At this moment, the door of the operating room was pushed open, and a person walked in from the outside, this person has never been seen by everyone, but the person who accompanies this person, everyone knows - Zhao Yanhui!

"Dean Zhao!" The people in the operating room shouted in unison.

Zhao Yanhui responded, nodded at everyone, then pointed to the people around him, and introduced to the people around him: "This is the deputy chief physician of the cardiac surgery department of the Central Hospital, Director Sun Xiaotian!" ”

This Sun Xiaotian is the gray-haired old man who doesn't think much of the two little doctors in the central hospital!

After receiving the urgent coordination from the medical department of the central hospital, it happened that Sun Xiaotian had not left the hospital for ward rounds, so the medical department immediately decided to let Sun Xiaotian go to the second hospital to participate in this emergency operation.

Sun Xiaotian is a low-key and easy-going person, but in the entire cardiovascular world, he is famous, even the experts in Fuwai Hospital, who is a domestic cardiovascular leader, admire Sun Xiaotian!

And Sun Xiaotian has been to the United States, Germany for many times for further study, to learn its advanced technology and experience, and in the United States and Germany, he once completed several cases of heart surgery that was extremely difficult for the United States at that time, which was highly valued for a time, causing a sensation in the international surname!

At that time, the United States and Germany offered extremely generous treatment, asking Sun Xiaotian to stay, it can be said that as long as Sun Xiaotian is willing to stay in the United States or any country in Germany, the future is limitless!

However, Sun Xiaotian still refused and resolutely returned to China.

At that time, Sun Xiaotian was widely reported and publicized as a typical figure, and even a certain leader of the country personally received and commended and encouraged.

Fuwai Hospital even extended an olive branch to Sun Xiaotian, hoping that Sun Xiaotian could take a post in Fuwai Hospital and promise generous conditions and treatment.

It's just that Sun Xiaotian still refused, and he chose to return to Quancheng Central Hospital without hesitation!

Many people don't understand that it is understandable that he will not stay abroad, which shows that Sun Xiaotian is patriotic and has deep affection for the motherland.

But since he has returned to China, why don't he even go to a domestic Taishan Beidou general hospital like Fuwai Hospital? This makes it difficult for many people to figure it out.

In fact, the reason why Sun Xiaotian returned to the Central Hospital is very simple, that is, because Sun Xiaotian's mentor, the current director of cardiac surgery of the Central Hospital, has deep expectations for Sun Xiaotian, and hopes that after his retirement, Sun Xiaotian can take on the role of cardiac surgery in the Central Hospital and bring out a real elite team of cardiac surgery!

Therefore, Sun Xiaotian chose to return to his hometown without hesitation, and he worked diligently in the cardiac surgery department of the central hospital.

For Sun Xiaotian's deeds, almost everyone in the industry in Quancheng City knows that everyone has many praises and disapprovals for his choices, but if you talk about Sun Xiaotian's loyalty to his mentor, no one can say anything, only stretch out a thumbs up and praise it!

At this time, the expert that everyone heard turned out to be Professor Sun Xiaotian, and they couldn't help but get excited one by one, and they all greeted Sun Xiaotian!

"Hello Professor Sun!"

"Professor Sun! Great work! ”

Sun Xiaotian was smiling, and although he was wearing a mask and a hat, he couldn't see his expression clearly, but judging from the changes in his facial muscles, he could still see a kind smile.

"Okay, can anyone tell me a little bit about the patient's condition? Where are the imaging tests? Sun Xiaotian greeted everyone one by one, and then looked at everyone and said.

Lin Feng smiled faintly, stood up, and said, "Director Sun, let me tell you about the patient's situation!" ”

"At about 20 o'clock tonight, the patient was stabbed into the left side of the chest by a folding knife due to a quarrel with someone after drinking, causing a hemopneumothorax on the left side, and suspected heart injury" Lin Feng quickly and simply said the condition, at the same time, Sun Xiaotian was holding the patient's imaging data and looking at it carefully, listening to Lin Feng's words, nodding from time to time.

At this moment, the little nurse who was guarding the door of the operating room ran in and said, "The patient's lover is here!" ”

"Hmmm! I'm going to talk to the patient's wife about the condition! Tan Jie said immediately when he heard this, and then strode out.

Before surgery, it is necessary to sign various consent forms, power of attorney forms, and blood transfusion consent forms.

If it is a real emergency and the family members cannot be found, then there is no choice but to perform the operation first, and these documents will be said after the operation.

The patient's injuries were also extremely serious, but fortunately, his family rushed over in the shortest possible time, so he also had to explain his condition to the family and sign various consent forms.

Sun Xiaotian finished watching the film after a while, and was extremely satisfied with Lin Feng's introduction and emergency treatment.

