My Medical Skills Give Me Experience Points

Chapter 1296: Chapter 511: Anesthesia Is a Dangerous Path, and the Long Wait (Part 2)

People like Qu Zi and Shangguan Xuexue are all growing rapidly.

The entire Anesthesiology Department, from bottom to top, is full of talent, and its development trajectory is very promising.

The successful development of the Anesthesiology Department owes much to Director Xie from the General Surgery Department. He has provided a lot of support and help to the Anesthesiology Department.

In this regard, one must admire Director Xie’s foresight.

He probably realized long ago that the Anesthesiology Department and the surgical departments form a symbiotic relationship. Only when the Anesthesiology Department is well developed can the surgical departments have a strong ally.

Then, because other major departments also need anesthesia support, they maintain a good relationship with the Anesthesiology Department.

As such, aside from finding it a bit hard to recruit people, the Anesthesiology Department is thriving within the hospital.

The Anesthesiology Department’s reform, already on the agenda, will be a huge test for people like Dr. Guan. The current model in Anesthesiology is shared benefits; when cases are received, they are distributed fairly among the anesthesiologists.

If the department has special requirements and assigns a specific person, and it can be arranged, it is generally agreed upon.

Dr. Guan is now facing an awkward situation where few departments designate him to perform anesthesia operations. Without reform, he can still partake in the shared benefits.

After the reform, if he doesn’t receive cases, it will be difficult to manage.

Either he transitions to work in the Intensive Care Medicine Department or sees if any department needs staff in their intensive care unit, moving there as an in-charge doctor.

Starting from choosing the path of anesthesiology, anesthesiologists are destined to face a path full of thorns and endless risks.

Whether working as an anesthesiologist or transitioning to an Intensive Care Medicine doctor, one must constantly take risks for various patients.

"Is cardiac arrest necessary?"

Director Feng asked Zhou Can.

He already knows the entire surgical plan was designed by Zhou Can, so some critical issues in the surgery must be confirmed with Zhou Can face to face.

"As long as there are no major accidents, the heart does not need to stop. However, we need to prepare for extracorporeal circulation, as it is required during vascular bypass. In case of severe arrhythmia leading to cardiac arrest or other unpredictable situations, extracorporeal circulation can buy time for patient resuscitation."

Zhou Can replied.

"Then there shouldn’t be any problem. The patient is already under anesthesia, and apart from unstable blood pressure, other vital signs are relatively stable. Let’s begin."

Director Feng is efficient in his work.

He never dithers or wastes words.

...

The surgery began quickly.

This surgery needs to be performed in two steps: first, a vascular bypass to ensure blood supply to the patient’s aortic branches, then place the stent.

What seems like a simple bypass is actually a test of the doctor’s skills and the entire team’s cooperation.

In any major surgery, the assistant surgeon, nurses, and anesthesiologists must work in harmony. It’s not something one person can accomplish.

Zhou Can intentionally brought Qiao Yu and others here to observe, hoping they learn how an excellent surgical team should cooperate with the chief surgeon to complete the entire operation.

He holds an invisible leadership position in the Cardiothoracic Surgery operating room.

After the surgery began, everyone, including Director Xue Yan, centered around him, operated like a finely-tuned machine.

Responsibilities were clear, and cooperation during the surgery was seamless.

Everyone is the owner of this surgery and needs to maintain a sense of ownership at all times.

If anyone slacks off, shirks responsibility when faced with riskier surgery, or adopts an indifferent attitude when encountering crises, saying it’s none of their business,

it would lead to problems or even failure in the surgery.

After Director Hu Kan passed away, Zhou Can gradually established this invisible leadership role through his efforts.

It must be noted, this leadership position is not fixed.

If Director Xue Yan is the chief surgeon, then Zhou Can and others revolve around her.

Whoever is the chief surgeon is the core of the surgical team.

However, whenever there’s a problem in major surgeries, as long as Zhou Can is present, he is the absolute leading force in resuscitation, tackling challenges, and overcoming difficulties to complete daunting surgical tasks. These achievements gradually built his formidable image, ultimately becoming the pillar in everyone’s mind.

This invisible leadership position is something other doctors in the Cardiothoracic Surgery Department do not have.

Only Director Hu Kan had this position before.

After dissecting the patient, Zhou Can was deeply disturbed upon seeing the intrathoracic and intra-abdominal septum.

This patient is incredibly fortunate to have lived till now.

"Director Le, please help me block the blood flow in this branch."

"No problem."

Zhou Can quickly made an incision on the branch vessel and performed an anastomosis.

His surgical speed was fast.

The anastomosis of the artificial vessel with the patient’s vessel greatly tests the doctor’s skills.

If the anastomosis is not done well, various problems can easily arise.

Especially given the high central pressure of the aorta, the impact after blood flow is quite terrifying.

If the anastomosis is not in place, it can be breached directly.

His Suturing Skill, Ligation Skill, Anastomosis Experience Points are all rapidly growing.

The Ligation Skill is quickly approaching Level 6.

One branch, two branches... all five branch vessels are anastomosed with the artificial vessel.

Next is to expel the air within, then perform the aortic bypass.

Sometimes, when inspecting the anastomosed intestines or blood vessels, if needed, a water injection test can also be performed.

Especially for some surgeons whose skills aren’t particularly advanced, performing water injection tests at key junctions can identify problems early.