I Can See Health

   Chapter 871 Something better than instant noodles

   Cardiac catheterization laboratory.

  Lu Chen's operation is still going on.

   "Shut up the cold brine!"

   "First try ablation with 15W, 55℃!"

After    one second, the ventricular tachycardia is terminated.

   "Gradually titrate power to 30W and temperature to 55°C."

   Afterwards, Lu Chen's operation discharged a total of 90s.

   During this period, no atrioventricular block and left bundle branch block occurred, and the AH and HV intervals were normal.

After the termination of the discharge, pacing at the rate of tachycardia at the successful ablation target, the resulting 12-lead QRS complex pattern is identical to that of ventricular tachycardia.

   And the interval from the stimulus signal to the start of the QRS complex is equal to the interval from the PP to the start of the QRS complex in VT.

"ended."

  Lu Chen took off his gloves under Xiao Shikang's surprised expression.

   He threw the disposable gloves and hats into the yellow medical trash can.

   "Mr. Xiao, observe for 30 minutes." Lu Chen said slowly to Xiao Shikang.

   "Oh." Xiao Shikang was stunned at first, and then reacted.

  The end of the ablation does not mean the end of the surgery.

   After surgery, observation for 30 minutes is required, and after intravenous infusion of isoproterenol, S1S1 stimulation of the ventricle and atrium is performed to see if ventricular tachycardia can be induced.

  Once ventricular tachycardia is induced, it means the failure of the entire ablation procedure.

  …

   Half an hour passed.

  The audience in the live broadcast room waited with Xiao Shikang.

  When the nurses put isoproterenol on the patient, everyone stared at the ECG monitor beside the operation.

   on the monitor.

   The patient's heart rate suddenly increased!

  Isoproterenol is one of the drugs that can increase heart rate clinically.

   Its side effect is that it can induce malignant arrhythmia.

  The audience in the live broadcast room also mentioned it in their hearts.

   An increase in heart rate is most likely a precursor to malignant arrhythmia.

   The patient's heart rate rapidly increased from 70 beats/min to 120 beats/min in one minute.

   A defibrillator and an ambulance were also prepared.

   Slowly, as the pump of isoproterenol finishes, the patient's heart rate gradually slows.

   And the ventricular tachycardia that always patronized this patient before, this time, it did not happen again!

   "Okay, the operation is over!"

   When Lu Chen finished saying this, everyone in the live broadcast room was completely relieved.

   Someone accidentally glanced at the number of viewers and was taken aback!

   The number of viewers has more than doubled compared to the beginning of the operation.

   Moreover, more and more viewers began to enter the live room.

   They were all introduced by other doctors and friends and wanted to see this exciting operation.

   "The operation was a success!"

   When Lu Chen said this to the patient on the stage, the corner of the young patient's eyes was a little wet.

   Over the years, I have been suffering from electric shocks for a long time, and others cannot feel the same.

   However, he couldn't remove the ICD.

   This is a life saver!

   He's still so young, but he doesn't want to leave like this.

   For this reason, he inquired a lot and found a lot of connections, and finally got this place for the Mayo cardiologist to perform surgery.

   "Thank you, Professor Lu!"

   The patient held Lu Chen's hand and kept saying thank you.

   "The operation will take some time to recover, so pay attention to rest and don't get tired." Lu Chen warned a few times. Although this is a minimally invasive operation, there are also some delayed complications, such as myocardial damage and cardiac perforation.

"Well, I'll listen to you." The patient looked at Lu Chen and sighed, "Professor Lu, it would be great if you were in Huaxia. We still have many patients here. Like me, they endure a lot of pain every day... …”

   After saying this, the patient himself felt that what he said was inappropriate, and quickly said: "I'm sorry, Professor Lu, I don't mean anything else, I just thought that it would be great if Huaxia could have a doctor as powerful as you."

  Lu Chen smiled, "There will definitely be, and there will be many in the future."

   "Really?" There was also a smile on the patient's face, "Then I look forward to that day."

at this time.

  Lu Chen noticed the pop-up prompt on his system panel.

   "Congratulations, +5 for receiving thanks from Xiao Shikang!"

   "Congratulations, received a thank you from...!"

"Congratulations……"

   A series of thank-you reminders surprised Lu Chen.

   The number of viewers this time, at least tens of thousands.

   Even if each person provides a little thank you, it will add up to a lot.

   It won't take long before Lu Chen can exchange for a second advanced skill card!

  …

   The patient was pushed to the CCU observation room.

  The surgery is officially over.

  Lu Chen slowly walked out of the catheterization room and took a sip of mineral water.

   The overall time for this operation is about two hours.

   Standing for a long time made Lu Chen's waist a little sore.

At this moment.

   Shen Wenguang and Yang Feng walked over.

   "Director Yang, let me introduce to you, the surgeon today is one of the best attending physicians in our Mayo Cardiology Department."

  Yang Feng did not reply, but Lu Chen smiled, shrugged, and said to Shen Wenguang, "Director Shen, I have known this director of Cardiology Department of the First Affiliated Hospital of Kyoto University, Yang Feng, for a long time."

   When Lu Chen spoke, there was a faint smile on his face.

   But there was a hint of indifference in the words.

   "Oh? Really? That's even better." Shen Wenguang smiled, "I hope everyone can communicate and cooperate in various fields of cardiology in the future."

   Yang Feng didn't smile when he looked at Lu Chen, but when he turned to look at Shen Wenguang, he also showed a smile, "Okay, I'll have a good conversation with Dr. Lu in the future."

  Lu Chen smiled and didn't pay much attention to Yang Feng's words.

  Some things, once missed, may be irreversible.

  Lu Chen didn't want to say anything more to these leaders, so he said, "Director Shen, I have another operation next, so I'll go to prepare first."

   "Okay, let's go." Shen Wenguang nodded and patted Lu Chen's shoulder, "Don't run away tonight, have dinner with me."

   "Yeah." Lu Chen nodded slightly, he really had no reason not to participate in the group dinner.

  …

   The second electrophysiological operation.

  Xiao Shikang is the main knife and Lu Chen is the assistant.

   The difficulty of this operation is one grade lower than the previous one, just a leadless pacemaker implantation.

   This type of surgery, Lu Chen would have done five years ago.

   For him now, it is not difficult at all.

   Under the guidance of Lu Chen, Xiao Shikang started the operation.

   Lu Chen will take the initiative to help once he encounters a more difficult place. More often, Xiao Shikang completes the operation independently.

  Because the live broadcast of this surgery is also an opportunity for Doctor Huaxia to show himself.

  Lu Chen is better not to overwhelm the guest.

  …

   After an hour of operation, the operation was completed smoothly.

   In this operation, Lu Chen was an assistant, and he did not receive much thanks.

   But today's harvest is enough.

night.

  Lu Chen was pulled by Kebed to the hotel where the group dinner was held.

   The hospital leader of Huaxia Hospital and Shen Wenguang sat at a table.

   The other doctors sat down freely.

  Kebed pulled Lu Chen's sleeve, "Hey, Lu, you forgot your promise to me!"

  Lu Chen was about to eat a mouthful of steamed pork. He was stunned for a moment, then looked back at Kebed, "What promise?"

   "Take me to eat something better than instant noodles." Kebed blinked, looking at Lu Chen with great anticipation.

  Lu Chen was startled, he really forgot about it, so he smiled, "Okay, I'll take you to supper tonight."

   "What to eat?" Kebed wondered.

   "Skewer..."

   (end of this chapter)