na.
An anesthesiologist looking for an intern?
"Are you looking for Teacher Tao?" He Guangyou ca over and asked him, "Teacher Tao is in the office, wanting to confirm with you again about the anesthesia situation during the last surgery perford by Teacher Lu in cardiovascular and thoracic surgery, and whether there was any problem with the heart."
Zhang Tinghai didn’t want to chat with that Buddha, mainly because they had repeated discussions several tis already, and the more questions asked, the more disheartening and confidence-draining it becos, so he refused: "I have talked to him about all the conditions during the last surgery."
It seems the anesthesiology departnt is brimming with confidence, and He Guangyou had no choice but to let him go, turning back to report to Tao Zhijie.
Wrong. In fact, the anesthesiology departnt is under imnse pressure, Xie Wanying had heard from the chief sister about it, because everyone is afraid of Zhang Huayao watching in the operating room. The title of Director of Guozhi Ergency Departnt is very significant. How significant it is: to know that Guozhi and Guoxie belong to hospitals under the sa managent group, the relationship is exceptionally unusual. Sotis the hospitals would exchange doctors to assu leadership roles in the other hospital. Like now, one of the Guoxie vice directors was originally a doctor from Guozhi. Everyone is worried that one day, this Zhang Huayao might end up coming to Guoxie to take on a leadership position.
Administering anesthesia for Zhang Huayao’s mother’s surgery, if not done well and taken to heart by the leadership, could spell troubles for the future. Because of this, Zhang Tinghai hasn’t had a good night’s sleep for two weeks and often has nightmares.
Doctor’s intuition can sotis be quite strange, as if they have a prophetic sense about life’s uncertainties.
The anesthesia perford for Teacher Lu’s cardiovascular and thoracic surgery was just a minor test; it’s the upcoming hepatobiliary surgery that will truly show one’s ttle. Surgeons and anesthesiologists must be ready with all their skill sets.
Hearing that the patient’s anesthesiologist had co looking for her, Xie Wanying made a phone call back to inquire what the situation was.
"I want to ask you," Zhang Tinghai imdiately questioned her, "Zhang Huayao asked you for so hemorrhage prevention plans, what did you write for him? I asked Tao Zhijie, and Tao Zhijie said nothing."
That Buddha better not deceive or hide anything from him, it involves a critical surgery.
Whatever was written for Teacher Zhang, Xie Wanying needed to report to her senior brother, and thus what Senior Tao said was true. Teacher Zhang thought what she wrote was nonsense and did not say more.
"You say it’s highly unlikely there would be major bleeding," Zhang Tinghai analyzed her words with the experience of an anesthesiologist, "Could it be because Teacher Lu’s heart is not very good, and there might be an occurrence of cholecystocardiac reflex during surgery?"
In hepatobiliary surgery, the cholecystocardiac reflex is a relatively common condition that requires ergency intervention during surgery, related to the abundant vagus nerves in the gallbladder’s inner wall and surrounding bile ducts. When surgical instrunts tug on the gallbladder and bile ducts and stimulate the visceral nerves of the gallbladder inner wall, excitent is transmitted to the dulla oblongata’s parasympathetic subordinate centers in the brain, and then conducted to the heart through the vagus nerve, leading to the patient’s heart rate slowing, blood pressure dropping, and even sudden cardiac arrest, necessitating the imdiate suspension of surgery and intraoperative resuscitation.
A severe cholecystocardiac reflex could undoubtedly lead to death. Clinically, there have been cases where even having cardiovascular thoracic surgeons open the thoracic cavity to perform cardiac massage could not revive the patient. This shows how high the risks are once a cholecystocardiac reflex occurs.
"With surgery, there are always risks," Xie Wanying said, as various unexpected situations frequently arise in every surgical procedure.
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