The Godfather of Surgery

When the people in the observation area saw the scene just now, they all left their chairs with their buttocks. The sudden cardiac arrest occurred during the operation, which is a severe test of clinical experience and psychological quality for any surgeon.

My heart stopped?

Defibrillating!

——

Have it!

There is.

Amidst the noise and exclamations, everyone saw the normal heart waves on the screen and let out a long breath. Someone reached out and touched the chair and sat back again.

People with lingering fears climbed out of the thrill and adjusted their emotions.

Dr. Yang is a generation ahead of us in the study of this tumor, and he had long expected cardiac arrest.

We are still in the primitive exploration stage. In our opinion, the temporarily insurmountable problems seem to be the norm for him.

The huge wave that had just stirred up in Johanneson's heart gradually calmed down, but the remaining waves were bursting.

Griffin was no better, and was taken aback.

The medulla oblongata is a part of the brainstem, and many nerve nuclei of the brainstem are distributed in this area. In the past, surgery in this area was a forbidden area.

In recent years, due to the progress of brainstem anatomy, the improvement of operating technology under the microscope, the application of various advanced examination and surgical equipment, and the application of navigation equipment, surgeons have entered the restricted area.

However, the operation is also limited to the safe area, and it is performed in the gap between the nerve nucleus and the conduction bundle. The tumor like Mr. Feng has been closely adhered to the vital nucleus, and it is still a forbidden area for surgery.

Yang Ping's hand is very stable, like a precision machine. What is even better than the machine is that the good tactile feedback makes the operation force very appropriate, which is impossible for any machine at present.

Wen Rentao, who is good at operating under the microscope, saw Yang Ping's operation and had to admit that the gap with Yang Ping could not be narrowed.

Under the magnified microscope, the operation is very easy, and the maximum precision is always maintained, and the movements are not lost in the slightest.

Beyond the first danger zone, the tumor was further separated, with hemostasis as it was separated.

For a tumor without an envelope, in Yang Ping's eyes, there seems to be some kind of invisible envelope, and Yang Ping can separate it on the surface of this envelope.

He is really like free-hand rock climbing. There will be five falls during the whole climbing process. After falling, he has to grab the rock again and continue to climb up.

Once you miss it, you will never be able to recover.

That's the limit of a human being, and his hands have been steady with no signs of slackening fatigue.

Whether it succeeds or not, this operation should become a classic.

Oops, the adhesion is too tight, and it is in danger. The accuracy of 0.1 mm can't meet the needs of this operation, and there will be another fall, my god.

—

The more I can understand, the more nervous I get.

Johanneson covered his mouth and almost made a sound. Griffin and Woodhead were already huddled together, as if this would give him a sense of security.

The laser scalpel head emitted a faint light and entered the dead zone again. Yang Ping made a brief pause here, communicated with his assistant in advance, and reminded him of what was going to happen next.

Everyone, pay attention, the second cardiac arrest is coming soon, so cheer up. Yang Ping's clear and calm voice.

Everyone reunited all the spirits and waited for the second coming of the god of death.

With an uncontrollable scream from the conference room.

A second cardiac arrest occurred, this time faster and without warning.

No delay, quick action, the sterile sheet covers the protected operating area, lifts the sterile sheet on the back, and removes the electrodes and leads of the ECG monitoring.

First defibrillation, failed -

The right side of the screen in the observation room displays the panorama of the operating room and various monitoring parameters.

Second defibrillation, failed -

Johanneson followed the man in front and all stood up and failed the second time.

As time passes by, this kind of cardiac disturbance, if the defibrillation fails in the early stage, the chances are slim in the later stage, and Johanneson understands the risks.

As if the patient was in front of him, Johanneson couldn't help, his hands clenched into fists.

Come on, come on!

He clenched his fists, fingers deeply clasped his palms, a piercing pain.

continue--

ICU Doctor Wu has experienced how many rescues, how many snatch with death, and when he failed the second time, his hands began to tremble slightly.

At this time, the doctor's good professionalism showed incisively and vividly. Even so, he still pressed the electrode pads to the accurate position with the fastest movements and no deformation, and completed the third defibrillation.

