After a while, the patient was sent in, and along with the patient, there was also Song Chen, the attending doctor of cardiac surgery.

As soon as Song Chen came in, he first saw the familiar Gao Jun, and then saw Zhao Heng standing beside Gao Jun.

"Lao Gao, is this the intern you brought with you? When did the anesthesiology department also have interns? ”

Song Chen looked at Zhao Heng with some doubts and asked.

"No, it's my assistant."

Gao Jun said.

And Zhao Heng, the main owner, is fiddling with various life monitoring instruments at the moment.

To be honest, if you want to do local anesthesia, it's actually quite simple, but if you want to do general anesthesia like today, there are a lot of practical instruments.

Blood pressure, heartbeat, blood oxygen, blood sugar, carbon dioxide content, blood biochemistry, these data must be monitored in real time.

These vital indicators must be maintained at a stable level during the operation, which requires extremely accurate medication throughout the operation, and for the time being, it is completely dependent on the experience of the anesthesiologist.

"Your assistant? Do you have an assistant? ”

Hearing this, Song Chen was even more puzzled.

"Wow! I can't have an assistant? ”

Gao Jun said angrily.

The feeling of an anesthesiologist in the operating room is a feeling of not being taken seriously, that is, the feeling that everyone needs you very much, but they don't value it that much.

"That's not what I meant."

Song Chen also felt that there was something wrong with what he said, so he explained.

However, she just looked at Zhao Heng and didn't care.

Senior anesthesiologists are also supposed to be equipped with assistants, but it is just that it is difficult to find this assistant candidate, and it is rare to match them.

Therefore, he was surprised, and Song Chen didn't pay too much attention to it.

"Xiao Zhao, I'll teach you how to prepare anesthetics now, this anesthetic is composed of analgesic drugs and muscle relaxants, and the most important of these is the dose...

Gao Jun began to tell Zhao Heng about the configuration and use of anesthetics.

It can be seen that he is very attentive to teaching Zhao Heng.

Zhao Heng also listened very attentively, because these things taught by Gao Jun were all his precious experience in the industry for many years, and ordinary doctors had nowhere to learn these at all.

Moreover, after learning these things, not only in anesthesia, but also in other aspects, in fact, the application is also very wide, although the hospital is now divided into many departments, but in the specific application, in fact, it should not be so isolated.

Just when Gao Jun was teaching Zhao Heng his experience, Zhao Heng saw that in front of Gao Jun, a white ball of light suddenly appeared.

Seeing this familiar scene, Zhao Heng's previous guess confirmed that as long as he was taught by others, he could also explode experience.

Zhao Heng's mind moved, and he skillfully collected the white light cluster.

"Ding, pick up [Vital Function Regulation (Pharmacology) (Proficient)].

Naturally, pick up, fuse.

After fusing this light group, Zhao Heng discovered that this Gao Jun really had something.

It is important to know that during surgery, it is not only necessary to give the patient analgesia, but also the patient's breathing, blood pressure and blood sugar, which are important indicators, must be kept at the most appropriate level.

And Gao Jun's experience in this area can be said to be top-notch.

When talking about the specific medication, Gao Jun suddenly wanted to test Zhao Heng, of course, it was also to show his level.

After thinking about it, Gao Jun asked Zhao Heng.

"Xiao Zhao, the operation to be done today is a heart bypass, so let me ask you, what should I pay attention to in the anesthesia of this heart surgery?"

Hearing Gao Jun's question, Zhao Heng fell into deep thought for a while, he was looking through the experience of falling fusion from Gao Jun.

And Song Chen, who was standing on the side, looked at Zhao Heng disappreciatively, looking at Zhao Heng's silent appearance, she didn't think Zhao Heng could answer.

Because ordinary doctors, although they also know some anesthesia knowledge, but the key points of anesthesia for heart surgery are not at all that ordinary doctors can understand.

Even Song Chen, because she is a doctor in cardiac surgery, only slowly understood after doing a lot of heart surgery.