Judging from Lin Feng's appearance, Lin Feng is just a young doctor in his twenties, and such young doctors are often a group of people who have just graduated, have not worked for a few years, have rich and solid theoretical knowledge, but have limited practical ability.

It is really rare to be able to be like Lin Feng at the first aid scene, so Sun Xiaotian deliberately nodded to Lin Feng and said, "Young man, you did a good job!" ”

As soon as these words came out, the scene was a little weird.

Lin Feng smiled bitterly in his heart, but the other party didn't know his identity and ability, and when he said this, it was a compliment to an ordinary young doctor, and it was enough to be proud.

Thinking of this, Lin Feng didn't get too entangled, and smiled slightly.

Sun Xiaotian will not waste more time on this, at this moment, in his eyes, there is only a patient lying on the operating table!

"Let's get started!" After Sun Xiaotian finished his faint sentence, he turned around and walked outside, there is a hand pool outside the operating room, and the seven-step hand washing method should be carried out before the operation to disinfect the hands, forearms and upper arms.

Lin Feng also went out, today's surgery is a heart surgery, which is the best time for Lin Feng to study.

On the anesthesia side, the anesthesia consent form has been signed and the pre-anesthesia induction work has begun!

Good anesthesia is a prerequisite for determining whether an operation can be carried out smoothly.

Especially for precision surgeries such as the heart, the role of anesthesiologists is becoming more and more important.

As the saying goes: surgery to cure the disease, anesthesia to save life.

This is not unreasonable, but it is true.

Even if an operation fails, at most let the patient recuperate for a period of time to see if it is possible to perform the operation again, and the patient will still be alive, or can live.

But anesthesia is different.

If there is something wrong with the anesthesia during the operation, it is very likely that the patient's life will be left on the operating table, because the anesthesia is in charge of the patient's breathing and circulation, and if the breath is gone, the person will die within a few minutes, the circulation is unstable, and there is a possibility of death at any time!

Because of this, there will be the above sentence, and invisibly, in the operating room, the status and role of anesthesiology are self-evident.

In general, anesthesia is divided into general anesthesia and regional block with the surname anesthesia.

General anesthesia refers to the insertion of anesthetic drugs into the patient's mouth or nose by inserting an endotracheal tube or oropharyngeal airway into the patient's mouth or nose, connecting to a ventilator, controlling the patient's breathing, making the patient's breathing disappear, which is conducive to the surgeon's operation.

There are four basic drugs that are generally required for general anesthesia: sedation, anesthesia, analgesia, and muscle relaxation.

Sedatives are mainly used to relax the patient and fall asleep, reducing the amount of anesthetic.

The effects of anesthetics need not be said, but because almost all anesthetics have no analgesic effect, analgesics need to be added.

And the effect of muscle relaxants is irreplaceable. Its main function is to relax all the muscles in the patient's body, including the respiratory muscles, which is one of the reasons why tracheal intubation is required for surgery.

The relaxation of the muscles is a good thing for the surgeon, and the operation is much simpler, which is really a remarkable discovery.

The regional block surname anesthesia is a general term, which includes local anesthesia, epidural anesthesia, subarachnoid block anesthesia, combined spinal-epidural anesthesia, nerve block, and so on.

The most familiar cesarean section and appendicitis surgery are basically epidural or combined spinal-epidural anesthesia, while for clavicle fractures, nerve block anesthesia is generally used.

Today's heart surgery, without a doubt, is intubated under general anesthesia.

However, cardiac surgery is different from ordinary general anesthesia surgery, not only the hemodynamic changes in the human body caused by cardiac surgery need to be paid attention to, but also the effect of anesthetic drugs on cardiac blood flow must be considered, so high-dose fentanyl is generally used for anesthesia.

Seeing that Sun Xiaotian was ready, the anesthesiologist immediately began to prepare. Although Lu Changrong, director of the anesthesiology department, has not yet come, I am afraid that he is still on the way to binary. However, the patient's condition is serious, and he can only start anesthesia.

Two mg of midazolam injection was given through the veins, 100 mg of intravenous propofol injection, followed by eight mg of vecuronium bromide injection, and then 0.2 mg of intravenous fentanyl.

Immediately afterwards, the mask was buckled, oxygen and nitrogen were inhaled, the laryngoscope was picked up, the tracheal intubation was successfully completed, and after being connected to the ventilator, the intravenous pump such as anesthetic was started according to the kilogram body weight for maintenance.

The rest is just waiting for the surgeon to sterilize and lay out the list for the operation!

Everything was ready, all the equipment was brought from the central hospital, even the instrument nurses.

After Lin Feng finished disinfection and laid out the list, Sun Xiaotian stood in the position of the surgeon, only to see him glance at the anesthesiologist, and seeing the anesthesiologist nodding for permission, Sun Xiaotian took a deep breath and said in a deep voice: "Let's start!" ”

(To be continued)