Neurosurgery.
Intensive Care Unit.
Hiss!
Zhao Heng was shocked by the scene as soon as he entered the ward.
What lay on the hospital bed was more a carbonized human-shaped object than a person.
Seeing the cracked, carbonized skin of the patient, Zhao Heng felt his scalp tingle.
It's truly miraculous that this patient survived!
The resilience of human life is truly astounding!
"Senior, how is the patient's internal environment condition?"
Zhao Heng asked Liu Ziang.
"Not good, the patient's skin has been severely carbonized, electrolyte imbalance, and severe acid-base disruption."
Liu Ziang said with a very serious expression.
"In this condition, the patient probably can't withstand surgery."
Zhao Heng pondered for a moment and said.
He meant that the patient's condition was so severe that getting on the operating table might mean they wouldn't come down.
"There's no other way, we can only take a chance. If we don't operate, the patient might not make it through the night; only surgery offers a sliver of hope."
Liu Ziang shook his head slightly and said.
Sometimes, being a doctor is about fighting for that sliver of hope for the patient.
The job of a doctor is like racing against death.
"Yes, we can only take a chance."
Zhao Heng nodded.
"Junior, I'll leave the anesthesia to you; it's the key to the success of the surgery."
Liu Ziang solemnly told Zhao Heng.
As a neurosurgery expert, simple cranial injury repair and intracranial hematoma removal are not particularly difficult surgeries for Liu Ziang.
Likewise, for Jiang Rui, the attending cardiac surgeon, heart valve repair is a routine cardiac surgery.
So, the most crucial aspect of this surgery is whether the anesthesiologist can maintain cerebral blood flow and oxygen supply under such a critical patient condition during extracorporeal circulation, an exceedingly challenging task.
"Dr. Zhao, are you confident about the anesthesia for this patient?"
Jiang Rui couldn't help but ask Zhao Heng.
Even during his internship at the Johns Hopkins Medical School's affiliated hospital, he had never encountered a patient in such a severe condition getting onto the operating table.
The crucial aspect here is anesthesia. At Hopkins, no anesthesiologist would take on such a surgery.
Because, in the eyes of other doctors, the chances of successful anesthesia are very slim.
"Whether I'm confident or not, we need to proceed bravely."
Zhao Heng said very seriously.
Would you stop just because you're not confident?
He is not someone who easily gives up hope!
"Let's work together."
Liu Ziang said to Zhao Heng and Jiang Rui.
"Okay, let's work together."
Jiang Rui, seemingly infected by the enthusiasm of Liu Ziang and Zhao Heng, nodded vigorously.
Not afraid of difficulties, facing the storm head-on is the true warrior!
"I'll go prepare first."
Zhao Heng said to Liu Ziang.
When saving lives, it is like fighting a fire. If surgery is needed, one must dive into preparation immediately, without any delay.
This patient's anesthesia would be the most difficult, complex, and challenging that Zhao Heng has ever performed.
This is unprecedented!
"Okay."
Liu Ziang nodded.
Coming out of neurosurgery, Zhao Heng felt his whole body tense up, as though he was preparing to go to battle.
A bit nervous, but also a bit excited, Zhao Heng felt his adrenaline pumping.
Returning to the operating room's anesthesiology department, Zhao Heng approached the head nurse and said to Tian Zhen and Sun Li: "We've got a big one, let's get ready for an all-nighter tonight."
"Huh? What big case?"
Hearing Zhao Heng say so, and seeing his battle-ready demeanor, even the ordinarily calm and collected Sun Li was a bit surprised to ask.
Tian Zhen also looked at Zhao Heng with some confusion. In her view, Zhao Heng was always the type to remain calm and composed, unperturbed even by a mountain collapse.
If even he was a bit nervous, this must be quite a challenging situation.
"High-voltage electrocution and high-altitude fall, cranial injury bleeding, heart valve repair, isn't that considered a big case?"
Zhao Heng said slowly.
"What?! Dr. Zhao, doing extracorporeal circulation and cranial surgery at the same time?"
Sun Li, highly professionally skilled, immediately understood when she heard Zhao Heng's words.
Understanding it was what shocked her.
This operation was practically snatching someone from death's grip.
In all her years in the operating room, she'd never seen such an outrageous anesthesia requirement.
"Yes, exactly, so you'll probably have to join in."
Zhao Heng nodded.
"Okay, I'll go prepare the extracorporeal circulation instruments."
Tian Zhen immediately agreed without a moment's hesitation.
"Yes, I'll go with you."
Sun Li also responded quickly, realizing that now was not the time for shock and inaction when lives needed saving fast.
Next, Zhao Heng went to the operating room to prepare, while Tian Zhen and Sun Li went to the medical equipment storage room to start preparing the medical devices and instruments needed for the extracorporeal circulation.
Extracorporeal circulation is a very complex procedure requiring the preparation of many items.
Extracorporeal circulation involves using a series of special artificial devices to redirect venous blood returning to the heart to an external circuit for gas exchange, temperature regulation, and filtration before returning it to the body's arterial system for life support.
Just the instruments needed for extracorporeal circulation include components like the artificial heart (blood pump), artificial lung (oxygenator), heater, tubing, filter, control console, and electronic equipment.
Without a very experienced instrument nurse in the operating room, one cannot effectively prepare for such a task.
"Doing cranial surgery while conducting extracorporeal circulation, it's too exaggerated."
Sun Li, preparing the instruments, remarked with some awe to Tian Zhen.
"Yeah, I've been in the operating room for years, and this is the first time I've seen such anesthesia."
Tian Zhen also nodded in agreement.
"Those who criticize Dr. Zhao as merely riding on connections should try performing this anesthesia."
Pausing, Tian Zhen added.
"Hmm... for this anesthesia, no one else but Dr. Zhao could manage it."
Even Sun Li, usually reserved, had to admit that managing such unprecedented and unheard-of anesthesia would already classify a person as an expert in the field.
"Exactly, Man Ni really picked a winning ticket."
Tian Zhen sighed.
With Zhao Heng's rate of progress, there's no doubt that he could become a figure like Liu Ziang before turning thirty.
And a doctor's career is long, typically extending until sixty.
Becoming a legendary figure by thirty leaves thirty more years for development and growth. The heights one might reach could be beyond anyone's imagination!
"Let's not think about that now, let's get to work."
Sun Li shook her head slightly, glancing at Tian Zhen.
Even for someone like her, who usually has no interest in men, it was clear that Xu Man Ni had indeed found an absolute potential star. Tian Zhen's thinking that way was no surprise.
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