Soon, the patient was brought in, and along with the patient came the chief cardiothoracic surgeon, Song Chen.
As Song Chen entered, the first person he saw was the familiar Gao Jun, and then he noticed Zhao Heng standing beside Gao Jun.
"Old Gao, is this your intern? Since when did the Anesthesiology Department have interns?"
Song Chen asked, looking at Zhao Heng with some confusion.
"No, he's more like my assistant."
Gao Jun replied.
The main person, Zhao Heng, was currently fiddling with various life monitoring devices.
To be honest, if it were local anesthesia, it would be quite simple, but to perform general anesthesia like today requires quite a lot of equipment.
Blood pressure, heartbeat, blood oxygen, blood sugar, carbon dioxide levels, biochemistry in the blood — all these data must be monitored in real-time.
And these vital signs must be maintained at a stable level throughout the surgery, which requires incredibly precise medication, entirely reliant on the anesthesiologist's experience at present.
"Your assistant? You have an assistant now?"
Hearing this, Song Chen was even more puzzled.
"Hah! Can't I have an assistant?"
Gao Jun said with a bit of annoyance.
Anesthesiologists in the operating room often feel unappreciated, that feeling where everyone needs you but doesn't really value you.
"That's not what I meant."
Song Chen also felt there might be a problem with what he said and offered an explanation.
However, he just glanced at Zhao Heng and didn't pay much attention.
Senior anesthesiologists, logically speaking, should be equipped with assistants, it's just that finding the right assistant is quite difficult, and rarely can they have a full complement.
So, after a brief surprise, Song Chen didn't pay much more attention.
"Xiao Zhao, I'll teach you how to mix anesthetics now. The anesthetic is composed of analgesics and muscle relaxants, and the most important of these is the dosage..."
Gao Jun began explaining the preparation and use of anesthetics to Zhao Heng.
It was evident that he was very earnest about teaching Zhao Heng.
Zhao Heng listened intently because what Gao Jun was teaching was valuable experience he had accumulated over many years in the field, something ordinary doctors simply couldn't learn elsewhere.
Moreover, once learned, this knowledge could be widely applied not only in anesthesia but also in other areas. Although hospitals are divided into many departments, in terms of specific application, they shouldn't be so isolated.
While Gao Jun was sharing his experience with Zhao Heng, suddenly a white light cluster appeared in front of Gao Jun.
Seeing this familiar scene, Zhao Heng's previous guess was confirmed; as long as he received teachings from others, he could gain experience.
Zhao Heng focused his thoughts and skillfully collected the white light cluster.
"Ding, acquired [Life Function Regulation (Pharmacology) (Mastery)]..."
And naturally, he picked it up and merged it.
After merging the light cluster, Zhao Heng realized that Gao Jun really had something special.
One must know that during surgery, not only should the patient be anesthetized, but crucial indicators like the patient's respiration, blood pressure, and blood sugar levels must also be maintained at optimal levels.
In this regard, Gao Jun's experience could be considered top-notch.
When discussing specific medications, Gao Jun suddenly wanted to test Zhao Heng, but also to display his own level of expertise.
Thinking for a moment, Gao Jun asked Zhao Heng.
"Xiao Zhao, today's surgery is coronary artery bypass, so I ask you, what must be kept in mind about anesthesia for heart surgery?"
Hearing Gao Jun's question, Zhao Heng fell into deep thought for a moment, reviewing the accumulated and merged experiences from Gao Jun.
Standing nearby, Song Chen observed Zhao Heng thoughtfully and didn't think Zhao Heng would be able to answer.
Because although ordinary doctors might have some understanding of anesthesia, the specific anesthetic key points for heart surgery are something ordinary doctors cannot know.
Even Song Chen only understood them slowly after performing numerous heart surgeries as a cardiothoracic surgeon.
Seeing Zhao Heng in thought, Gao Jun did not interrupt him. Learning is the process of going from ignorance to understanding, and independent thinking is very important in this process.
"Teacher, I've thought of it."
After a short while, Zhao Heng lifted his head and said, looking at Gao Jun.
"You've thought of it?"
Hearing Zhao Heng's words, Gao Jun was a bit surprised.
Originally, he was confident that Zhao Heng wouldn't be able to answer this question when he asked it.
By explaining it in detail to Zhao Heng, he could establish the authority of a teacher!
Even Song Chen looked at Zhao Heng with a face full of surprise.
"Yes, teacher."
Zhao Heng nodded seriously.
"Ahem, go ahead and say it. Don't worry, speak boldly. If there's anything incorrect, the teacher will correct you."
Gao Jun said.
Although he didn't think Zhao Heng could answer, young people having their ideas is a good thing.
"In heart surgery anesthesia, routine monitoring must be first carried out: invasive arterial blood pressure monitoring, central venous pressure monitoring, five-lead electrocardiography monitoring, pulse oximetry monitoring, nasal and rectal temperature monitoring, intraoperative arterial blood gas analysis, and ACT monitoring. Besides these, it is also necessary to conduct anesthesia depth monitoring, which includes BIS and Narcotrend. For patients with pulmonary hypertension or right ventricular dysfunction, pulmonary artery catheter monitoring can be used. Conditional facilities can also employ TEE and PiCCO exams to monitor intraoperative hemodynamic indicators to guide intraoperative fluid administration and the use of vasoactive drugs."
Zhao Heng extracted the experiences and knowledge from his mind, speaking fluently and unhurriedly.
Zhao Heng answered methodically, and Gao Jun and Song Chen's eyes couldn't help but widen.
Especially Gao Jun, who opened his mouth wide.
"Old Gao, did Xiao Zhao graduate in anesthesiology?"
Song Chen asked in disbelief.
An expert can tell at a glance, and Zhao Heng's answer was not only professional but also very profound.
If not a veteran anesthesiologist, it's impossible to come up with such an answer.
"Ahem, Xiao Zhao, your answer was excellent. It shows you've put in the hard work usually. However, this TEE and PiCCO, we temporarily don't have the conditions for those here."
Zhao Heng's answer far exceeded Gao Jun's expectations, and the TEE and PiCCO monitoring he mentioned are the most cutting-edge in the world. If not for regularly reading the latest medical literature, one could never think of them.
"So what do you think about how to medicate in anesthesia for this patient?"
Listening to Zhao Heng's answer, Song Chen became interested and couldn't help but ask.
She wanted to hear Zhao Heng's views on intraoperative anesthetic medication.
Upon hearing Song Chen's question, Zhao Heng pondered briefly, organized his words, and then said slowly, "For this patient, I believe intravenous anesthesia based on propofol should be used."
"Oh? Why use propofol?"
Song Chen said with brightened eyes.
"Administering propofol via intravenous drip or injection usually brings the patient into a sleep state within 40 seconds, which facilitates the induction and maintenance of anesthesia. Propofol acts quickly, dissipates quickly, and metabolizes quickly. As the surgery concludes, just stopping the medication allows the patient to wake up quickly, achieving a very good state of general anesthesia. It can be said that for patients undergoing heart surgery, this is the form of anesthesia with the least side effects."
Zhao Heng answered with professionalism.
"Not bad, you're quite right. This propofol was something Director Huang and I from the cardiovascular department selected together before surgery. Xiao Zhao, to think you came up with this, you were born for anesthesia."
Gao Jun nodded satisfied with Zhao Heng's answer.
You could say that Zhao Heng's performance far exceeded his expectations.
Originally, he thought it might take at least two to three years to train Zhao Heng.
But now, hearing Zhao Heng's response, Gao Jun realized that as long as he spent a few more months imparting more experience, Zhao Heng could conduct anesthesia independently.
This was simply delightful!