novelraw Chapter 449 - 328: Joint Surgery, Led by Qin Feng
Chapter 449 - 328: Joint Surgery, Led by Qin Feng
Immediately,
Zhang Qingquan led two nurses, carefully and quickly pushing the patient into the emergency room, starting with preoperative cleaning.
Even now, he still felt his heart beating rapidly and hadn’t recovered from the shock.
He also understood that the more arduous task was still on the operating table.
So Zhang Qingquan dared not delay even a second, quickly cutting open the patient’s clothes while performing basic disinfection all over the body, then pushed into the operating room.
At this moment, the operating room was already prepared.
The head of anesthesiology, Deputy Director of Hepatobiliary and Pancreatic Surgery Yu Shuang, and Dr. Lu Mingming, the attending doctor of Gastrointestinal Surgery, were all in place.
"This injury is too severe!"
At the sight of the patient, all three frowning deeply.
The sternum had been cut open, and although emergency hemostasis had been performed on several abdominal knife wounds, they were still bleeding continuously.
They even had to open four intravenous lines, two for fluid replacement and two for blood transfusion, almost hanging by a thread.
"What’s the situation now?"
Deputy Director of Hepatobiliary and Pancreatic Surgery Yu Shuang looked at Zhang Qingquan and asked.
"The patient’s condition is not good. Director Qin just performed intracardiac resuscitation, and surgery is needed immediately."
Zhang Qingquan quickly explained, because the situation was too serious, there was no time for any examination.
"But now the patient’s vital signs are nowhere near the level needed to be on the operating table and could die at any moment. This is too risky."
Dr. Lu Mingming from Gastrointestinal Surgery couldn’t help but complain.
Although he had seen and participated in such situations, he understood the consequences of such injuries better.
"What about anesthesia?"
The head of anesthesiology asked.
"Uh....."
Zhang Qingquan was also dumbfounded because he couldn’t make this decision.
At this moment,
just as the patient was being pushed into the operating room for preparation, Qin Feng walked out of the emergency room with his hands full of blood.
A nurse followed him, holding a surgical consent form and a critical condition notice.
"Doctor, how is he?"
Seeing this, two policemen immediately rushed over, asking anxiously.
"The situation is not good, he is in critical danger. We are doing our utmost to save him."
Qin Feng said solemnly,
"He needs immediate surgery, so we need a signature. Here are the surgical consent form and the critical condition notice. Who will sign?"
"I will!"
At this moment, one young policeman, handsome even rivaling Qin Feng, grabbed a pen in an instant.
Swish swish swish~
Signing his name on both forms with determined eyes.
"Doctor, I beg you to save his life! Whatever it takes, whatever it costs, please!"
"Rest assured, I’ll do my best!"
Qin Feng met his eyes, nodded and said.
In that gaze, both of them felt a tremor in their hearts, but the situation was urgent, and neither had time to think.
Then Qin Feng turned and walked into the operating room, started disinfecting and changing clothes.
Outside the operating room,
"Jiang Yuan, what do we do now?"
The slightly older policeman looked at the young policeman, tears rolling down his cheeks,
"If I hadn’t sent young Xiang after that drug dealer alone, this wouldn’t have happened... It’s all my fault! Wuwuwu~"
Slap!
At this point, the man raised his hand and slapped himself hard, crying out in pain.
"Old Du, it’s not your fault. I am the action team captain, no matter what the higher-ups think, everything falls on me.
As long as Xiang Liang’s life can be saved, I’ll go back to the police station if need be."
The young policeman, seeing the man’s state, raised his hand and firmly gripped his shoulder.
As he finished speaking, a chilling gleam flashed in his eyes!
At this moment, the stars on his shoulder were stained with spots of crimson, so glaring.
...
Inside the operating room,
Qin Feng kicked open the door of the operating area and walked in.
"Everyone, sorry, I went to get a signature."
He said, striding towards the operating table.
"Director Qin, the patient has no examination reports or even a surgical plan. How do we proceed?"
Dr. Lu from Gastrointestinal Surgery was the first to ask.
"I understand, I’ll tell you both soon, but we don’t have much time. Dr. Zhang has already explained the patient’s basic condition, right?"
As he finished speaking, Yu Shuang and the others nodded.
"Okay, I hope Director Yu and Dr. Lu cooperate with me in this surgery. Time is pressing. Let’s start with anesthesia, and I’ll tell you both the surgical plan..."
Qin Feng nodded slightly, then began to speak concisely without leaving room for objection.
