My Medical Skills Give Me Experience Points Chapter 1296: 511: Anesthesia Is a Dangerous Path, and the Long Wait (Part 2)
Previously on My Medical Skills Give Me Experience Points...
Individuals such as Qu Zi and Shangguan Xuexue are advancing swiftly.
From top to bottom, the Anesthesiology Department brims with promising talent, charting a bright path ahead.
Director Xie of the General Surgery Department deserves much credit for the Anesthesiology Department's success, offering substantial aid and backing.
His vision in this matter truly deserves admiration.
Early on, he likely foresaw the mutual dependence between the Anesthesiology Department and surgical units. A robust Anesthesiology Department provides surgical teams with a reliable partner.
Moreover, since other key departments rely on anesthesia assistance too, they foster strong ties with the Anesthesiology Department.
Thus, despite challenges in hiring, the Anesthesiology Department flourishes across the hospital.
Reform looms for the Anesthesiology Department, posing a major challenge for figures like Dr. Guan. Presently, benefits are shared equally; incoming cases get evenly divided among anesthesiologists.
Should a department request a particular anesthesiologist and scheduling allows, such assignments are typically approved.
Dr. Guan now grapples with scarcity—rarely do departments specify him for anesthesia duties. Pre-reform, shared benefits sustain him.
Post-reform, lacking assigned cases would spell trouble.
He could shift to the Intensive Care Medicine Department or check for openings in other units' ICUs, taking charge there.
From the moment anesthesiologists embark on this career, they tread a thorny road riddled with constant perils.
Be it as an anesthesiologist or pivoting to Intensive Care Medicine, they forever shoulder risks for countless patients.
“Is cardiac arrest necessary?”
Director Feng questioned Zhou Can.
Aware that Zhou Can crafted the full surgical strategy, he sought direct confirmation on pivotal surgical elements.
“As long as no severe mishaps occur, the heart won't need stopping. Still, extracorporeal circulation must be ready for vascular bypass needs. Should severe arrhythmia cause cardiac arrest or unforeseen issues arise, it grants precious time for reviving the patient.”
Zhou Can responded.
“That settles it then. No issues. Patient's anesthetized, vital signs steady except for fluctuating blood pressure. Time to start.”
Director Feng works with sharp efficiency.
He avoids hesitation and needless chatter.
…
Surgery kicked off without delay.
This procedure unfolds in two phases: initial vascular bypass to secure blood flow to the patient's aortic branches, followed by stent placement.
A bypass that appears straightforward truly challenges the surgeon's expertise and the team's synergy.
During complex operations, assistants, nurses, and anesthesiologists must synchronize perfectly—no solo heroics suffice.
Zhou Can deliberately included Qiao Yu and the rest to watch, aiming for them to grasp ideal teamwork with the lead surgeon for flawless execution.
In the Cardiothoracic Surgery OR, he commands an unseen authority.
Once surgery commenced, Director Xue Yan and all others orbited him, functioning like a precision engine.
Duties stood crystal clear, surgical teamwork flawless.
Each person owns this operation fully, demanding perpetual ownership mindset.
Should someone lag, dodge duties in high-risk phases, or shrug off crises claiming irrelevance,
surgery could falter or collapse entirely.
Since Director Hu Kan's passing, Zhou Can forged this subtle command through relentless dedication.
Importantly, such authority isn't permanent.
When Director Xue Yan leads, Zhou Can and team align to her.
The lead surgeon always anchors the team.
Yet in major surgery crises, Zhou Can's presence makes him the unchallenged driver of revival, crisis resolution, and triumph over obstacles in epic procedures. Such feats sculpted his imposing reputation, crowning him the bedrock in all eyes.
No other Cardiothoracic Surgery doctor wields this hidden command.
Only Director Hu Kan held it previously.
Upon opening up the patient, Zhou Can felt a profound shock at the sight of the intrathoracic and intra-abdominal septum.
This patient has been extraordinarily lucky to survive up to this point.
Director Le, could you assist by clamping off the blood flow in this branch?
No problem.
Zhou Can swiftly incised the branch vessel and completed the anastomosis.
His speed during the operation was remarkably swift.
Linking the artificial vessel to the patient's own vessel poses a tremendous challenge to any surgeon's expertise.
A poorly executed anastomosis can trigger a host of complications with ease.
The aorta's intense central pressure makes the blood flow's force absolutely horrifying.
Should the anastomosis fail to align perfectly, it risks rupturing straight away.
His Suturing Skill, Ligation Skill, Anastomosis Experience Points surged upward at a blistering pace.
The Ligation Skill rapidly neared Level 6.
One branch, two branches… every one of the five branch vessels got connected to the artificial vessel.
The next step involved purging the trapped air, followed by the aortic bypass.
In certain cases, while checking anastomosed intestines or blood vessels, a water injection test might be carried out if necessary.
For surgeons whose abilities aren't top-tier yet, conducting water injection tests at crucial spots helps spot issues in advance.