Chapter 889 The Difficulty of Joint Surgery

On the bed.

The patient suddenly suffered from acute heart failure, which surprised the audience outside the venue and the live broadcast room.

However, as the person involved, the surgeon Lu Chen was calm.

He had long expected that the patient was very likely to suffer from acute heart failure during the operation.

He had made corresponding preparations.

This patient with heart failure could not lie down at ordinary times.

He needed a semi-recumbent position to maintain heart function.

Once lying flat, blood return increased, increasing the burden on the heart.

During the operation, the patient must maintain a long-term lying posture.

Over time, heart failure will definitely recur!

"Maintain blood pressure."

"Push furosemide."

"Use IABP immediately!"

Lu Chen calmly directed the operation.

Jin Miao and Gu Xinyue immediately got busy.

The IABP machine was pushed in.

After Lu Chen punctured the patient's femoral artery, he installed this auxiliary device on the patient.

The IABP machine can maintain the patient's heart function.

At this time, the main purpose of using it is to ensure the smooth completion of the operation.

Lu Chen took a deep breath and directed Jin Miao to start the TAVR operation.

Gu Xinyue was just standing by.

No, she was handing over various instruments.

"After the TAVR operation, the TMVR operation must be performed as soon as possible. The operation time must be shortened as much as possible to keep the patient's heart function stable to the maximum extent."

Lu Chen said in a deep voice.

He understood the difficulty of this operation, but his hands were not slow at all.

The biggest difficulty in joint surgery is the time problem.

Only by shortening the time as much as possible can the patient's heart function be maintained to the greatest extent.

The guidewire and catheter passed smoothly.

Balloon pre-dilation, balloon expansion!

The artificial valve is ready.

This series of operations dazzled the people in the live broadcast room and the catheter room.

Some of the audience in the live broadcast room recognized Lu Chen.

"Isn't this Lu Chen who shared his surgical cases at Kyoto Medical College a few years ago?"

"Yes, I said it, he looks familiar, it turned out to be him!"

"He is so good! I said, who can do this kind of surgery!"

For a moment, everyone was amazed.

Lu Chen is back from Mayo!

And this time, he brought back the most advanced clinical surgery at Mayo!

The surgical platform in the hospital is spread in a small range in the Magic City.

But at this moment, the servers of Yunhua Hospital are already full.

The surgical screen is very stuck.

It's like playing a PPT.

The audience in the live broadcast room is anxious.

This is a witness to history!

If you miss it, it will be a great pity.

Therefore, people keep calling Yunhua Hospital to ask about the problems in the live broadcast room.

Zou Liqian received feedback from the hospital staff at the first time.

Even he himself did not expect Lu Chen's live broadcast to have such a great influence.

He immediately notified the information department to add a server.

...

In the operating room.

Lu Chen's surgery has reached the most critical moment.

The balloon dilatation was over.

The artificial valve began to be delivered.

Under Lu Chen's guidance, Jin Miao began his own operation.

"Pay attention to the wall and the problem of paravalvular leakage."

Lu Chen instructed.

Jin Miao operated carefully.

He understood the importance of this operation.

Lu Chen was able to give him this opportunity.

He was very excited, but also under great pressure.

In fact, Jin Miao had performed hundreds of tavr operations.

He was also the first person in the surgical team of Guanghai Central Hospital.

But for this new surgical procedure.

He had no experience and lacked guidance.

To put it bluntly, his surgical ability was strong, but he lacked correct guidance.

And Lu Chen currently played this role.

"Move it forward a little, the position of the valve must be appropriate to avoid paravalvular leakage."

"Okay, that's it. Release the valve!"

The artificial valve of the aorta was successfully delivered.

But the operation was only half done.

The patient's mitral valve was still moderately stenotic.

"Leave the rest to me."

Lu Chen took over Jin Miao's position.

Jin Miao had relatively little experience with TMVR procedures.

Not to mention this kind of combined surgery.

Jin Miao did not have enough confidence to complete it.

"Watch my movements carefully." Lu Chen said while operating, "After the TMVR surgery is successful, the mitral valve has certain benefits, but when we perform the TMVR surgery, certain changes have also occurred accordingly."

Surgery is a process of practice makes perfect.

However, many key skills still require personal understanding.

Jin Miao has good talent.

As long as Lu Chen tells him the key points, he will probably understand one or two.

Of course, it is a blessing for Jin Miao to meet a director like Lu Chen who teaches without reservation.

Most leaders are still worried that their subordinates will surpass themselves.

As the saying goes, teaching the apprentice will starve the master.

This is the truth.

However, Lu Chen has no such worries.

He hopes that someone around him can keep up with his pace.

...

During the operation.

Lu Chen's face was solemn.

He paid attention to the patient's vital signs while performing balloon dilatation.

"We can't continue to expand it. If we expand it any further, there's a risk of the blood vessel tearing."

Lu Chen reminded Jin Miao.

Jin Miao nodded, staring intently at Lu Chen's operations.

This kind of close observation was of great benefit to him, and his surgical skills grew rapidly.

The people in the live broadcast room and outside the catheter room were holding their breath and staring closely at Lu Chen's operations.

This difficult operation is undoubtedly an exciting performance for experts.

"Release the valve!"

When Lu Chen gave the last order, everyone's hearts were lifted.

This step is related to the success or failure of the entire operation.

In the angiogram, the valve smoothly reaches the heart along the blood vessels.

Lu Chen gently twisted the delivery valve rod.

The valve is slowly released.

"Director, the valve is well attached!"

Just as Jin Miao finished saying this, he saw the ECG monitor next to the operating table.

The patient's blood pressure and heart rate continue to drop!

The piercing sirens also kept sounding.

Lu Chen immediately stopped operating and frowned, "What's going on?"

"Director, the patient's blood pressure and heart rate are no longer good! He has heart failure again!"

Although connected to the iabp machine, the patient's heart is still so fragile.

"Increase the concentration of vasoactive drugs!"

"Ice brain protection!"

The movements in Lu Chen's hands stopped, UU Reading www.uukanshu.net but he was still issuing other medical orders.

In this situation, Lu Chen was a little bit stuck.

There will still be some time before the valve is released.

During this period, heart failure may develop further.

But if you don’t continue, all your previous efforts will be in vain!

"Director, what should we do next?!"

Jin Miao suppressed her inner nervousness. The patient's condition seemed to be beyond everyone's expectations.

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