He had already roughly assessed the patient’s condition. Judging from the amount of bleeding and the location of the stab wounds, the extent of abdominal damage seemed complex, but it shouldn’t involve more than a few organs.
The liver, pancreas, kidneys, stomach, various parts of the intestines, yet the most crucial thing is,
to save a life!
Upon hearing his words, Yu Shuang and the others refrained from further comments.
Firstly, time was urgent; the patient’s condition could not wait any longer. Secondly, this surgery was an emergency, and the patient was a police officer.
No matter what, they had no reason to refuse.
Since Qin Feng had already arranged all the responsibilities and surgery, as the chief surgeon, he indeed had the right to make decisions.
Moreover, Qin Feng was also the Deputy Director of the Emergency Department office.
"I’ll start anesthetizing now."
The deputy director of the Anesthesiology Department nodded solemnly upon hearing Qin Feng’s words and immediately began the anesthesia.
And for this operation, the most crucial aspect was anesthesia!
The success of a surgery, especially one of higher difficulty, depends thirty percent on the chief surgeon, while the remaining seventy percent rests with the anesthesiologist.
Nowadays, many ordinary people without medical knowledge believe that anesthesiologists’ work is just as simple as giving the patient an injection to sleep, yet they earn high salaries.
But for patients undergoing surgery, their most urgent wish is safety, painlessness.
And for surgeons, stable and favorable surgical conditions are necessary.
The importance of anesthesiologists directly correlates with the scale and level of medical institutions; the bigger the hospital and the more critical the patients, the more prominent the role of anesthesiology becomes.
Surgery always represents a significant trauma to the human body!
Therefore, before surgery, the patient’s cardiopulmonary reserve, underlying diseases, and any abnormalities needing correction rely on the anesthesiologist’s clinical diagnosis, assessment, and handling.
For any surgery, the patient’s safety and pain relief are the basic requirements of anesthesia.
For major surgeries and patients in poor condition, the anesthesiologist’s monitoring treatment maintains the patient’s life, which could slip away every second!
A patient’s surgery requires at least two anesthesiologists or nurses to provide constant care.
They focus on life support, using comprehensive monitoring, various medications, fluids, and other means to maintain the patient’s state at its best during the operation.
Therefore, excellent anesthesiologists are treasures in the eyes of all surgeons!
Thanks to them, top surgeons can perform at their best, saving life-threatening patients.
...
"Anesthesia completed."
Soon, Deputy Director Tian from the Anesthesiology Department looked up and said.
The patient’s condition was not good, but anesthesia was still completed. The anesthesiologist, in a somber expression, continuously monitored and adjusted medications to elevate the patient’s physiological indicators.
"Okay, prepare the ECMO."
Qin Feng said in a deep voice upon hearing this.
The first step before surgery was to connect the patient to the fluid circulation system to help complete the body’s blood circulation.
Otherwise, if the abdominal cavity was opened rashly, any major bleeding could instantly result in death.
The chest cavity was already open, providing a suitable environment for ECMO intervention.
Qin Feng positioned himself as the chief surgeon, with Zhang Qingquan as the first assistant.
This part, he would handle personally!
Sever the aortic wall and connect the artificial vessels.....
Inject the cardioplegic solution, heart rate dropping!
Distal aortic blockage, completed!
Proximal aortic blockage, completed!
Extracorporeal circulation cannulation, completed!
Within a few minutes, Qin Feng completed the vascular connections for the ECMO, his hands moving at a speed that left Deputy Director Yu Shuang, Lu Mingming, the anesthesiologist, and the nurses in shock.
This speed was unbelievably fast!
Assisting him, Zhang Qingquan could only follow Qin Feng’s commands without processing them, his mind blank.
Even Director Zhong, known in Beijing’s cardiac surgery as ’the best surgeon’, had never seen such rapid hand speed.
And every movement was so precise, with not a millimeter of deviation!
Terrifying!
"Increase fluid replacement, start the ECMO."
Qin Feng picked up the needle holder and said in a deep voice.
Woo woo woo~
In the next second, the extracorporeal circulation machine started, accompanied by a low humming sound.
second...
seconds...
seconds...
The crowd waited in silence, knowing that fresh blood had appeared in their sight.
Circulation successful!
"Speed up transfusion, correct the condition."
Seeing this, Qin Feng said to the nearby nurse, then looked at Yu Shuang and Lu Mingming who were waiting aside,
"Director Yu, Dr. Lu, let’s begin the surgery."
The two exchanged a glance, seeing the astonishment in each other’s eyes, and then nodded,
"Okay."