Anesthesiologist Zhang Tinghai came to see the patient before going to the ward again. Before entering the ward, he went around the doctor's office to find someone: "Doctor Xie is here?"

The doctor in the office looked up and knew who he was. The question was which Dr. Xie he was looking for.

"Xie Wanying." Zhang Tinghai said his name.

Anesthesiologist seeks an intern?

"Doctor Zhang is looking for Teacher Tao?" He Guangyou came over and asked him, "Teacher Tao is in the office. I want to confirm with you the anesthesia condition during the last cardiothoracic surgery of Teacher Lu and whether there is any heart problem."

Zhang Tinghai didn't want to chat with the Buddha, but mainly talked back and forth several times. The more he asked, the more he was more disgusting and unconfident, and refused to say, "I've talked to him about all the situations in the last operation."

It seems that the anesthesiology department is full of confidence, so He Guangyou had to let the person go and turned around to report to Tao Zhijie.

Wrong. The Department of Anesthesiology is actually under great pressure. Xie Wanying heard from her senior sister that everyone was afraid that Zhang Huayao would stare in the operating room. The director of the Guozhi emergency department is very famous. How old is it? You should know that Guozhi and Guozhi belong to the same unit and have an extraordinary relationship. The two hospitals sometimes transfer doctors to serve as leaders of each other. For example, a deputy director of the National Association of China was originally a doctor of Guozhi. Everyone is worried that one day if you accidentally accidentally, Zhang Huayao would come to the National Association as the leader.

The anesthesia of Zhang Huayao's mother's surgery was not done well, and the leader remembered it in his heart. It was hard to say that Zhang Tinghai did not sleep well once in two weeks, saying that he often had nightmares.

The doctor's feelings are sometimes strange, as if he can predict the uncertainty of life.

Teacher Lu’s anesthesia for external cardiothoracic surgery is just a test. This surgery outside the liver and gallbladder is a real trick. Surgeons and anesthesiologists must take out all their belongings for later use.

When she learned that the patient's anesthesiologist came to see her, Xie Wanying called back and asked what was going on.

"I'll ask you." Zhang Tinghai asked her, "Zhang Huayao asked you what bleeding prevention plan you want, what did you write for him. I asked Tao Zhijie, and Tao Zhijie said no."

Don't lie to him or her, it's a critical operation.

Xie Wanying wanted to report to her senior brother if she wrote something to Teacher Zhang, so Senior Brother Tao was telling the truth. Teacher Zhang thought she was writing nonsense.

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

In hepatobiliary surgery, gallbladder and cardiac reflex is a common intraoperative rescue situation in patients, which is related to the rich vagus nerves in the inner wall of the human gallbladder and the surrounding bile ducts. The surgical instrument pulls the gallbladder and bile ducts, stimulates the visceral nerves in the inner wall of the gallbladder, and then transmits the excitement to the lower parasympathetic center of the medulla of the brain, and then passes to the heart through the vagus nerve. The patient's heart rate slows down, blood pressure drops or even cardiac arrest, and the surgery is urgently stopped and intraoperative rescue is performed.

Severe gallbladder and cardiac reflex can undoubtedly cause death. There have been cases in clinical practice where cardiac thoracic surgery can open the chest cavity for cardiac massage and rescue, which shows how high the risk of gallbladder and cardiac reflex is.
Chapter completed!