Seeing Zhao Heng's contemplative appearance, Gao Jun did not interrupt him, the process of learning is that he will never come to the meeting, among them, independent thinking is also very important.

"Teacher, I thought of it."

Just after a while, Zhao Heng raised his head, looked at Gao Jun and said.

"Did you think of it?"

Hearing Zhao Heng's words, Gao Jun was a little surprised.

Originally, when he asked this question, he was sure that Zhao Heng would not be able to answer it.

Wait for him to explain to Zhao Heng in detail, won't he be able to establish the prestige of the teacher!

Even Song Chen looked at Zhao Heng with a look of surprise.

"Yes, teacher."

Zhao Heng nodded very seriously.

"Ahem, then you can talk about it, rest assured, say it boldly, if something is wrong, the teacher will correct you."

Gao Jun said.

Although I don't think Zhao Heng can answer, but young people have their own thinking, which is also a good thing.

"Anesthesia for cardiac surgery must first do routine monitoring, invasive arterial blood pressure monitoring, central venous pressure monitoring, five-lead electrocardiogram monitoring, pulse oximetry monitoring, nasal temperature and anal temperature monitoring, intraoperative arterial blood gas analysis, ACT monitoring, in addition, it is necessary to do anesthesia depth monitoring, and anesthesia depth monitoring includes BIS and Narcotrend. For patients with pulmonary hypertension or right ventricular dysfunction, pulmonary artery catheter monitoring can be used, and if available, tests such as TEE and PiCCO can be used to monitor intraoperative hemodynamic markers and guide the use of intraoperative fluids and vasoactive drugs. ”

Zhao Heng extracted the experience and knowledge in his mind, and talked eloquently without hurry.

Zhao Heng replied with a blank look, but the eyes of Gao Jun and Song Chen involuntarily widened.

Gao Jun, in particular, opened his mouth even wider.

"Lao Gao, this Xiao Zhao graduated from anesthesia?"

Song Chen asked with some confusion.

As soon as the connoisseur made a move, he knew if there was any, Zhao Heng's answer was not only professional, but also very profound.

If it weren't for a senior anesthesiologist, it would be impossible to answer.

"Ahem, Xiao Zhao, you answered very well, you can see that you usually work hard. However, this TEE and PiCCO, there is no such condition here for the time being. ”

Zhao Heng's answer can be far beyond Gao Jun's expectations, and the TEE and PiCCO and examination he mentioned, which are the most cutting-edge examination methods in the world, would not have been thought of if it were not for reading the most cutting-edge medical literature.

"Then tell me, how is this patient going to use the anesthesia?"

After listening to Zhao Heng's answer, Song Chen suddenly became interested and couldn't help but ask.

She wanted to hear what Zhao Heng's views were on intraoperative anesthesia medication.

Hearing Song Chen's question, Zhao Heng pondered for a while, organized his words, and then said slowly: "For this patient, I think propofol-based intravenous anesthesia should be used. ”

"Oh? Why do you want to use propofol? ”

Song Chen's eyes lit up and he said.

"Propofol is used by intravenous drip or intravenous injection, usually within 40 seconds, and the patient falls asleep, which facilitates the induction and maintenance of anesthesia. Propofol has a fast onset, disappears quickly, and is metabolized quickly, and when the operation is about to end, as long as the drug is stopped, the patient can wake up quickly, and can achieve a very good state of general anesthesia. It can be said that this is the type of anesthesia with the least side effects for patients undergoing heart surgery. ”

Zhao Heng replied very professionally.

"Yes, you're right. This propofol was selected by me and Director Huang before the operation. Xiao Zhao, you can think of this, he was born dry anesthesia. ”

Regarding Zhao Heng's answer, Gao Jun nodded with great satisfaction.

It can be said that Zhao Heng's performance far exceeded his expectations.

Originally, he thought that it might take at least two or three years to bring Zhao Heng out.

But now listening to Zhao Heng's answer, Gao Jun knew that as long as he spent a few months and taught more experience, Zhao Heng would be able to perform anesthesia independently.

This is simply a pleasant surprise!