Chapter 387 Postoperative stability
Yang Ping's back was covered with cold sweat. Even he himself didn't know when he had sweated so much.
High concentration consumes a lot of mental and physical energy.
Four life-threatening cardiac arrests can drain a doctor of all his confidence.
However, he remained as firm as a rock and pushed the operation to success step by step.
Director Han hugged Yang Ping tightly. This young man who usually didn't speak much was always able to turn the tide at critical moments, even if the mountain collapsed without changing his appearance.
"Quick, go change your clothes, don't catch a cold." Director Han finally spoke.
"It's okay, it's almost done." Yang Ping smiled.
Professor Feng was pushed out from the operating room with a tracheal intubation and connected to an emergency transport ventilator.
On the portable ECG monitor following the flat car, the heart rate was 80 beats/min, the blood pressure was 132/85mmHg, and the blood oxygen saturation was 100%.
Wen Rentao and Zeng Ran pushed the cart, Dr. Wu guarded the ventilator, the circulating nurse held the guardrail, Professor Ma followed, and everyone sent Professor Feng back to the ICU ward.
Professor Zhang, Director Han, Hong Zhigang, and Dean Chen immediately gathered around.
Looking at the stable parameters on the monitor, I felt relieved.
"The operation was successful!" The news spread immediately.
People from other operating rooms came out one after another to watch Professor Feng's flat car roll out of the operating room.
If there are no accidents, Professor Feng can remove the tracheal intubation and resume spontaneous breathing two hours after returning to the ICU.
The door of the operating room opened, and Professor Feng came out and pushed him to the elevator dedicated for surgery.
The waiting area for family members was already crowded with people, including doctors observing the demonstration classroom. Johannesson, Griffin and Woodhead were also among them.
No one made any noise or interfered with the advancement of the flat car. The elevator door opened and Professor Feng was pushed into the elevator.
When we were sent to the ICU, the doctors and nurses were already ready and almost lined up to wait.
After passing the bed, connect the ventilator and monitor, and draw blood to dynamically monitor various indicators.
Professor Zhang, Han Jiangong, Hong Zhigang and Yang Ping stayed by the bedside, and the others were invited out.
The tumor from the upper cervical spinal cord to the medulla oblongata is completely removed, and the nerve nuclei and conductive bundles are perfectly protected. The interference caused by the weak thermal damage of the laser head is also transient.
Next, we need to be wary of edema in the medulla oblongata and spinal cord, but Yang Ping took great care of the tissues during the operation. Even if there was postoperative edema, it was very mild.
The application of methylprednisolone and 20% mannitol is sufficient to treat this possible mild edema.
Two hours later, Professor Feng's tracheal intubation was removed, he was weaned from the ventilator, and he resumed breathing on his own.
Heart rate, respiration, blood pressure, and blood oxygen saturation were all normal and very stable.
Extubation and weaning in the early postoperative period allow for true observation of respiratory status.
Sometimes if the respiratory center is damaged, the patient cannot be weaned off the machine and can only rely on mechanical ventilation from a ventilator.
Now Professor Feng's breathing and heartbeat are stable, and his limbs feel normal, which shows that the operation did not damage the respiratory and heartbeat centers, nor the spinal cord.
Everything showed that the operation was very successful. Not only was the tumor removed, but there were no sequelae.
When the old man woke up, he found out that his operation was successful, which was unbelievable.
After all, after general anesthesia, he looked tired and didn't want to talk much. He just answered a few questions and then wanted to rest.
"You all go to eat. I'll just stay here and watch. There are so many ICU doctors." Professor Zhang asked Director Han, Hong Zhigang and Yang Ping to go to eat.
"You can go eat too, we'll keep watch." The director of the ICU told Professor Zhang.
There is nothing to worry about when a person is placed in the ICU. There is always food to eat.
Professor Zhang saw that no one was going to eat, so he had to forcefully order: "Everyone go to eat. After eating, Jiangong and Zhigang will come over, and Xiao Yang will go back to the hotel to rest."
Director Deng of the hospital office booked a private room in a hotel near the hospital. Dean Chen led his team to accompany him and thanked Sanbo Hospital for its help in the name of the hospital.
During the banquet, Dean Chen made an official speech of thanks.
Hong Zhigang accompanied Han Jiangong. Hong Zhigang was very embarrassed and guilty. He was obsessed with it and used unfair means to slander his junior brother for his own selfish gain.
But the junior brother knew that he had slandered him, so he took advantage of the situation and gave himself the opportunity to take over as the department director. For more than ten years, I am the only one who has been kept in the dark, and I am still complacent about my little tricks.
The more Hong Zhigang thought about it, the sadder he became. His mentor took full responsibility, made a sincere apology to the patient, and negotiated compensation, which prevented the situation from worsening.
Although it was not a subjectively responsible accident, Hong Zhigang's careless mistake caused severe disability to the patient. Later, he visited the patient many times, explained the situation to the patient, provided financial compensation many times, and also sponsored the patient's son to go to college, and helped arrange for him to work in Magic after graduation. Du worked in a state-owned enterprise, and the patient not only forgave him, but was also very grateful to him.
For more than ten years, Hong Zhigang has been tortured by his conscience, both for this patient and Junior Brother Han.
