I Can See Health

   Chapter 332 Exchange Electrophysiology Intervention Card!

  After the incident, the family members of the patients with "paraquat" poisoning never came to the emergency department of the Jinghua Second Hospital again.

   Such a ridiculous farce is over.

  …

  In this way, in the busy work life of the emergency department, another half month has passed.

  Lu Chen's gratitude value rose rapidly, only the last 200 points left before the 2,000 mark.

   Earning 200 gratitude points in a month may only be possible in the emergency department.

   "There is only one month left before the national ECG competition." Lu Chen looked at the calendar in front of him and thought to himself.

   In this month, he not only earned 2,000 gratitude points, but also mastered the advanced electrocardiogram skill card.

   In the field of electrocardiography, Lu Chen has gone a step further than before!

   But if you want to make a difference in the ECG competition, it is not enough.

   "Lu Chen, tomorrow I have a surgery for ablation of atrial fibrillation. Come and watch it when you arrive."

   The sudden message from tutor Li Yao made Lu Chen a little overjoyed.

   He can finally observe electrophysiological surgery again.

   The last time I observed it was Senior Brother Dong Hao’s room-appeal ablation.

  …

   At two o'clock in the afternoon the next day, Lu Chen asked Wang Xiaodong to take a leave.

  Lu Chen usually helped him so much, and Wang Xiaodong readily agreed.

   Came to the cardiac catheterization laboratory.

   This time, Lu Chen was very familiar with it, and went straight to the electrophysiology-exclusive catheterization room.

   Instructor Li Yao has arrived and is giving the patient anesthesia.

   "Go find a qualified lead suit and wear it."

   At the door of the catheterization room was a young nurse who smiled and said to Lu Chen.

   It seems that Li Yao has already greeted her.

   "Thank you." Lu Chen smiled and nodded.

   On the hanger next to the catheterization room, he found a set of lead clothing, and Lu Chen got into the catheterization room.

  Atrial fibrillation ablation, which is a relatively common procedure in the field of electrophysiology.

  There are many hazards of atrial fibrillation, including heart failure, cerebral infarction, etc., and with the increase of age, the incidence of atrial fibrillation is getting higher and higher.

  Ablation surgery can achieve a cure rate of about 80%.

   Walk into the cath lab.

  Li Yao has anesthetized the patient's operating area.

   "Come." She looked up and saw Lu Chen.

   "Yes." Lu Chen nodded and stood beside Li Yao.

   "Your main task today is to observe, next time you will try anesthesia and intubation yourself."

"OK."

   Generally speaking, this kind of ordinary operation does not require Li Yao to go out.

   However, the patient was a relative of the city leader, and Li Yao wanted to teach Lu Chen personally, so he took action in person.

   "Do you know the types of atrial fibrillation ablation procedures?" Li Yao suddenly asked.

  Lu Chen nodded slightly and said, "There are several types of commonly used types, mainly progressive ablation, atrial linear ablation, atrial rupture potential, and matrix-modified ablation based on atrial low-voltage areas."

  Li Yao glanced at Lu Chen with admiration, "That's right. Then tell me, when should you choose what technique?"

   "This...I haven't really touched it yet." Lu Chen paused, "But I checked the guide before. The choice of surgery depends on the patient's specific situation, and there is no absolute best surgery."

   "Yes." Li Yao nodded.

  As a student, the most admirable thing is not how talented he is, but his ability to absorb the most cutting-edge knowledge.

  If Lu Chen didn't understand the surgical procedure of atrial fibrillation ablation in advance, then it would be useless even if he watched more operations.

   "Okay, we will choose the progressive ablation method for this patient." Li Yao said softly, "The catheter is delivered to the right atrium through the femoral vein, and then reaches our left atrium after passing through the atrial septum, and the target of ablation is the pulmonary vein."

   "The vestibule of the pulmonary vein is frozen or scalded to death by different energies, which is in the vestibule of our pulmonary vein, and this sufficient electrical isolation of the pulmonary vein can block the onset of this atrial fibrillation..."

   Every step in the ablation process, Li Yao will explain to Lu Chen.

   This is an expert-level in-person lesson!

   Don't underestimate these most routine ablation surgeries, countless complicated surgeries have evolved from routine surgeries.

  The operational difficulty of electrophysiological surgery is actually very low, at most it is venipuncture.

  The real difficulty is to find the pacing point of the abnormal ECG.

   Being able to correctly find the location of the abnormal discharge and ablate it, this is the core of electrophysiological surgery!

   However, this is also the most difficult point, requiring the operator to have a solid knowledge of electrophysiology.

  …

   One hour later, the ablation of atrial fibrillation was successfully completed.

   In Lu Chen's heart, the door to electrophysiological intervention has been slowly opened.

   At this time, Li Yao brought better news to Lu Chen.

   "Lu Chen, next Monday, you can start entering the electrophysiological simulation operating room. At that time, a special teacher will teach and explain the knowledge of electrophysiological surgery."

   "Thank you teacher!" Lu Chen laughed.

   This is the opportunity that Li Yao gave him.

  Originally, Cheng Guowen wanted to use the opportunity of a simulated operation to exchange for a place in the electrocardiogram final.

   However, Lu Chen directly rejected Cheng Guowen.

   He thought that he would never have the chance to enter the real simulated operating room again.

   After all, there will definitely be a big gap between the simulated operating room of the system and the actual simulated operating room.

  I didn't expect that Li Yao's tutor was so powerful, so I won him over!

"Remember, you only have one month." Li Yao looked at Lu Chen, "When you finish participating in the electrocardiogram competition, you will no longer be eligible to enter the simulated operating room. If you want to continue to apply for admission to the simulated operating room, you must see Your performance in the EKG contest."

   For any hospital, building a simulated operating room is expensive.

   requires complete instruments and equipment, as well as supporting simulation tools.

   Generally speaking, those who can enter the simulated operating room for training are all excellent members of the electrophysiology team, and there is not even a graduate student.

   "I see, teacher." Lu Chen nodded.

   Even though he has a systematic simulated operating room, he cherishes this opportunity.

The simulated surgery of the    system, after all, is only an existence in consciousness, and it can only be used for oneself after it is operated in reality.

  …

  Leave the cath lab and go back to the emergency department ward.

  Lu Chen started emergency patients again.

In the    system panel, the total gratitude value is slowly rising.

   Finally, after Lu Chen finished another night shift, his total gratitude exceeded the 2,000 mark.

  Lu Chen dragged his tired body back to the bedroom.

   After a night of "face black" work, he was already lethargic.

   But before falling asleep, Lu Chen thought about it, summoned the system panel, and opened the mall.

   "Exchange Electrophysiology Intervention Skill Card (Elementary)!"

  As the gratitude points were used up, a new skill appeared in Lu Chen's skill panel - Electrophysiological Intervention Proficiency 0%.

   Looking at the skills in the system panel, Lu Chen smiled and slowly fell asleep.

  …

   (end of this chapter)