Have it!

The anesthesiologist kept staring at the ECG waves on the defibrillator screen. Behind the dense ventricular fibrillation waves, the familiar sinus rhythm waveform jumped out.

Have— Everyone almost cheered.

The anesthesiologist didn't realize it himself, and when he shouted there is, there were two teardrops on his face.

It is not only because of Mr. Feng, the doctor does not want any patient to leave in his hands, and the life slips from his hands, which is a shock to any doctor.

Life and death, at this moment, life and death, between the three defibrillation actions.

Heartbeat recovers -

The itinerant nurses wiped the sweat from everyone's brows one by one.

Outside the door of the operating room, Han Jiangong and Hong Zhigang have been waiting at the door. From time to time, doctors from other departments look here, but they don't dare to come.

They know that as long as the operating room door is not opened ahead of time, the inside continues.

Han Jiangong and Hong Zhigang, their hearts are burning like fire, they can see through the small window what is going on inside, they have passed the second gate of hell.

Professor Zhang sometimes stood still, and sometimes walked around with his hands behind his back. A neurosurgery doctor brought a stool and asked Professor Zhang to sit against the wall.

Professor Zhang waved his hand to signal not to sit down. Sitting down, his whole body trembled, but it was more comfortable to walk around.

Dean Chen sat in the locker room, leaning on the back of the chair, and never went in. He held the phone in his hand, checking to see if he missed a call from time to time.

Caught, God, he's got it again.

Everyone sat down again, Johanneson gasped and let go of his white fingers, Woodhead and Griffin's hands clasped together.

A senior surgeon, watching this kind of operation, was trembling every step of the way, especially when the heart stopped, for fear of not being able to recover.

This kind of heartbeat and breathing stops, and because of general anesthesia, the spontaneous breathing is suppressed, and the breathing machine is completely taken over by the ventilator, so it cannot be expressed.

The heartbeat will be reflected immediately. In case of failure to rescue, even if ECMO is used to temporarily replace the heart to promote blood circulation, it will have no effect.

Because the vital functions of the patient's brain have been disrupted, brain death is inevitable.

Everyone adjust their emotions, is there anyone who wants to change?

Yang Ping asked everyone that the countless times of devil training made him feel like a stone during the operation, extremely rational, like a robot, rational to the point of inhumanity.

In the face of this kind of surgery, any mood swings, any impulsiveness, will not help.

Everything is done in accordance with scientific laws, and all choices and judgments must be rational in order to be the closest to success.

After two cardiac arrests and two battles with the god of death, it consumed a lot of everyone's mental energy.

Under Yang Ping's inquiry, no one said anything. The quality of the doctors in the Sixth Magic Capital Hospital is worthy of the first-class quality in the country.

There are a few more times in the future. Everyone cheers up. Death is beside us. We can reach out at any time. Every time we must not miss, check the power of the defibrillator. Yang Ping told everyone.

The operating table is rearranged, gloves are changed, and the operation continues.

The chief knife's firm will is focused on the tip of the scalpel, it is fearless and continues to move forward.

The operation has entered the most dangerous area of ​​the medulla oblongata, and the third heartbeat stops, which will be more sudden in the future.

Yang Ping must judge in advance, give other doctors sufficient time, five seconds, hesitate a little, or if there is a delay, the opportunity will be lost.

Five seconds, the god of life only gives five seconds each time.

How can Dr. Yang accurately determine at which step the cardiac arrest occurred?

It shows that his research on the anatomy and physiology of the brain stem has been very thorough.

In China, brainstem surgery is a neurosurgeon's job.

I heard that when he studied the tumor of the upper cervical spine, it extended up to the medulla oblongata, and the research came from there.

Our trip to China this time has advanced the surgical level of upper cervical spinal cord tumors and brain stem tumors by at least ten years.

The Chinese are crazy, they don't seem to have a problem they can't overcome.

Sir, don't forget that this hospital appeared in the world's first replantation of a severed limb.

Johanneson, Griffin and Woodhead sat all the time without even going to the bathroom.

