My Medical Skills Give Me Experience Points

Chapter 920: Chapter 365: The New Cardiac Surgery Team Takes Shape, Merits Earned Yet Still Reprimanded

During the patient rescue, not only could intelligence be significantly increased, but the mind also remained highly calm, and diagnostic thinking could improve by 100%.

“What mapping rod and mapping ring?”

The three surgical nurses were completely puzzled, not understanding why Dr. Zhou was suddenly acting so strangely.

“Xiao Zhou, are you preparing to perform epicardial mapping?”

Hu Kan, worthy of being the head of Cardiothoracic Surgery, instantly understood Zhou Can’s intention.

“Exactly!”

Zhou Can nodded vigorously.

“Why do epicardial mapping at this moment?”

Dongfang Luoxue was full of doubt. The patient was in ventricular fibrillation, and the situation was getting worse. Defibrillation was the only way to save the patient.

Director Xue appeared to grasp Zhou Can’s meaning, furrowing her delicate brows in contemplation.

The others could not deduce Zhou Can’s purpose due to their lack of expertise.

“If I haven’t misdiagnosed, the patient should have pre-excitation syndrome. In this case, without severing the abnormal conduction signals, all rescue measures are just temporary fixes. After defibrillation, ventricular tachycardia still persists, and ventricular fibrillation will recur. Before surgery, I felt the ECG had some abnormalities, but due to insufficient clinical experience, I couldn’t figure out the crux of the issue.”

Zhou Can calmly explained to everyone.

“Just now, the surgery was at the closing stage, just performing a water-injection test. It couldn’t have caused such serious issues like ventricular tachycardia and fibrillation. Director Xue’s surgery process had no errors, indicating that the surgery itself was not the problem. There is only one explanation left: this issue likely existed before the surgery. It was just hidden very deep or appeared intermittently, so it wasn’t detected by us.”

After listening to Zhou Can’s explanation, both Director Xue Yan and Director Le nodded in understanding, showing enlightened expressions.

Deputy Director Lu’s eyes brightened, looking at Zhou Can with admiration and respect.

“Indeed, we were careless! It’s not too late to mend the situation, immediately proceed with treating it as pre-excitation syndrome.”

Director Hu Kan had already guessed a part when Zhou Can asked for the mapping rod and mapping ring.

After hearing Zhou Can’s explanation, he found it very logical and immediately agreed to take these rescue measures.

Originally, these should have been completed right after opening the chest.

Because in pre-excitation syndrome, some patients show clear signs, while others are subtle.

Under normal circumstances, checking the patient’s ECG would show a significantly shortened PR interval, along with the presence of delta waves. But this condition itself involves atrioventricular conduction anomalies, and it might not show during an ECG, leading to a missed diagnosis.

Zhou Can felt there was an anomaly in the ECG at the time but never thought along these lines.

Moreover, the anomaly was slight, and that ECG didn’t even show any delta waves.

Therefore, even figures like Director Hu Kan, Director Xue Yan, and Dongfang Luoxue could not diagnose it. It can be said that doctors are humans, not gods.

Errors and oversights are very normal occurrences.

If the patient develops supraventricular tachycardia, there would be obvious symptoms of chest tightness and palpitations.

Unfortunately, this patient already had severe heart disease. Not to mention palpitations, even if there were a sudden cardiac arrest, the doctors wouldn’t suspect pre-excitation syndrome.

The biggest threat of pre-excitation syndrome is a series of complications.

Generally, there can be syncope, shock, heart failure, and sudden death.

Other than palpitations, the patient might experience shock, heart failure, or even sudden death.

Whether this patient can be saved is still uncertain.

Director Hu Kan, being the ‘commander-in-chief’, only pretended to be calm to stabilize the team, speaking lightly.

“Mapping rod and mapping ring arrived!”

The circulating nurse was quite competent, managing to find what Zhou Can needed from the emergency supply cabinet in the shortest time possible and bringing them over.

“Give them to Director Xue; I’m still inexperienced…”

“Can you drop the nonsense? Hurry up! At this moment, you still find time to be modest!” Director Hu Kan glared angrily, scolding.

He thought Zhou Can was good at everything, just sometimes too modest, and not decisive in action.

Watching him was truly worrisome.

“Alright, alright! Don’t blame me if it goes wrong!”

Zhou Can, helplessly pushed to the forefront, was going to map the epicardium. He had learned it but mastering it was out of the question.

Originally, this kind of thing should be done by Director Xue or Director Le, they would definitely be more familiar with it.

There are many ways to map the epicardium, the most common being dividing the ventricular surface into 53 small sections, with each section as a mapping point.

The purpose is to identify the atrial zone with abnormal conduction.

Using the mapping rod and mapping ring to simultaneously record the potential at each mapping point, and comparing these to the reference electrode, calculating the potential time difference recorded at each mapping point and the reference electrode point, usually in milliseconds, filling these into the mapping points according to the cardiac anatomy to create a diagram, which is the epicardial mapping chart.

From its mapping principle, we can see that this is an extremely complex process, requiring the entire team to collaborate seamlessly to complete in a very short time.

“I’ll do the drawing!”

Director Xue Yan volunteered.

“I’ll assist Dr. Zhou!”

Director Le also eagerly lent his support.

“During this period, I will try my utmost to ensure the patient’s life.” Dongfang Luoxue’s tone remained icy, but her initiative to say this reflected her acknowledgment of Zhou Can’s capabilities.

Much like being bested by an opponent in a ring, admitting it wholeheartedly.

Director Hu Kan also stepped forward, personally guiding Zhou Can.