Famous Among Top Surgeons in the 90s
Chapter 955: 【955】Risk Operation

Chapter 955: 【955】Risk Operation

Reprimanded by her, Li Xiaobing and Teacher Lu dared not move.

The two could only watch Xie Wanying nervously, wondering what she was going to do on her own.

Would it be chest compressions? Or precordial thump?

Xie Wanying’s fingers reached for the patient’s neck. The other two guessed she was trying to feel whether the carotid pulse had disappeared. Unexpectedly, after her index and middle fingers came together, they slid from the thyroid cartilage to the patient’s spine, and upon finding the carotid artery, she suddenly stopped there and pressed down.

What was she doing? Li Xiaobing and Teacher Lu blinked.

One, two, three, four, five. After silently counting to five, Xie Wanying immediately moved her fingers away from that spot.

Seeing that the patient’s symptoms had halted.

Li Xiaobing and Teacher Lu could only think to themselves, was this some kind of miracle?

What’s going on here? Those not specializing in cardiology might not be able to recognize or think of the rationale at a glance.

They only heard a dull, cold male voice chime in, "You—"

The three people at the scene lifted their heads, noticing Fu Xinheng and Zhou Junpeng standing at the patient’s head.

Perhaps the scene had been too tense; they hadn’t realized that someone had arrived.

"Teacher Fu," Xie Wanying immediately greeted him.

Fu Xinheng and Zhou Junpeng had hurried over, their breathing not yet fully stabilized, and their hearts still hadn’t recovered from the shock of watching her perform the emergency procedure. This caused the hesitation Fu Xinheng experienced before finishing his sentence.

He suddenly didn’t know what to say. Perhaps in that instant, he had to remember the unfortunate experience where he had been embarrassingly proven wrong. That time, he had told her not to enter the operating room, and then ended up using her approach to save a life inside.

Thinking of this, Fu Xinheng’s thin lips formed a line, reminding himself to be extra cautious with his words.

A mistake in front of students could damage a teacher’s authority. Suddenly he understood why Tan Kelin believed silence was golden.

Zhou Junpeng, supporting both knees, waited a while, expecting Fu Xinheng to start scolding, but when none came, he began to feel puzzled.

They were specialists and knew for sure, better than Teacher Lu and Li Xiaobing, what procedure Xie Wanying had just performed. That’s why they started walking faster upon spotting an anomaly halfway there, leaving the others with their carts and wheelchairs trailing behind.

What Xie Wanying had done was: carotid sinus massage.

My god. Zhou Junpeng thought she must either be incredibly bold or ignorant to dare to use this procedure in an emergency.

Carotid sinus massage works by changing arterial blood pressure through pressure receptors. First, it’s necessary to talk about the anatomical principle here, where the nerve endings along the internal carotid artery extend to this particular spot. Massaging this area can cause inhibition of the sympathetic nervous system and stimulation of the parasympathetic nervous system, significantly lowering blood pressure and heart rate.

This action may seem miraculous, but it’s actually risky. The international cardiology associations have stipulated that only a physician may perform it, and it’s not allowed for general emergency responders. And, there is only one specific therapeutic indication for it: paroxysmal supraventricular tachycardia.

Every medical procedure follows certain standard protocols, which are the result of countless clinicians and patients’ bloody and tearful experiences, meant to prevent misoperations. A wrong move in medicine can result in death, not salvation.

Specifically for carotid sinus massage, international cardiology associations recommend to perform it under electrocardiographic monitoring, to have an intravenous catheter ready for the patient, and to prepare various emergency medications in case something goes wrong.