Don’t underestimate it.
When the mediastinum shifts severely, it can lead to the surrounding structures pressing on the healthy side’s bronchus.
If the patient is young, in their twenties or thirties, since the bronchial walls are soft, they may narrow and deform under pressure. At this point, airway obstruction followed by difficulty in breathing may occur.
Experienced doctors often refer to this phenomenon as post-pneumonectomy syndrome.
There’s another interesting observation: this syndrome is more mon after right-side pneumonectomy.
If this situation arises, it’s akin to curing one ailment but creating a new one in the process.
At this point, due to the patient’s difficulty in breathing, the ideal solution is to place a stent within the pressed and deformed bronchus.
Despite the patient’s older age, where the bronchial wall is much firmer pared to younger people, and having undergone left rather than right pneumonectomy, there remains a risk of post-operative syndrome.
In particular, acute pulmonary edema could lead to a rapid increase in the volume and weight of the remaining right lung. If clinical care is neglected, it could result in a second ailment for the patient.
Following Zhou Can’s treatment method, a series of medications and emergency measures led to the patient’s condition gradually improving.
Everyone breathed a sigh of relief.
The atmosphere in the ICU also noticeably relaxed.
Whether doctors or nurses, having no critically ill patients is a source of relief and happiness. Especially during night shifts, nurses fear both a large influx of patients and plications with those already hospitalized.
The healthcare profession is indeed a tough one.
It’s exhausting, dangerous, and mentally draining.
"It was definitely the right decision to invite Dr. Zhou for a consultation. He performed the surgery and knows the patient’s condition best. Frankly, I was worried about a pulmonary embolism!"
Director Hee said with a relieved smile.
"Mr. He, even I leaned toward pulmonary embolism. If the family hadn’t disagreed, I would have supported using ECMO. Thankfully, it was a false alarm."
Others, upon hearing this, couldn’t help but smile as well.
Seeing a critically ill patient pulled back from the brink brings everyone a sense of achievement and joy.
"Zhou Can, are you still planning to perform those two major surgeries tonight?"
Director Xue Yan was more concerned about that.
With the crisis managed, new tasks awaited her.
For a department to maintain its strength, it must tackle tough cases every day.
So far, Zhou Can remains Cardiothoracic Surgery’s sharpest scalpel, unrivaled.
In terms of surgical expertise, Zhou Can truly stands at the top.
He can perform with stability or speed.
bining the two, he can handle it adeptly.
Whether it’s suturing, hemostasis, ligation, dissection... he can excel in nearly every area.
It’s hard to find a surgeon with such prehensive skills.
Former Director Hu Kan far surpassed Zhou Can in terms of steady hands. But in other areas, he was generally at director level and some surgical skills remained at associate director level until his last days.
"Of course, I’m doing them! I’ll be there promptly after my shift ends."
Zhou Can looked exuberant and full of fighting spirit.
His demeanor sparked a wave of smiles among everyone.
It’s a crucial time in the discreet rivalry with Third Hospital, and Zhou Can is determined to exert pressure. The more high-difficulty surgeries he performs and the better his reputation, the greater the pressure on Third Hospital.
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