Coming out of the operating room, Zhao Heng quickly went to the digestive surgery department and entered the office, and Wei Tong, the attending doctor who had been sitting, saw Zhao Heng come in and immediately stood up.

In Dongfang Hospital, the biggest news and hot spot recently is that Zhao Heng, the instrument matching station in the operating room, suddenly emerged, and at a speed that everyone did not react, he took the anesthesiologist certificate, and he didn't know what the relationship was, and he suddenly became a formal anesthesiologist.

If that's just the case, then everyone is just envious, but in the surgical department, all the surgeons who have come into contact with Zhao Heng during the operation know that Zhao Heng's anesthesia level is indeed very high.

At the same time, the level can be so high, which is very admirable.

For this kind of young talent with both luck and level, doctors in major surgical departments are concerned.

Wei Tong is naturally no exception, as a surgeon, he has deeply experienced how important an excellent and reliable anesthesiologist is in surgery.

An excellent and reliable anesthesiologist is the most solid backing for the surgeon.

"I'm sorry for you, Dr. Zhao."

Wei Tong said politely.

Now Zhao Heng's identity and status are different from the past, if in the past, when Zhao Heng was just an operating room with instruments, it would be okay to call Xiao Zhao.

But now Zhao Heng's identity is the same as him, and he is already the official hospital of Dongfang Hospital, so it is a little inappropriate to call Xiao Zhao again, not to mention, it is now he who invites Zhao Heng to come for consultation.

Interpersonal communication, sometimes it is so realistic, invisibly, the difference in identity and status, the treatment of different people, what attitude to use, what to call, everyone is actually clear in their hearts.

"You're welcome, Mr. Wei. What is the patient's condition? ”

Zhao Heng also nodded, this kind of change in title and attitude is the most profound experience he has experienced recently.

In the past, he was a device with a table, although he worked hard and hard, but he was not looked at at at all at all, it can be said that he came and went as soon as he was called, how could he be respected like now.

"The patient, an elderly woman of 70 years old, was admitted to the hospital with cholecystitis, acute pancreatitis, gallbladder sedimentary stones, and common bile duct stones, and is now considering cholecystectomy and choledocholithotomy. The operation is not difficult, but the patient has a history of hypertension, coronary heart disease, and diabetes for many years, as well as a history of chronic atrial fibrillation and cerebral infarction. ”

Wei Tong quickly explained the patient's difficult situation briefly.

Gallbladder removal and choledochiotomy and stone removal, this kind of surgery, in digestive surgery, is a routine operation, the difficulty is not very high, and it can be done in general city hospitals, which is not a problem for Wei Tong, a senior attending doctor in the digestive surgery department of Dongfang Hospital.

But the most important thing is to anesthetize the operation of this patient, you must know that the patient is old, and anesthesia is given to a patient who is already 70 years old, even if the patient does not have any underlying diseases, because of the aging of physical functions in old age, it can be regarded as high-risk anesthesia.

What's more, the 70-year-old patient described by Wei Tong also suffers from hypertension, coronary heart disease and chronic atrial fibrillation, which will greatly increase the risk of anesthesia and lead to serious complications in intraoperative anesthesia.

Therefore, Wei Tongcai found Zhao Henglai, who had recently emerged in the East Hospital and was good at dealing with complex and difficult anesthesia.

Zhao Heng's several difficult anesthesia operations in the operation have been widely praised in the surgery.

"High blood pressure, coronary heart disease, and chronic atrial fibrillation."

Hearing Wei Tong say this, Zhao Heng fell into deep thought, indeed, this patient is really very tricky.

If the patient has chronic atrial fibrillation, the possibility of arrhythmia and even cardiac arrest will be very large during the anesthesia process.

It's not easy to do.

Zhao Heng frowned slightly, a little headache.

"Doctor Zhao, this patient's condition is really not suitable for postponing surgery, otherwise, I wouldn't be looking for you."

Seeing Zhao Heng's frowning appearance, Wei Tong also felt that he was a little embarrassed Zhao Heng, and couldn't help but say with some apologies.

In fact, he also knew that this patient's condition was very unsuitable for anesthesia, but in the doctor's hope, he still had the courage to ask Zhao Heng to take a look.

"It's okay, as a doctor, you have to think about the patient. In this patient's case, the difficulty of anesthesia is indeed very high, but it is not completely impossible. ”

Zhao Heng waved his hand, relieving Wei Tong's embarrassment, they are all doctors, they are all for the sake of patients, and there is nothing to be embarrassed about.

You know, in clinical practice, it is normal for all kinds of tricky situations to occur.

Sometimes, in a critical situation, there are conditions to go up, and if there are no conditions, it is necessary to create conditions!

"I'm sorry for you, Dr. Zhao."

Hearing Zhao Heng's words, Wei Tong breathed a sigh of relief in his heart, it was really this patient's operation, and it couldn't be delayed.

The patient is old, and if it cannot be operated on and treated conservatively, it is very likely to cause gallbladder perforation and cause serious infection, not to mention, the patient also has acute pancreatitis, which is a life-threatening emergency at any time.

"For this patient, I think I can use high epidural block anesthesia, in terms of anesthetic drugs, ropivacaine and bupivacaine are selected, and in the spinal canal, the concentration of epinephrine can not exceed 5μg/ml, so that the action time of local anesthetic drugs can be prolonged, the dose of systemic drugs can be minimized, and the patient's heart rhythm can be avoided."

Zhao Heng thought about it seriously, combined with the experience of integrating Gao Jun and Professor Huang Lao, and gave a very rigorous and detailed anesthesia plan.

High epidural anesthesia, in general, is used for postoperative analgesia.

However, for this patient, the use of high epidural anesthesia can reduce the amount of general anesthetic, which can greatly reduce the effect of general anesthesia on heart rate and minimize the probability of possible intraoperative complications.

"High epidural? Right! High anesthesia can be used. ”

Hearing what Zhao Heng said, Wei Tong thought about it, and immediately his eyes lit up, and he said in agreement.

For this patient, if it is encountered by a general anesthesiologist, it will basically judge that it is not suitable for anesthesia.

Because the difficulty of high anesthesia must start from the thoracic vertebrae, the spinous processes of the upper and lower thoracic vertebrae of the human body are shingled, and the gap is narrow, and the difficulty of puncture is very high.

What's more, the patient this time is a seventy-year-old man, and the elderly have calcified supperous ligaments, and the spine will also have different degrees of curvature, which will increase the difficulty of puncture anesthesia.

The elderly have poor constitution and poor tolerance, and anesthesia must be done at one time, but the difficulty of anesthesia puncture is increased.

Under various unfavorable conditions, it can be said that this anesthesia is very tricky, and under normal circumstances, senior anesthesiologists who are not very experienced will definitely not be able to take this anesthesia.