The other people in the observation room were the same, no one went out, they were all focused.

One-third of the thumb-sized surgical objects are all fragile and tender tofu, with countless blood vessels and many nerve nuclei, forming a world full of dangers.

The deeper you go, the more difficult it is to separate. Misjudgments and mistakes in operation can all be fatal.

The laser knife follows a precise trajectory without a trace of jitter or deviation. The main knife seems to know the boundary between the tumor and the normal tissue. Even if there is no boundary, he can separate the boundary.

As the separation progressed, a third cardiac arrest approached.

In fact, this is the third and fourth set. The interference of two consecutive danger zones reacts with a stop-jump.

The third cardiac arrest is coming soon. This time, it will be very stubborn. It may take more than a dozen rounds of cardiac compressions and defibrillation to succeed. Everyone must hold on.

Wen Rentao listened, he was able to predict more than a dozen rounds of CPR, and still be so calm, this is a demigod.

This time, the tumor will be removed from the superficial layer of the nerve nucleus?

The hairs on Johanneson's body stand up, a real dead zone.

If it was said that the previous operation was on the verge of death, this time it was directly stepping on the death operation.

This is something that no neurosurgeon in the world dares to do. The operation in the gap has reached the current limit, and now it is necessary to enter the superficial layer of the nerve nucleus? Even fiddling with forceps may cause death.

Yang Ping adjusted his sitting position. This time, there were two dangerous operation points connected together. Yang Ping was going to cross it once, but he could only cross it once. Crossing over twice, the success rate will decrease.

If the neural nuclei are densely covered reefs in the vast ocean, they were swimming between the reefs in the past, and now they have to collide with the reefs.

At this time, the 0.1mm laser knife also appears to be less confident.

Crossing the danger zone this time, the two operation risk zones need to draw the curve once in a row. Any pause will increase the time for the tool tip to stay, resulting in an increase in the heat accumulation effect and irreversible consequences.

Everyone, pay attention, when you hear my order, you don't need to look at anything. Direct defibrillation, alternating defibrillation and cardiac compression, cannot be stopped until it is successful.

There is only one chance, and one must succeed.

In Extreme Thief, riding a motorcycle across a canyon and landing on an isolated peak, there is only one chance, failure means death, and now Yang Ping has to cross two canyons in a row.

Wen Rentao didn't dare to move the suction device in his hand, and there was no bleeding now.

Take a break, are you afraid? Yang Ping asked Wen Rentao.

Wen Rentao tried to calm himself: The object of your operation should be the heartbeat center?

Yes, I want to enter the superficial inner core and strip out the part where the tumor entered. Yang Ping told him.

If this is feasible, there is only one chance. There is no time to wait. The beginning must end. Whether it is successful or not, there is only one chance. Wen Rentao understood the danger of the next operation.

Everyone take a break and adjust their emotions. The next recovery will be more challenging. Believe me, we will be able to get through. Yang Ping encouraged everyone.

Yang Ping took a short rest, and after getting a buffer, he continued the operation.

He adjusted his breathing several times, the laser knife in his hand constantly adjusted, looking for the best feeling, like a sniper, looking for the best time to shoot.

The laser head began to move, and it was not in a hurry or irritability before. The small bright spots quickly passed along the predetermined curve at the junction between the brain tissue and the tumor.

Once, twice, three times, four times, each precise overlap deepens the separated parts.

Finally, the two dead zones were crossed. When the last operation was completed, Yang Ping put down the equipment and directly ordered: Heart compression, defibrillation!

As soon as the words fell, the wavy line disappeared and the heartbeat stopped. This time it was a flat straight line, not ventricular flutter. Although Yang Ping told everyone in advance, everyone was still shocked by the sudden change.

Straight lines are more dangerous than ventricular fibrillation.

Cover the surgical area, lift the sterile drape, and begin trans CPR.

ICU Dr. Wu's movements are very standard. The pressing force of the back is pushed back by the sandbag on the lower part of the ventral sternum. The sandbag presses the lower part of the sternum, causing the ribcage to sink, forming an artificial pump, squeezing the heart, and driving the blood to circulate throughout the body with oxygen.

