I Can See Health

He Sirong was slightly stunned, and then unconsciously made way.

She frowned and watched Lu Chen's operation quietly.

Lu Chen stepped forward and stood in front of the patient's bed.

"Lu Chen, can you do it?" Ke Yue asked in confusion.

Lu Chen didn't say anything, just nodded!

The situation was urgent, and he didn't have time to explain more.

He had trained pericardiocentesis hundreds of times in the virtual space.

From anesthesia to puncture, every step was remembered by him.

Taking a deep breath, he began to anesthetize.

...

Outside the elevator, which was only separated by a door.

"Can he do pericardiocentesis?" Li Yao had this doubt in her heart.

Not only her, but everyone else was looking at Lu Chen's actions in the video in surprise.

There were many doctors and nurses in the eight cardiac areas around.

Many of them knew Lu Chen, a graduate student who had just come to the department and was only in his first year of graduate school this year.

Pericardiocentesis is different from conventional operations such as thoracentesis, abdominal puncture, and lumbar puncture.

This is an operation skill that even many residents and even attending physicians don't know, let alone let them operate alone under such circumstances!

Everyone was afraid to breathe and stared at Lu Chen.

Director Lin Cui looked at Lu Chen and frowned slightly.

He remembered this boy.

He was Li Yao's student this year!

When she explained the electrocardiogram to everyone, this student had a lot of limelight!

Lin Cui looked at He Sirong standing next to Lu Chen in the video again, and a trace of disappointment flashed in her eyes.

He had obviously completed pericardial puncture independently, but why did he start to get nervous at this time?

...

In the elevator.

Lu Chen began to perform anesthesia before puncture.

The puncture site for blind puncture is generally selected under the xiphoid process.

The anesthesia point is the puncture site.

Lu Chen chose the anesthesia point---the puncture point below the junction of the xiphoid process of the sternum and the left 7th costal cartilage, and the puncture direction was 45 degrees to the abdominal wall.

The needle was inserted upward, backward, and slightly to the left into the posterior and lower part of the pericardial cavity.

Lu Chen performed local anesthesia from the skin to the pericardial wall at the puncture point.

"His hands are very steady!"

Jiang Qingyan watched Lu Chen's operation, which was in sharp contrast to He Sirong's trembling hands. Her nervous mood calmed down a lot.

Li Yao, who was outside the elevator, looked at Lu Chen's skillful operation. In addition to joy, she also felt a little strange.

Any operation skills are just practice makes perfect.

But there are very few patients who need pericardial puncture, and there are not many opportunities for a student to do it personally.

How can Lu Chen be so skilled?

And looking at his movements, the anesthesia technique is very smooth, without any stagnation.

This technique is completely unlike what he can have at his age.

...

Lu Chen has inserted the anesthetic needle into the pericardium.

While injecting anesthetic, he sucked back the needle tube.

Suddenly, Lu Chen felt that the needle tip had a sense of falling into the air.

The sense of falling into the air indicates that the obstacle has been broken and the needle has entered the pericardium.

And Lu Chen did not feel the obvious vibration of the needle tip hitting the heart!

This shows that it is safe to puncture at this point!

Pulling back the needle, yellow liquid immediately appeared in the needle!

Ke Yue and Jiang Qingyan looked at Lu Chen with joy.

Anesthesia was successful, and the effusion was successfully extracted, which means half of the success!

He Sirong, who was standing aside, was stunned and stared at Lu Chen blankly, but he didn't know what he was thinking in his heart.

"Got it! Got it!"

The people outside the elevator also saw Lu Chen's operation clearly through the video.

"This needle went down and successfully penetrated the pericardium directly. It's really not easy!"

"I haven't even looked at the situation yet, and drainage fluid appeared in his needle."

"I think... maybe he is lucky?"

...

After anesthesia, the next step is puncture!

The rubber tube connected to the puncture needle is clamped closed, and the puncture needle is inserted into the selected and locally anesthetized area.

Lu Chen held his breath and began to slowly insert the needle under negative pressure!

The location and angle of this needle insertion are very particular.

If it is guided by ultrasound, the needle can be seen in the ultrasound, and the risk of puncture is greatly reduced.

When the needle is close to the myocardium, just stop inserting the needle.

Now, Lu Chen can only insert the needle carefully.

To avoid inserting the needle too deep and directly piercing the myocardial tissue!

...

The people around him also held their breath, and their mood fluctuated with Lu Chen's operation.

Feeling the feeling of breaking through the obstacle again, Lu Chen stopped inserting the needle.

I saw light yellow liquid flowing out of the needle tube, which indicated that the puncture needle had entered the pericardial cavity!

After the puncture needle entered the pericardial cavity, Lu Chen immediately Jiang Qingyan said: "Help connect the syringe to the rubber tube."

Jiang Qingyan nodded, handed the mobile phone to Ke Yue, quickly put on gloves, and assisted Lu Chen.

Conventional pericardial puncture, if it is a therapeutic puncture, may require a drainage bag.

But now the situation is critical, Lu Chen did not continue to operate, but directly released the clamp and began to extract pericardial effusion.

He wanted to quickly extract some of the pericardial effusion to quickly relieve the pressure on the pericardium!

The syringe was 50ML, which meant that Lu Chen extracted 50ML of effusion per tube.

The first extraction of pericardial effusion should be around 100-200ML.

If a large amount of pericardial effusion is removed in a short period of time, pulmonary edema may occur.

…

"Pull it out!"

Outside the elevator, when everyone saw that Lu Chen had successfully punctured and extracted the liquid, their hearts dropped.

Li Yao also breathed a sigh of relief.

Being able to perform pericardiocentesis safely means that the patient's life safety is guaranteed!

Everyone was amazed when they saw Lu Chen's operation.

"This classmate's puncture speed is so fast! From anesthesia to puncture, it only takes a minute and a half!"

"Is this really a blind puncture? I even suspect that he performed the puncture under ultrasound guidance!"

"I'm sure that this classmate has performed no less than 10 pericardiocentesis independently! Otherwise, he wouldn't be so skilled!"

…

Lu Chen drew a total of two and a half tubes, which were about 150ML of pericardial effusion.

As the pericardial effusion is drained out, the patient's breathing rate slowly slows down on the bed.

On the ECG monitor.

The patient's blood pressure and blood oxygen saturation finally did not continue to decrease, but slowly increased.

at the same time.

Lu Chen noticed that the health value on the patient's head did not continue to decline, but returned to the previous fifty plus!

"Lu Chen, don't you want to continue smoking?" Ke Yue said, "Although the patient's symptoms are better, the symptoms of pericardial compression have not been completely relieved."

Lu Chen shook his head, "It's my first time to pump today. I can only release so much for the time being. If there are no obvious uncomfortable symptoms in the future, I can continue to pump again and more fluid can be released the second time!"

Ke Yue nodded.

It seems that the crisis has been resolved.

But at this moment, Lu Chen discovered that bloody fluid was flowing out from the rubber tube connected to the puncture needle!

Lu Chen frowned.

What started out was a yellow liquid, but why did it turn bloody in the blink of an eye?