647 A Bite of Walnu (2/2)
Chief Surgeon Ling Ran also did not start working immediately.
Therefore, a chief surgeon, two assistants, a scrub nurse, and an anesthetist who just stood up in a tense manner and looked at the patient's injury while he laid in the middle of the operating table. They watched the blood flowing out…
Ling Ran looked downward without blinking his eyes.
This scenario had never appeared when he was using the Virtual Human.
Ling Ran did not perform a complete surgery on the Virtual Human, and he also did not know there would be a time like this. In other words, even if he used the Virtual Human to perform a complete surgery, since the anesthetist beside him was different, he would probably obtain different results.
Countless thoughts popped up in Ling Ran's mind.
'Why? Why would the blood pressure increase?' This was the first thought that appeared in Ling Ran's mind.
However, Ling Ran did not keep thinking in this direction. There were many reasons for intraoperative hypertension. Pain, hypoxemia, hypercapnia, low body temperature, or excessive blood volume were also a possible factor. However, this time was not a good time to ponder about the reason of increased blood pressure. The key to the problem was the need to control the bleeding in time.
As long as the reason of high blood pressure did not clash with bleeding control, then, the problem of blood pressure could be left for the anesthetist to handle.
Subsequently, more problems appeared in Ling Ran's mind.
'Why would the blood vessel rupture?'
Ling Ran seized onto this question. He stared at the bleeding point below him, thought for a while, and slowly said, ”Zhang Anmin, aspiration first, starting from the borders. Don't touch any tissue.”
”Phew.”
”Phew.”
Sighs of relief were heard from both the upper and lower floors at the same time.
The past five to six seconds was pure torture for everyone in the room. Many of them thought that Ling Ran was scared or that he was stunned.
Doctors actually encountered or heard about this kind of situation often.
Not every surgeon could handle the stress from the rupturing of blood vessels and the flowing of blood.
Ling Ran rarely had such an experience, and the system did not even provide him with similar skills.
However, during the one year he spent in the Emergency Department, the pressure Ling Ran had to face while he had to make swift decisions was never rare.
While he listened to the familiar aspiration sounds, Ling Ran used his fingers and pointed at the bleeding point. He said, ”The blood vessels here are probably brittle and have been eroded by the cancer cells. They're pressed down by other tissues. Now that the pressure is gone, the blood spilled out.”
”The blood vessels are… brittle?” Xu Wen could not help but mumble. This concept was slightly shocking for a doctor who worked in the field of hepatobiliary disease.
The doctors in the room only just realized why Ling Ran kept insisting that they did not move just now.
If the blood vessels were brittle, then when they pressed down on it, the blood vessel pieces would flow into the blood vessels, and it would easily cause thrombus in other body parts.
Ling Ran looked at the surging blood, but he did not immediately block it. Instead, he said steadily, ”It's okay for the blood vessels to be brittle. If we suture them nicely, they can still be used. It's just that the difficulty of the suture is higher, so we need to take note of the postoperative medication. Anesthetist, how long do you need to lower the blood pressure?”
”It'll be effective in a second… that… too much bleeding…” The anesthetist was dizzy. 'This patient's body is so bad that it's like soybean curd residue… It's no wonder then why the doctors from other hospitals are not willing to perform the surgery for him.'
Ling Ran did not know about anesthesia, and he also did not want to give instructions.
”Okay,” he said. Then, he looked at the bleeding wound and said, ”The first part of the surgery is very smooth, so having slight bleeding occur now does not matter. Alright, it's exposed. Forceps.”
The scrub nurse quickly passed the forceps to Ling Ran.
Ling Ran quickly clamped a blood vessel piece that was exposed in the blood.
”Scissors.”
”Done.” Ling Ran put the cut piece into a small transparent bowl before he threw aside the scissors. He asked for a needle holder before he started to suture the blood vessel on the spot.
As the blood pressure was reduced, the blood flow also slowed down, so the bleeding was stopped very quickly.
”29 ounces.” The anesthetist reported a number.
Ling Ran smiled. ”More than what I expected, but it's alright.”
”It's all thanks to your decision-making skills during the critical moment, Doctor Ling.” Xu Wen sighed in relief, and he took the chance to butter up to Ling Ran.
Zhang Anmin imitated his senior's tone and said, ”If someone else operated on him, he will definitely die in this kind of accident.”
After she waited for them to finish buttering up to Ling Ran, the scrub nurse asked, ”Does this cut tissue need to be sent for examination?”
”No need,” Ling Ran said.
After he finished talking, Feng Zhixiang's voice could be heard from the interphone in the visitation room. ”Ling Ran, if the blood vessel piece is useless, can you let us take a look?”
”Everyone is quite curious. Yes, academically curious.” Zhu Tongyi added.
Ling Ran then nodded and said, ”Send someone here to collect it.”
After he finished speaking, Ling Ran continued to perform the surgery.
Everyone in the visitation room looked at the high-resolution screen in front of them, and they felt curious as well as passionate.