Chapter 430: The Surprise Brought by Lu Chen
Remember [New] in one second! "Teacher Xiao, can I participate in the evaluation?"
In the catheter room, Lu Chen looked at Xiao Shikang beside him in a daze.
Xiao Shikang nodded slightly and smiled: "Of course, you are now a member of our catheter room, which can also be regarded as an important indicator of your second stage assessment."
Lu Chen was just worried that he would not have the opportunity to participate in this evaluation because of his identity.
After all, he is an outsider.
Getting Xiao Shikang's affirmative answer, Lu Chen was relieved.
He must get the opportunity for this operation.
Where you fall, you must get up from there!
But it is not an easy thing to "snatch" this opportunity from the hands of a top electrophysiological interventional doctor.
Lu Chen's biggest advantage is his own system virtual space.
Because the patient's condition is critical, the evaluation will be carried out the day after tomorrow.
In just two days, Lu Chen needs to practice this operation in a targeted manner!
"Teacher Xiao, I'll take two days off." Lu Chen said.
"Okay, no problem!" Xiao Shikang said. He had seen Lu Chen tired of surgery every day and wanted him to have a good rest and adjust.
For work, you still need to relax to ensure efficiency.
...
Back to the hotel, Lu Chen threw away all distractions and immediately started virtual training in the system space.
Percutaneous hepatic vein puncture and implantation, this is something Lu Chen rarely touched before.
Not only Lu Chen, but other cardiologists are also unfamiliar with this technology.
However, this has also become a small advantage for Lu Chen.
This time, it is a "real gun" training, and the opponent is an experienced surgeon.
After all, facing the top interventional surgeon in Kyoto, Lu Chen is not absolutely sure of winning, and he must firmly control any advantage.
Entering the system virtual space, Lu Chen set up the "hepatic vein puncture" surgical channel.
From hepatic vein puncture to pericardium, this path is much longer than from subclavian vein to pericardium!
The subclavian vein path only needs to pass through a curved arc.
The path through the hepatic vein has to go through three bends.
The difficulty is not a little bit.
As soon as Lu Chen started, he noticed the difficulty of the three bends.
Each of his steps was more precise, implanting the guidewire into the corresponding position.
Once there is an error, it will be a matter of a hair's breadth!
After two hours of training in the system simulation space, he initially mastered the entire process of hepatic vein puncture.
"Congratulations, the proficiency of percutaneous hepatic vein puncture implantation has reached 30%."
However, this 30% proficiency is still not enough!
In order to stand out among the doctors, Lu Chen felt that the proficiency should be at least 60%!
Fortunately, he had enough time to improve his skill proficiency in the next two days.
...
In a blink of an eye, two days passed.
The evaluation of "percutaneous hepatic vein puncture implantation" finally began.
At nine o'clock in the morning, all the participating doctors came to the electrophysiological surgery simulation room of Kyoto University.
This time, including Lu Chen, there were a total of eight people participating.
These people are all the backbone of the Department of Cardiology of Kyoto University First Hospital.
If these doctors were placed in lower-level hospitals, they would all be department director-level figures!
"The surgical evaluation begins!"
As Qin Sifeng's voice came from the simulated operating room, the evaluation officially began.
Eight people were divided into two groups, with four people in each group.
Lu Chen was assigned to the second group.
He sat outside the catheter room and watched the operation in the catheter room quietly.
Fang Ruzhang sat next to him.
Fang Ruzhang did not participate in this evaluation. He thought that he was not ready for interventional surgery. After all, he did not even pass the first stage of the electrophysiology training class!
"Lu Chen, have you done this kind of surgery before?" Fang Ruzhang asked in a low voice.
In his current surgical career, he has never done this kind of unconventional puncture implantation path.
"I have seen it a few times." Lu Chen paused.
"Ah?" Fang Ruzhang was stunned, "You dare to do it after only seeing it a few times?"
Fang Ruzhang couldn't help but give Lu Chen a thumbs up, "You are really awesome!"
Lu Chen smiled slightly and didn't explain much.
Taking advantage of this time, he continued to train in the system virtual space.
After two days of simulated training day and night, Lu Chen's proficiency in "transhepatic vein puncture implantation" has been improved to 67%!
This speed of proficiency improvement is already extremely terrifying!
However, in order to ensure that everything is foolproof, Lu Chen tried to improve his proficiency to more than 70%.
70% proficiency is already about the same as the proficiency of a deputy chief doctor.
...
In the catheter room, the first group of doctors have already started.
The difficulty of this operation is mainly due to four points:
First, the path of transhepatic vein puncture implantation is long.
Second, the path of transhepatic vein puncture implantation has three curved arcs.
Third, the entire operation is a backhand operation.
Fourth, the implanted pacemaker not only has a specific pacing function, but also needs to have functions such as icd (defibrillator)!
Qin Sifeng looked back and forth at the progress of the four simulated operating rooms.
He was also unsure.
Everyone has done this kind of operation very few times. It can be said that there are only a few cases in all these years.
Now we can only say that we are the best among the dwarfs.
An hour later, the first group's simulated surgery was completed!
It was the second group's turn.
Lu Chen took two deep breaths and walked into the simulated operating room.
Wearing a lead coat, then a surgical gown, the next step is disinfection and puncture.
Although it is a simulated surgery, none of these necessary steps can be missed!
Lu Chen stood in front of the stage, anesthetized, picked up the puncture needle, and began to puncture under the guidance of the ultrasound machine.
The hepatic vein was already displayed on the screen of the ultrasound machine.
Lu Chen gently inserted the puncture needle in his hand and entered the right hepatic vein.
The first step was completed smoothly under the guidance of ultrasound.
Then, Lu Chen inserted the guide wire.
This step is the difficulty of the operation!
Lu Chen stared at the screen closely, and his hands moved gently, one flick, one twist, and one pick.
The guide wire slowly moved forward from the right hepatic vein.
Whenever he encountered resistance, Lu Chen adjusted the angle of puncture and tried to enter from other directions.
Lu Chen's puncture process this time was completely different from other electrophysiological surgeries.
There were three bends in it, so he didn't dare to speed up easily and could only move forward bit by bit.
Fortunately, the training results of the past two days were remarkable.
His proficiency reached about 70%. Although the speed was slow, Lu Chen still completed the puncture process.
He smoothly inserted the guide wire into the right atrium through the hepatic vein and the inferior vena cava.
...
Outside the catheter room. UU reads books www.uukanshu.net
Qin Sifeng looked at the performance of the doctors and finally fixed his eyes on Lu Chen.
"He... he has finished it?"
When Lu Chen successfully implanted the electrode, it meant that he had broken through the first three difficulties of the operation!
"This..." Qin Sifeng glanced at other surgical simulation rooms. Many doctors were still operating the guide wire, but Lu Chen had already started the pacemaker threshold mapping.
This really shocked Qin Sifeng.
Afterwards, Qin Sifeng shook his head slightly: "It seems that there is no need to compete anymore."
After seeing Lu Chen's performance, Qin Sifeng had almost decided on him.
He had never thought that there was a doctor present who could complete all the puncture and implantation steps.
After all, it was a selection of surgical assistants, as long as they could complete most of it.
Unexpectedly, Lu Chen gave him a big surprise!