My Medical Skills Give Me Experience Points
Chapter 367 - 175: This Residency Training Is Not Ordinary, Autologous Blood Transfusion_3

The patient's current condition is more suited for oral tracheal intubation.

At least it's a bit more comfortable than nasal insertion.

The patient is already restless and anxious, and getting him to cooperate is not easy.

Following the completion of the intubation, Zhou Can began skillfully adjusting the various parameters of the breathing machine. The three months spent in the Intensive Care Medicine Department were not in vain; he was now handling these instruments with ease.

His experience was also quite profound.

He could adjust the various parameters clearly and confidently.

There are no wasted journeys in life; every step counts.

During his three-month formal training in the Intensive Care Medicine Department, he discovered the immense benefits afterward.

There were many occasions where this experience came in handy.

Moreover, the high levels of tension he had endured while working in the intensive care ward served as excellent tempering for his mentality.

"All set!"

Zhou Can calmly retreated to the most inconspicuous observer's position beneath the operating table.

The intubation procedure just performed had earned him 1 point of experience in implantation technique.

As long as he stayed in the operating room, he could always pick up something.

"Damn good!"

"That trainee's operation just now was just too stylish!"

"So tracheal intubation can be this simple, huh! I have to try it next time!"

The other medical staff were completely dumbfounded.

Zhou Can's performance was very eye-catching, even creating the illusion that tracheal intubation was particularly easy.

"The anesthesia has been successfully administered, we can proceed with the surgery."

As Dr. Guan's words fell, the chief surgeon stood at his position by the patient's side and made an incision between the ribs, cutting layer by layer until the chest cavity membrane was visible.

There was already a lot of blood accumulated inside.

"First, let's suction out some of the accumulated blood. The bleeding point should be located between the ribs."

As the chief surgeon spoke, he continued the surgery on the patient.

He was quickly searching for the bleeding point.

However, the chest cavity was a complex environment, and with residual blood remaining, finding the bleeding point was not easy.

The incision chosen by the chief surgeon had been examined before the surgery, and the blood loss point was roughly pinpointed at this location.

It turned out that only after opening a window into the chest cavity did they realize that the bleeding point was much harder to find than imagined.

The chief surgeon was sweating profusely from urgency.

In just the blink of an eye, the patient's bleeding quickly caused a large accumulation of blood in the chest cavity again.

"The patient's blood pressure is rapidly dropping! Breathing is also in pre-warning, we need to accelerate the surgery!"

The anesthesiologist was getting anxious.

Based on the examination results, this patient's type of chest cavity bleeding was likely due to thoracic wall vessel injury.

This type of injury usually involves continuous bleeding from the intercostal arteries and veins, as well as internal thoracic vessels, due to being part of the systemic circulation with high pressure.

Without surgery for hemostasis, there is almost no chance of self-hemostasis.

Zhou Can picked up the patient's examination report and looked at it carefully. At this time, everyone was fully committed to resuscitating the patient, so no one paid attention to him.

The patient had undergone coronary angiography, but the bleeding point had not been found.

X-ray chest examination revealed a pleural effusion shadow on the injured side, the mediastinum shifted towards the healthy side, combined with pneumothorax, the fluid level was visible, and even the lungs had collapsed.

The incision was made on the injured side.

Where could the bleeding point be?

After reading the examination report, Zhou Can calmly inspected the patient's wound.

With a Chief Level Hemostasis Skill, coupled with the 50% bonus from having sharp emergency intelligence, and his newly promoted Chief Level diagnostic skill in pathology, the three medical skills combined to enhance Zhou Can's diagnostic ability, making his thinking quick and agile.

There was no visible bleeding, but the pleural effusion was rising.

This indicated that the bleeding point was hidden.

The amount of bleeding was definitely substantial.

"Doctor Long, the patient has a special blood type, and we don't have enough plasma prepared. With this volume of bleeding, the three bags of plasma we have on hand are not enough."

The assistant reminded the chief surgeon.

This was like the straw that broke the camel's back.

A surgery that was originally under controllable risk now faced a huge risk of death.

For such cases of chest cavity bleeding, where there is a significant volume of blood loss that cannot be stopped promptly, the patient could die very quickly.

"Damn, after performing so many thoracic surgeries for hemostasis, today we've encountered a tough problem."

Chief surgeon Doctor Long cursed.

The person under the most pressure during surgery is the chief surgeon.

Sometimes, like a powder keg, the chief surgeon would have a grim face in the OR, cursing at anyone they could.

It wasn't their fault, though.

The stress they faced when complications arose during surgery was just too great.

Under such circumstances, the slightest mistakes made by assistants or nurses could be magnified in the eyes of the chief surgeon, resulting in the occasional occurrence of someone being scolded to tears.

Many doctors and nurses who have participated in major surgeries say that the chief surgeon is the barometer of the OR.

This is no exaggeration.

When the chief surgeon is in a bad mood, everyone else typically reduces their presence to avoid being scolded.

"The bleeding point might be beneath this rib! With such a large volume and rapid pace of bleeding, an arterial rupture is most likely."

Taking the risk of being scolded, Zhou Can voiced his diagnostic results.

"You trainee, quit making a mess!"

The assisting doctor glared at Zhou Can, signaling him not to invite trouble.

The instrument nurse looked at Zhou Can with sympathy.

This new doctor really had a thick skull; he had already been punished during the previous surgery, and now he was sticking his nose in again.

How could a trainee direct procedures during a surgery performed by senior doctors?

"The patient is losing a lot of blood and we don't have enough plasma prepared; we can do autologous blood transfusion!"

Zhou Can suggested another approach.

In some major bleeding surgeries, if the blood loss is uncontaminated, autologous blood transfusion is entirely possible.

Tuya Hospital surely has such equipment.

Blood salvage machines can collect, filter, separate, wash, and purify the patient's blood lost during surgery and then reinfuse it back into the patient. Autologous transfusion poses much lower risks than receiving blood from another person.

Allogeneic transfusion might lead to infections like hepatitis, HIV, etc.

Besides, allogeneic transfusion can suppress the patient's immune function, increase the risk of postoperative wound infection, and is also not conducive to the healing of bodily wounds.

"Bring the blood salvage machine here, immediately!"

Upon hearing this, the chief surgeon Doctor Long made a decisive call.

The patient was bleeding profusely and was in critical condition which had made him somewhat confused.

Zhou Can's words were like a wake-up call.

"Are you really sure the bleeding point is under this rib?" Doctor Long found this inconspicuous trainee somewhat inscrutable.

Helping Dr. Guan with the tracheal intubation and setting up the breathing machine had already revealed exceptional strength.

And the suggestion for autologous blood transfusion he made in a critical moment was also extremely clever.