Johanneson was terribly nervous, such a bold operation, but if he did not do it, the operation would have no hope of success.

Pores all over his body contracted, his muscles were in a state of spasm, and he leaned back in his chair, motionless.

Anesthesiologist, continue the epinephrine push.

Have it!

Ventricular fibrillation appears, is a fine fibrillation.

Anesthesiologist, turn it into a rough tremor, quick!

Another quick push of adrenaline.

Fine tremors are very dangerous and difficult to defibrillate successfully.

With the efforts of the anesthesiologist, the fine tremors immediately turned into coarse tremors, like a fast shaking rope.

Wen Rentao, prepare for defibrillation, hurry!

Wen Rentao didn't hesitate at all, the electrode plate in his hand had already been coated with conductive paste and pressed against Mr. Feng's back.

Yang Ping looked at the screen calmly, his heart like a rock.

Defibrillation failed! Continue heart compressions.

Go ahead, don't be discouraged, you can definitely be rescued, you can definitely be. Yang Ping said firmly.

Defibrillate again!

Failed again.

Outside the door, Han Jiangong and Hong Zhigang were separated by a small glass window. Seeing that the rescue was being carried out inside, their hearts were thumping, and a tight contraction came from their chests.

Professor Zhang was sitting on the stool, squinting his eyes. He could no longer stand up. Whether he could survive or not depend on the old man's life.

Alternate cardiac compressions and defibrillation.

The third time, the fourth time, the fifth time, the sixth time, the seventh time—

There was no sign of success yet. Johanneson looked at the screen without blinking, in extreme pain, hoping for sinus rhythm echoes and QRS complexes.

The QRS complex, the QRS complex that everyone has, is now out of reach for Professor Feng.

God— Griffin kept making the cross.

Woodhead's body was cold, and he held Griffin's hand tightly, and his body had slipped from the chair and was reclining.

Hurry up, hurry up!

The observation room did not know who was crying.

Fifteenth, electrical defibrillation.

Anesthesiologist Professor Ma looked at Yang Ping, and everyone did not stop.

CPR replaced, Zeng Ran replaced Wen Rentao immediately.

Zeng Ran came on stage.

Not enough strength!

Yang Ping immediately replaced Zeng Ran. Originally, he wanted to take the overall command, but he usually had less trans-CPR training. Even if the test was done in a supine position, Zeng Ran was a little unskilled.

Yang Ping pressed his back rhythmically, the back press and the sternum sandbag squeezed, the thorax was deformed, the heart pumped blood out, let go of the hand to let the rib cage rebound, and the blood in the whole body returned to the heart.

Continue defibrillation!

Wen Rentao performed the eighteenth defibrillation, and he was almost desperate, already eighteen times.

Go ahead, don't panic, it's definitely possible, it's definitely possible--

Yang Ping's tone was firm and confident, giving everyone strong courage and confidence.

Finally, after the twenty-first round, sinus rhythm was restored.

After the death ECG storm, there is silence, watching the sinus rhythm wave graph on the defibrillator screen.

Connect the ECG monitor again, and the long-lost QRS wave reappears on the screen, and the curve is like the most beautiful music in the world.

After the catastrophe, the rest of the life was easy, everyone gasped and turned to look at Yang Ping. Now in their eyes, he is a god, not a human being.

Wipe off the sweat, brush your hands again, go on stage, and continue the operation. Do you want to change someone?

Everyone shook their heads and encouraged each other.

There were three cardiac arrests on the operating table. This time, it took 21 rounds to rescue them. Every doctor felt exhausted just now, but now he is full of energy.

Don't be afraid, remember, follow my instructions in all actions, and you will be rescued. If I guess correctly, there will be a cardiac arrest, and I will tell everyone in advance.

Rescue was successful again?

Griffin woke Johanneson with his eyes closed, and a surprising wave of sinus rhythm appeared on the screen.

I love you--

The world's top neurosurgeon blew a kiss to the QRS complex on the screen.

The sobbing gentleman was a student of Professor Feng and came back from Germany.

He sobbed like a child, and was handed a tissue.