Chapter 758 I Asked an Expert

Guanghai Central Hospital.

Heart within u ward.

At this time, nurse Xiaorong did not dare to be stunned, but stared closely at the patient on the bed.

If something goes wrong again, the patient will really not be able to be saved!

Now, when she thinks back to what she just said, she really regrets it!

doctor's office.

Shi Langqin, Dai Wansong and other big shots gathered together.

The reason was the patient with "severe aortic stenosis" who just suffered from heart failure.

"Fortunately, the nurse discovered it in time. As soon as the patient suffered from heart failure, she immediately called for rescue." The doctor on duty introduced the condition, "But when I arrived, the patient was sitting upright and breathing, and his blood oxygen saturation and blood pressure were not good. ”

Dai Wansong listened silently, without speaking, and kept flipping through the patient's hospitalization records in his hands.

A long while.

"Dean Dai, can...can you do it?" Shi Langqin looked at Shi Langqin with hopeful eyes.

This time, in order to build momentum, he decided to undergo the difficult TAVR surgery before the conference.

If he fails, it may harm his subsequent deployment and even affect his selection as chairman.

"Okay." Dai Wansong nodded slightly and paused for a moment, "However, the risk of the operation is extremely high, and the patient may not be able to get off the operating table. You need to discuss this clearly with the patient's family. The family will bear the risk, and we will start preparing for the operation!"

"That's great. With your words, I'll feel relieved."

Shi Langqin was determined.

"As for the family members, I will go and talk to them personally!"

He immediately took the doctor on duty to the doctor-patient communication room, preparing to explain the risks of surgery to the patient's family.

…

As for Dai Wansong, he was not idle either.

The reason why he dared to agree to Shi Langqin was of course because there had been similar cases before.

Although there are few cases of emergency TAVR surgery, he has cooperated with Lu Chen on a few.

What impressed Dai Wansong the most was the "pause ventilator" operation that allowed the valve to be moved to a designated position.

At that time, it was shocking!

Lu Chen's divine skill is even close to the level of the world's top magicians.

In that operation, Lu Chen was the chief surgeon and Dai Wansong was the first assistant.

After that, Dai Wansong also encountered several similar emergency TAVR surgeries.

At the beginning, he would also invite Lu Chen to perform surgery together.

Later, Dai Wansong simply asked Lu Chen for his opinion online.

After comprehensive assessment, a reasonable surgical plan will be assigned to the patient based on the patient’s opinions.

Even though it is just a surgical plan, there are many things involved!

Taking the surgical approach as an example, it is necessary to evaluate the shape of the valve leaflets, degree of calcification, whether there is fusion, and the diameter of the valve annulus based on ultrasound before surgery.

After tracheal intubation, it is also necessary to determine the anatomy of the aortic root through the esophagus, and evaluate the course of the carotid artery, femoral artery, abdominal aorta, and ascending aorta to further eliminate relevant contraindications and select an appropriate approach.

Generally, surgeons without extensive experience can easily make detours or even choose the wrong path, thus delaying the optimal time for surgery.

The patient's risk was so high that Dai Wansong still habitually asked Lu Chen for his opinion.

He collected the patient's medical records, took photos and sent them to Lu Chen.

…

Lu Chen was reviewing papers when he suddenly received a message from Dai Wansong.

However, he is now used to it.

Dean Dai will always refer to his opinions when encountering interesting or difficult surgeries.

As the dean, it is extremely rare for him to be able to lower his face and ask for his opinion.

Similarly, Lu Chen was also happy to answer, not only could he earn a wave of gratitude points, but he could also build a good relationship with Dean Dai.

After receiving the surgical information from Dean Dai, Lu Chen began to study it.

"Severe aortic stenosis, rapid atrial fibrillation, acute attack of heart failure!"

"The patient has refractory heart failure and poor drug control. The patient is at risk of cardiogenic shock and sudden cardiac death at any time. He has indications for emergency TAVR surgery!"

Dai Wansong couldn't help but nodded when he received Lu Chen's reply.

As expected of Lu Chen, he judged the patient's condition immediately.

"Lu Chen, we have also decided to perform emergency TAVR surgery here." Dai Wansong said immediately, "I have made a plan myself. You can see where there are any changes that need to be made..."

Lu Chen quickly evaluated Dai Wansong's surgical plan again and found many problems.

"Dean Dai, I just looked at the patient's left ventricular outflow tract internal strength, circumference and area, as well as the outflow tract calcification. You may need to pay attention to the patient's risk of postoperative conduction block."

Dai Wansong frowned slightly: "Well, I will prepare a temporary pacemaker and put it on the stage for later use."

"In addition, I measured the angle between the patient's aorta and left ventricle. It was over 70 degrees. Considering the transverse heart position, we must pay attention to the angle of valve delivery during the operation."

"Okay." Dai Wansong recorded every bit of General Lu Chen's words.

"Last point, Director Dai, you should also know that for patients who are on a ventilator, when the valve finally steps in, the ventilator may affect the operation, so the ventilator may have to be paused for a few seconds."

Dai Wansong couldn't help but smile: "Don't worry, I still remember this very well!"

"Well, that's about it." Lu Chen said, "The plan you formulated, Dean Dai, is generally correct."

Dai Wansong smiled, Lu Chen, this little naughty boy, really knew how to take care of his emotions.

His plan has many loopholes. Although it is not a big problem, after Lu Chen's modification, it can greatly reduce the occurrence of complications.

"Lu Chen, thank you." Dai Wansong said, "Let's get together when we have time. You have helped me a lot!"

"Okay." Lu Chen smiled, "But I have left the Magic City now. When I return, I will find you as soon as possible."

"Lu Chen left the Magic City?" Dai Wansong was stunned.

He knew that Lu Chen had graduated with a doctorate, and thought that Zhang Shuqing would keep him no matter what he said.

But Lu Chen actually left? !

If he had known earlier, he would have come to dig a corner and get Lu Chen to the Magic City Central Hospital.

Then their hospital would take off!

Just when Dai Wansong was about to continue asking Lu Chen, Shi Lang came back.

"Old Dai, the family members agreed, let's start the operation!"

Seeing this, Dai Wansong took back his phone.

"Okay, I just sent the patient's information to a tavr expert and asked for his opinion." Dai Wansong smiled, "The success rate of the operation has increased a lot!"

"Old Dai, even you call him an expert?" Shi Langqin was surprised.

"Yes, our Magic City has developed rapidly in recent years. His contribution is not small!" Dai Wansong continued.

"I really want to get to know him." Shi Langqin became interested.

"Don't worry, there will be a chance." Dai Wansong said, "Let's solve the operation of this patient first today."

"Okay." Shi Langqin looked solemn, and then told everyone to start preparing for the operation.

In this operation, Dai Wansong was the main surgeon, and Shi Langqin was an assistant.

.