Chapter 1151 [1151] Anesthesiologist's Concerns

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

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

"Xie Wanying." Zhang Tinghai said his name.

Anesthesiologist looking for an intern?

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

Zhang Tinghai didn't want to chat with the Buddha, mainly because he repeated the conversation several times back and forth, and the more he asked, the more frustrated he became, and he refused, saying: "I talked to him about everything about the last operation. "

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

wrong. The anesthesiology department is actually under a lot of pressure. Xie Wanying has heard from the elder sister that this is because everyone is afraid of Zhang Huayao staring at him in the operating room. The director of Guozhi's emergency department has a great reputation. How big is it? You must know that Guozhi and Guoxiong are hospitals under the same unit, and the relationship is extraordinary. The two hospitals sometimes transfer doctors to serve as the leaders of each other's hospitals. For example, a certain vice president of the National Association was originally a doctor of Guozhi. Everyone was worried that Zhang Huayao would come to the National Association to be the leader if he was not careful one day.

Anesthesia for Zhang Huayao's mother's operation. If he didn't do well, the leader took it to heart. It's hard to say in the future. For this reason, Zhang Tinghai hasn't had a good night's sleep in two weeks, saying that he often has nightmares.

The doctor's feeling is sometimes very strange, as if he can predict life.

Mr. Lu's anesthesia for cardiothoracic surgery is just a small test, but this surgery outside the liver and gallbladder is the real trick. Surgeons and anesthesiologists must take out all their belongings for backup.

Knowing that the patient's anesthesiologist had come to look for her, Xie Wanying called back to ask what was going on.

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

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

What Xie Wanying wrote to Teacher Zhang was to report to her senior, so what Senior Tao said was the truth. Teacher Zhang thought that what she wrote was nonsense so she didn't say much.

"You said that it is unlikely that there will be massive bleeding." Zhang Tinghai analyzed her words based on the experience of an anesthesiologist, "Could it be because Teacher Lu's heart is not very good, and could there be a gallbladder reflex during the operation."

In hepatobiliary surgery, the gallbladder reflex is a relatively common situation in the rescue of patients during surgery. It is related to the inner wall of the gallbladder and the abundant vagus nerve in the surrounding bile ducts. The surgical instrument pulls the gallbladder and bile duct, stimulates the visceral nerves in the inner wall of the gallbladder, and the excitement is transmitted to the low-level parasympathetic center of the medulla oblongata, and then to the heart through the vagus nerve. The patient's heart rate slows down, blood pressure drops, and even cardiac arrest. The operation is stopped urgently and carried out Intraoperative rescue.

Severe gallbladder reflex will undoubtedly cause death. Clinically, there have been cases in which cardiothoracic surgery was used to open the chest cavity and perform cardiac massage rescue, but the patient could not be saved. It can be seen how high the risk of gallbladder reflex occurs.

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