The bleeding is not significant, and the ultrasonic scalpel can easily stop this minor bleeding with a slight touch. However, the mont the doctor is about to move, bleeding starts again, showing that this heart is indeed scarred. It’s a miracle if the patient recovers fully without major myocardial scars. The doctors are contemplating this as they proceed with the surgery.
The heart has inner and outer mbranes, myocardium, blood vessels, and nerves. The recent bleeding spot is not from a major surface blood vessel, but myocardial bleeding suggests there might be a tear. After stopping the bleeding at the surface, the surgical instrunts delve deeper into the wound. Ti is of the essence; the surgical team avoids hesitation, striving to explore the depths of the injury.
Being conservative doesn’t an lacking courage; Teacher Du’s approach might be conservative, but it’s fundantally different from the slow pace of Senior Tao and Teacher Nie. Once a target is confird, he doesn’t hesitate to act. Xie Wanying noticed this and also sensed the intense nervousness of Teacher Pang beside her.
The chief surgeon’s fast pace requires other assisting staff to keep up with his steps.
As the surgical separation clamp probes the heart wound, it would be ideal for the heartbeat to slow down further. Doctor Pang needs to slow the heart’s rhythm.
In general, in other surgeries, the task of slowing the heart rate falls to the anesthesiologist. The anesthesiologist can administer drugs through the patient’s intravenous line to slow down or speed up the heart rate. However, using drugs always carries risks. If there are better ways without dication, those should be chosen. Fortunately, in such cardiac surgeries, extracorporeal circulation provides an additional option, allowing doctors to lower the patient’s blood flow temperature using a heart-lung machine to slow the heart rate without dication.
Now, Doctor Pang has reduced the patient’s heart rate to about thirty beats per minute.
"Faster would be better," Xie Wanying told Teacher Pang.
Doctor Pang was montarily stunned: Why is a dical student offering advice? Hasn’t she never witnessed cardiac surgery before? What could she possibly understand?
"If the tear is visible to the naked eye, it’s true that the slower, the better for cooperating with the surgeon. However, now it’s not visible, and probing is unclear; making it slower is useless. Instead, it needs to beat faster to bleed more, revealing where the hidden tear is," Xie Wanying said, "Anyway, it has to be re-sutured. Without identifying the problem, it can’t be solved."
It’s like when her father repairs cars and doesn’t know where the problem is with the large truck; he can only keep the engine running after opening the hood and check where the issue lies. Xie Wanying spoke from a way of thinking she had learned from observing at ho since she was young.
Other doctors heard her.
Doctor Yang exclaid directly: "Oh my." This Doctor Xie, like her, is a female doctor, and her thinking is so "bold."
Shim Youhuan glanced back at the little junior sister: Bold indeed, and seemingly not matching the gentle appearance of the little junior sister, yet, it perfectly aligns with a surgeon’s mindset.
If you don’t believe it, look at how the eyes of the group of surgeons glead as they looked at Student Xie.
Surgeons need to be "bold," requiring quick and decisive thinking at critical monts; at tis, the thinking needs to be bold; otherwise, they cannot handle the situation.
In the current surgical situation demanding speed, Student Xie’s way of thinking is correct—swift and decisive action is needed.
"How fast are you suggesting?"
It was Teacher Du asking her.
Xie Wanying replied, "Up to fifty."
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