Hong Zhigang also didn't expect that his respected mentor turned out to be his biological father.
The experience of the past few days was really like a dream to Hong Zhigang.
"I'm sorry, junior brother!" Hong Zhigang raised his glass and replaced the wine with tea.
Han Jiangong hugged his back and whispered in his ear: "Don't mention the past anymore, okay, I accept your apology, and this article will be over from now on."
The senior brother was wrong at the time, but he was not unforgivable. He sincerely regretted it afterwards. The Department of Orthopedics at the Sixth Hospital of Modu has been flourishing under the hands of Hong Zhigang over the years. He selected and trained a group of young people and was very responsible for talent training and department management. , all learned from the most advanced hospitals in the world and formed a standardized training and management system.
Yang Ping was surrounded by Wen Rentao, Zeng Ran and Mu Jun. Mu Jun thought of the international trauma surgeon Fumiya Takahashi and asked: "I heard that Professor Takahashi came to China?"
He wanted to ask if he was in Sanbo Hospital. Yang Ping said: "He has been coming to our hospital for several months. Why, do you know him?"
"He is our teacher. We received training from him when we were studying in Japan. He is very strict." Mu Jun explained hurriedly.
Sure enough, Takahashi was in China, and at Sanbo, Wen Rentao and Mu Jun's guesses were verified.
Yang Ping thought they knew about Takahashi's further training and wanted to inquire about Takahashi's current situation, so he took a sip of tea and said, "Takahashi's training period was originally three months, but now it has been extended to half a year. He is very good and studies very seriously."
Everyone looked at each other, Gao Qiao went to Sanbo to study?
Everyone thought they were going to train them, but Takahashi was actually studying at Sanbo. The topic that was brought up inadvertently was quite embarrassing.
"That spinal orthopedic surgery you won the Golden Knife Award for was so awesome. I still haven't figured out a lot of questions." Zeng Ran immediately changed the subject to resolve the embarrassment.
Speaking of the Golden Knife Award, Director Peng of the Medical Department said: "We discussed that Feng's surgery video should be uploaded to the Golden Knife Award website. However, according to the rules of the Golden Knife Award, the case must be from a participating hospital. Although the surgeon is Dr. Yang, But Mr. Feng is considered a case of Mo Liu. I don’t know if it can be counted as a case of Dr. Yang. We tried our best to apply and communicate with the host committee. Such classic cases are rare.”
Director Peng has been handling this matter. Mr. Feng explained before the operation that he would be used as a teaching case. If the operation failed, an autopsy would be conducted afterwards.
Now that the operation was successful, Director Peng and Dean Chen have been considering that they should adhere to Mr. Feng's original intention and make the operation video public to their colleagues.
This operation is an excellent teaching case for both spine surgeons and neurosurgeons.
The best way to make it public is to put it on the Golden Knife Awards website, which is currently the most powerful way to spread it.
It would be better if it could become Yang Ping's participating case. Even if it cannot, opening up a separate area on the Golden Knife Award website to display this operation would benefit everyone a lot.
"The purpose of the competition is to inspire young doctors to go all out and strive for excellence. This operation is the embodiment of this spirit. I think the host committee will consider this." Professor Zhang also strongly recommended this operation as a participating operation.
Dean Chen knew that keeping Yang Ping here for several days and several more days after surgery would definitely delay his preparations for the Golden Knife Award season. If Feng Lao's surgery could be used as a competition case, he would kill two birds with one stone. He made up for the time lost by Yang Ping, so he said: "In the name of Moliu Hospital, we contacted several authoritative professors of orthopedics and applied to the main committee, hoping to be approved."
Such cases that challenge the restricted area and demonstrate the wisdom and courage of doctors should be paid tribute to and learn from doctors across the country.
The third season of the game happened to be the surgery for spinal and pelvic tumors, among which upper cervical spine tumors were the focus of the showdown.
Following Feng Lao's case, Yang Ping also began to think about how to simplify, standardize and popularize this difficult surgery.
By allowing surgery to be replicated on a large scale, although it is difficult for other doctors to reach their own level, it can at least advance the surgery of tumors in the upper cervical spinal cord and brainstem to a new level.
Among them, Yang Ping's experience in anatomy and pathophysiology is the most valuable. Without thorough anatomical research on the brainstem, there would not be such a high success rate.
Without in-depth research on the pathophysiology of the brainstem, one would not be so calm in the face of several cardiac arrests.
Yang Ping decided to write a paper to study the anatomy and pathophysiology of the upper cervical spinal cord and brainstem. Based on these foundations, he could design more scientific and safer surgical approaches and methods, so that everyone can master their own surgical methods.
The meal was almost finished and the tea was almost drunk. Professor Zhang suggested that the dinner should be dismissed.
Professor Zhang arranged for everyone to go to the ICU to see Professor Feng again.
Hong Zhigang and Han Jiangong stayed in the ICU to keep vigil overnight, taking turns.
Wen Rentao sent Yang Ping back to the hotel. He couldn't hold it anymore, so he went back to the hotel to rest.
In the past few days, Professor Zhang has been tortured by his old man so much that he suffers from back pain and exhaustion. If he doesn't rest, he is afraid that he will have to endure the ICU.
(End of chapter)